Quiz Questions part 3 Flashcards
This group has ultimate responsibility for maintaining the quality and safety of patient care provided by its healthcare organization.
A. State Board of Licensure
B. Board of Directors
C. Nursing Leadership
D. Executive Team
Board of Directors
The document in which the leadership of a healthcare organization identifies the organization’s overall mission, vision, and goals to help set the long-term direction of the organization as a business entity is called
- Safety plan
- Organizational plan
- Strategic plan
- Operational plan
Strategic plan
The regular presentation of concise, appropriately displayed monitoring data for hospital board of directors that provides minute to minute data in an organized, comparative format that maximizes the use of the board’s time and assists its members in accomplishing oversight activities is called
- balance sheet
- dashboard
- strategic plan
- flowchart
dashboard
Oversight process by like professionals established according to an organization’s medical staff bylaws, organizational policy and procedure, or the requirements of state law that allows the candid critique of colleagues without fear of reprisal is called
- process review
- credentialing
- peer review
- compulsory review
peer review
The senior leaderhip and board of directors are meeting to determine the key priorities for Community Hospital for the year ahead. During this time, they also use a SWOT analysis to validate the mission. The resulting document of this session is called an
- operational plan
- organizational plan
- safety plan
- strategic plan
strategic plan
TRUE/FALSE:The data the organizations collects about its own performance should be analyzed and considered when setting improvement priorities only if a sentinel even has occurred.
FALSE
This organization has been responsible for accrediting healthcare organizations since the mid-1900s and determines whether the healthcare organization is continually monitoring and improving the quality of care it provides
- CARF
- NCQA
- JC
- AOA
JC
This accrediting body has become an alternative option for healthcare organizations because of its facility-friendly yet stringent annually occurring accreditation process
- AOA
- NCQA
- JC
- DNV
DNV
This type of healthcare organization review is performed to fulfill legal or licensure requirements.
- voluntary review
- complimentary review
- vocational review
- compulsory review
Compulsory review
Every organization that provides services to Medicare and Medicaid beneficiaries must demonstrate its compliance with this set of standards
- JC accreditation
- CARF certification
- CMS CoP
- NCQA certification
CMS CoP
When conducting an on-site survey, the JC uses _________ methodology
tracer
Agencies that retrospectively review patient records to ensure that the care provided by practitioners meets the federal standards for medical necessity, level of care, and quality of care for Medicare and Medicaid beneficiaries.
- voluntary review team
- QIO
- survey team
- CoP squad
QIO
This type of healthcare organization review is conducted at the request of the healthcare facility seeking accreditation
- voluntary review
- complimentary review
- vocational review
- compulsory review
voluntary review
This private, not-for-profit organization is committed to developing and maintaining practical, customer-focused standards to help organizations measure and improve the quality, value, and outcomes of behavioral health and medical rehabilitation programs
- CARF
- AOA
- NCQA
- JC
CARF
An accrediting agency’s published rules, which serve as the basis for comparative assessment during the review or survey process is called _______
- guides
- policies
- standards
- controls
standards
