Module 13 Test- Quality and Performance Improvement (RHIA and RHIT) Flashcards
The anesthesia department is adding a new indicator to its plan. The chief anesthesiologist has come to you, the director of quality management, to help her design a data collection methodology. The two of you are now considering who will be doing the data collection. All of the following are factors in your deliberations EXCEPT
the expertise of the staff.
the location of data.
Joint Commission standards and required characteristics.
quality management organizational model of the institution.
Joint Commission standards and required characteristics
If administrators of a home health agency wanted to measure the outcomes of adult patients receiving their agency’s services, which tool would they use?
HEDIS
QAI
OASIS
ORYX
OASIS
As director of the HIM department, you are asked to chair a committee that will review, select, and implement a CPOE system. The information has been collected, and you bring your committee together to prioritize their suggestions. This method of working with information is known as
correlation analysis.
force field analysis.
Delphi process.
nominal group technique.
nominal group technique
As an HIM coding supervisor, you are asked to compare the current coding process with a proposed concurrent coding process. What visual tool would be the best to identify all the logical steps and sequence of each procedure?
decision matrix
checksheet
flowchart
cause and effect diagram
flowchart
The performance tool shown above is used to provide structure by classifying information into smaller groups. What is the name of this chart/diagram?
arrow diagram
flowchart
matrix
affinity diagram
affinity diagram
Your hospital is required by the Joint Commission and CMS to participate in national benchmarking on specific disease entities for quality of care measurement. This required collection and reporting of disease-specific data is considered
a series of core measures.
an environment of care.
a group of sentinel events.
risk assessment.
a series of core measures
The hospital quality department adopted the Lean Management quality model using JIT, which ensures required process items and resources are
for the correct patient, using the correct procedure, at the correct site.
available at the right place and the right time.
automatically restocked to maintain a surplus.
always kept stocked in central processing.
available at the right place and the right time
The utilization review coordinator reviews inpatient records at regular intervals to justify necessity and appropriateness of care to warrant further hospitalization. Which of the following utilization review activities is being performed?
preadmission
retrospective review
continued stay review
admission review
continued stay review
Which of the following processes is mandatory for health care facilities?
AHA registration
licensure
certification
accreditation
licensure
The use of metrics to conduct root cause analysis that will facilitate changes throughout the organization can best be presented using a
flow chart.
scatter diagram.
fishbone diagram.
pie chart.
fishbone diagram
Eighty requests for records to be pulled for the emergency room were processed in January. From the histogram provided above, what was the most frequent amount of time taken to process a request?
21–30 minutes
1–10 minutes
31–40 minutes
11–20 minutes
11–20 minutes
Which of the following is a disadvantage of retrospective data collection?
Data are all available.
Reviewer bias is reduced.
Deficiencies in documentation can effect reimbursement.
Fewer data collectors are required.
Deficiencies in documentation can effect reimbursement
What feature distinguishes the nominal group technique (NGT) from brainstorming?
NGT uses a visual device like a flip chart to keep track of responses.
NGT draws responses from a large group of people.
NGT determines the importance of responses through a rating system.
NGT can be accomplished by mail.
NGT determines the importance of responses through a rating system
Surgical case review includes all the following EXCEPT
determination of surgical justification based on clinical indication(s) in cases where no tissue has been removed.
cases with elements missing in the preoperative anesthesia consultation.
cases with serious surgical complications or surgical mortalities.
cases where there is a significant discrepancy between preoperative, postoperative, and pathological diagnoses.
cases with elements missing in the preoperative anesthesia consultation.
A surgeon left a clamp in a patient, resulting in a return to the operating room. In an integrated organizational quality management model, all of the following entities would receive data about the investigation EXCEPT the
Credentials Committee.
Risk Management Program.
Tissue Committee.
Pharmacy and Therapeutics Committee.
Pharmacy and Therapeutics Committee
HEDIS gathers specific data on women’s health in which of the following areas?
severity of illness indicators
comprehensive diabetes care
average length of stay
prenatal care
prenatal care
HIPAA Security Component concerned with having a building alarm system installed would be a(n)
administrative safeguard.
physical safeguard.
organizational standard.
technical safeguard.
physical safeguard
As head of the performance improvement department, you are asked to evaluate patient satisfaction and offer recommendations for action. The performance tool shown above is used to graphically display the results. What is the name of this chart?
line chart
Pareto chart
run chart
bar chart
Pareto chart
As the new coding manager, you met with the coding staff to encourage feedback on ways to increase coding accuracy to meet established benchmarks. The coders provided feedback through brainstorming that you compiled on flipcharts and organized into categories. This is known as a(n)
cause-and-effect diagram.
affinity diagram.
nominal group technique.
flow process chart.
affinity diagram
The QI plan for your hospital requires each coder maintain a minimum of 94.5% accuracy in coding. You manage the coding department, and the past year’s average accuracy rating was 95.3%. The QI plan allows a standard deviation (SD) of ±2 against the minimum of 94.5% accuracy. Did your coding staff’s overall average meet within standard deviation range?
Yes, within ±2 above SD
Yes, within ±2 below SD
No, because it is > ±2 above SD
No, because it is > ±2 below SD
Yes, within ±2 above SD
