Module 10 lecture part 4

Question 1

Crucial pathways and process improvement

Answer 1

A timeline that identifies planned medical interventions with expected pt outcomes
A plan of action for documenting and evaluation

Question 2

Risk management and process improvement

Answer 2

Proactive efforts to prevent adverse events related to clinical care and facility operations
Focused on avoiding medical malpractice

Question 3

Public reporting on macro levels of quality

Answer 3

CMS programs on quality
AHRQ quality indicators
State public reporting of hospital quality
State public reporting of hospital quality
-Not limited to Medicare fee-for-svc beneficiaries
-Includes younger adults and older adults insured through private plans and Medicaid-affiliated HMOs

Question 4

ACA and cost

Answer 4

Cost control measures: competition among health plans to drive down insurance costs, value-based purchasing, and reduction in Medicare payments to providers

Question 5

ACA and access

Answer 5

Promises to increase access to affordable insurance coverage, and supports improvements in primary care and wellness

Question 6

ACA and quality

Answer 6

Provisions for improving quality of care, through programs that link payment to quality outcomes in Medicare, strengthening of the quality infrastructure, and encouraging the development of new pt care models

Question 7

National Quality Strategy

Answer 7

Make health care more accessible, safe, and pt-centered
Address environmental, social, and behavioral influences
Make care more affordable