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HIM 370 Comprehensivene Final > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

TRUE/FALSE: Despite there being a number of procedures to correctly identify patients, wrong patient surgeries still occur

A

True

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2
Q

TRUE/FALSE: A safety plan has protocols in place to prevent patients from self-harm

A

True

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3
Q

TRUE/FALSE: Time out forms are only completed on outpatient surgery cases in ambulatory care settings

A

False

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4
Q

TRUE/FALSE: CMS surveys are necessary annually even though your facility is accredited by TJC

A

False

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5
Q

TRUE/FALSE: If your facility is accredited by the joint commission you have the gold star approval and deemed status

A

True

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6
Q

TRUE/FALSE: Accreditation by The Joint Commission is voluntary and the hospital pays no associated fees for participating in a survey

A

False

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7
Q

Cleanliness and storage of medical devices

A

Infection control

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8
Q

Standards in this area evaluate the number of patients who develop complications due to an intravenous catheter

A

Infection control

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9
Q

Evaluates the appropriateness of medication orders

A

Medication management

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10
Q

TJC have standards in this area that evaluate how and at what temperature IV meds are stored

A

Medication management

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11
Q

This area evaluates the facility compliance with inspection of fire extinguishers

A

Life safety

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12
Q

History and physical compliance would be monitored with this set of standards

A

Information management/record of care

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13
Q

Reviews the surgical consent for accurate completion and authentication

A

Information management/record of care

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14
Q

Inspects and conducts generator tests

A

Environment of care

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15
Q

Element of performance that evaluates verbal order authentication

A

Information management/record of care

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16
Q

Outlines the requirements for patient chart completion by the physician

A

Information management/record of care

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17
Q

Monitor for adverse drug events

A

Medication management

18
Q

Standards in this area evaluates the infection rates associated with medical devices

A

Infection control

19
Q

Sprinkler head functionality would be evaluated with this set of standards

A

Life safety

20
Q

Tamper proof doors and windows would be reviewed with these joint commission standards

A

Environment of care

21
Q

These standards validate that the hospital establishes and maintains a safe and functional facility

A

Environment of care

22
Q

All of the following items are checked on a time out form except:

A. Patient Identity
B. Insurance type
C. Procedure site
D. Equipment needed

A

B. Insurance type

23
Q

Failure to properly sterilize the equipment used in surgery would indicate:

A. High level disinfection
B. Bad manners
C. Immediate threat to life
D. Both A and C

A

C. Immediate threat to life

24
Q

An accreditation cycle for TJC is:

A. 1 year or annually
B. Every 2 years
C. Triennial or every 3 years
D. Every 60 days

A

C. Triennial or every 3 years

25
Q

Which of the following is not a true statement about The Joint Commission:

A. Results of your survey are available to the public
B. Length of the survey are based on the size of the facility and complexity of services
C. There is no fee for accreditation
D. Random unannounced surveys can occur at the

A

C. There is no fee for accreditation

26
Q

Deemed status means:

A. Gold star approval
B. Automatic increase in reimbursement
C. Exempt from surveys by Medicare
D. Both A and C

A

D. Both A and C

27
Q

An immediate threat to life can be awarded for which of the following situations:

A. Failure to properly identify a patient and perform the wrong procedure
B. Inappropriate disinfection of medical supplies
C. Lack of leadership oversight in the surgical area
D. All of the above

A

D. All of the above

28
Q

All of the following are benefits to TJC accreditation except:

A. Enhancing physician recruitment
B. Improved liability insurance coverage
C. Validating quality care to your patients and their families
D. All are benefits

A

D. All are benefits

29
Q

Mock surveys may be performed at your facility to evaluate compliance with the standards:

A. Coordinated internally by the facility quality improvement coordinator
B. By a parent company if your facility is owned by a corporation
C. If you pay a fee of $1500
D. Both A and B, and not C

A

D. Both A and B, and not C

30
Q

RFI is defined as:

A. Recommendations for immediate transfer
B. Request for increase
C. Requirements for improvement
D. Return of fiscal intermediary

A

C. Requirements for improvement

31
Q

Evidence of standards compliance involves:

A. Elements of performance
B. A, C, and D
C. Requirement for improvement
D. Survey analysis for evaluating risk

A

A. Elements of performance

32
Q

True/False: Tracer mythology involves using visitors as specimens for appropriate activity

A

False

33
Q

TRUE/FALSE: Human resources is never involved in a joint commission survey

A

False

34
Q

TRUE/FALSE: Records of care standards only apply if the hospital has a census of 150 or more

A

False

35
Q

TRUE/FALSE: Delinquent rates for 12 months are required by TJC

A

True

36
Q

TRUE/FALSE: If you receive conditional accreditation, (accreditation with follow up survey) you have 60 days to send in a corrective action plan and demonstrate evidence of compliance

A

True

37
Q

TRUE/FALSE: National patient safety goals are used by TJC to evaluate each facility for the elements of performance and evidence of standards compliance

A

True

38
Q

TRUE/FALSE: Denial of accreditation means your facility can no longer has deemed status and cannot accept federal Avenue

A

True

39
Q

TRUE/FALSE: A preliminary denial of accreditation is evidenced by a failure to resolve a requirement in the follow up survey

A

True

40
Q

TRUE/FALSE: TJC usually requests 2 months of data from each department on their arrival to the facility for review

A

False

HIM 370 Comprehensivene Final (6 decks)

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