Part 15 Flashcards
An accrediting agency’s published rules, which serve as the basis for comparative assessment during the review or survey process is called _____.
a. Accreditation policies
b. Accreditation guides
c. Accreditation controls
d. Accreditation standards
Accreditation standards
Which of the following is the process of meeting a prescribed set of standards or regulations to maintain active accreditation, licensure, or certification status?
a. performance improvement
b. compliance
c. document review
d. deemed status
compliance
Before the on-site survey team leaves the healthcare facility they meet with the organization’s leadership team and provide a report of their findings. This meeting is called _____.
A. preliminary report
B. exit conference
C. closing meeting
D. convening conference
exit conference
Private and public agencies contracted by CMS to undertake examination and evaluation of the quality of healthcare rendered to beneficiaries of federal healthcare programs are referred to as _________.
A. HMOs
B. PPOs
C. QIOs
D. ACOs
QIOs
As part of the CARF accreditation process, reviewers examine policies and procedures, administrative rules and regulations, administrative records, human resource records, and the case records of patients. This process is called _________.
A. performance improvement
B. compliance
C. deemed status
D. document review
document review
At the beginning of a recent accreditation visit, the surveyors met with key leaders of the organization. During the meeting an outline of the schedule was discussed as well as key interviewees are identified. What is the term for this important accreditation meeting?
A. Opening conference
B. Compulsory review
C. Pre-accreditation meeting
D. Preliminary meeting
Opening conference
Which of the following Joint Commission standards addresses how healthcare organizations must manage their information so that it can used to support high-quality and improved patient care?
a. Data governance standards
b. Performance improvement standards
c. Information management standards
d. Record of care standards
Information management standards
A report developed by a PI team on the occurrence of methicillin-resistant Staphylococcus aureus infection in a neonatal intensive care unit was subsequently used by the perinatal morbidity and mortality committee in a monthly review of infant morbidity. Access to this report was possible because it was housed in the organization’s ________.
a. Computer hard drive
b. Information warehouse
c. Comparative performance data
d. PI database
Information warehouse
As part of ARRA, this Act requires that healthcare organizations and providers make significant investments in information systems to have a positive impact on the care that they provide:
A. HCQLA
B. HIPAA
C. Hill-Burton
D. HITECH
HITECH
Sites such as Hospital Compare use aggregated data to describe the experiences of unique types of patients with on or more aspects of their care. What is this data collection called?
A. Patient-specific
B. Aggregated
C. Detailed
D. Comparative
Comparative
