which tools is used to display performance data over time ??
benchmark
the nosocomial infection rate for hospitals is 0.2% while the rate at similar across town is 0.3% . this is an example of ?
benchmark
the type of variation that is used by factors outside a system is called
Special-cause variation
goals should be measurable
true
effective communication is the responsibilty of administration only?
false
a checksheet is used to record and complete observation and occurrences?
true
staff members adapt to chance more readily when ??
they have been part of the decision.
which of the following documents the current process ?
flowchart.
what technique would be the best to display rankings?
Pareto charts.
Affinity grouping hepls to determine what issue is the most important.
False
Establising ground ruled and identifying customers and their requirements are parts of the team-based performance improvement procesesses.?
True
brainstorming tries to identify a large number of the ideas in a short amount of time.
true
QIO(Quality Improvement Organization) use peer review, data analysis, and other tools to ?
identify areas that need improvement.
shared leadership means ??
Employees are participants in the performance improvement programs
the NPSG (National Patient Safety Goals) score organizations on areas that ??
Commonly lead to patients injury.
A group of processeses that determine the apropriateness of medical services is ?
utilization Management.
a patient has been discharged prior to an administrative utilization review being conducted. Which of the following should be performed?
Retrospective utilization review.
A patient fell out the bed. What should be done?
Complete incident report.
A patient is dissatisfied with their care. Who should they contact at the hospital?
Patients representative.
A woman dies in labor and delivery. Then Joint Commission would call this type of outcome as an ?
sentinel events.
the type of documents that records that the patient has improved as a result of the patient care provided is called; Justification of diagnostic procedure?
False
we closed our transplant services because it was too risky. This is called risk avoidance?
True
The opposing attorney obtained copies of my health record though a discovery process.?
True
Case management is the coordination of patient care. ?
true
In utilization review, the concept of determining if the patient's services is the best provided in inpatient services is called severty-of-illness criteria?
False
what healthcare professional assists physician in clinical assesements and patient education?
Physician assistants.
Licensure test to practice medicine are administered by?
State licensure boards.
Which of the following statement is the true about registered nurse?
Nurse resquired to have a license in the state in which the practice.
which of the following profession is generally considered to be an allied health career ?
Clinical laboratory science.
To become board-certified in pediatrics, which of the folllowing would an internal medicine physician need to do?
complete graduate training in pediatric medicine and pass a national examination.
the adoption of the minimum Standards marked the beginning of what modern practice for healthcare organizations?
Accreditation
According to the AMA, which of the following incorporates the healthcare-related professions that function to assist,facilitate, and/or complement the work of physicians and other clinical specialists?
Allied Health.
Respiratory therapists treats patients with limited mobility.?
False
Physical therapy assistants develop treatment plans.
False
Cardiosonography is the specialization of diagnostic imaging technologists?
True
which of the following laws created the healthcare integrity and protection Data Bank ?
Healthcare Quality Improment Act.
What government agency supports medical research?
National Institutes of Helth.(NIH)
A HIT student has asked you why Medicare reimburses healthcare providers through prospective payment systems. Which of the following pieces of legislation would you use as your explanation
Tax-Equity and Fiscal Responsibility Act of 1982.
Afriend and I debating cell-based technologies. Which of the following is the reason why I might argue for this technology?
Disease could be diagnosed earlier.
which of the following best describes medicaid ?
Healthcare programs for low-income person regardless of age that is totally financially supported and operated by the states
Healthcare Quality Improvement ?(HQI)
Established the National Practitioner Data Bank.
Omnibus Budget Reconciliation Act of 1990
Requiered PROs to report actions taken against physician to state medical boards and licensing agencies.
Public Law 92-603 of 1972.
required concurrent review of Medicare and Medicaid patients.
Omnibus Budget reconciliation Act of 1989.
Institute and Researched the Agency for healthcare policy.
Hill-Burton Act.
Authorized grants for states to construct new hospitals.
What organization has the mission of promoting the science and art of the medicine and to improve public health ?
American Medical Association. (AMA)
which organization certifies the EHR ?
Commission of Certification of Health Information Te chnology (CCHIT)
A colleges want to starts a new HIT program. Who should the staff contact for program accreditation informations?
Commission on Accreditation for Health Information Management Education.
At our hospitals, a patients died in childbirth. As this is a sentinel event, what do we need to do?
Perform a Root Cause Analysis.
I need to order the coding clinic for our coders. Who should I contact ?
American Hospital Associations.(AHA)
The Joint Commission ?
This organization developed the National Patient Safety Guidelines.(NPSG)
Commision on Certification of Health Information Technology.?
This organization's mission is to certify Electronic Health Records.
American Nurse Association? (ANA)
Part of this organization's mission is to work for the improvement of health standadrs and the availability of healthcare services.
American Medical Association(AMA)
This organization shares information on health and medical practices.
American Health Information Management Associaton (AHIMA)
This association was founded in 1928 under the name of the association of Record Librarian of North American.
which of the following is an example of a voluntary hospital?
A not-for-profit hospitals owned by a church
I have been asked who has the primary resposilibility to guide the direction of the hospital. My response should be ??
Board of Directors.
The HIM Deparment is considered to be what type of deparment?
Clinical Support services.
What services uses work and play to help the patient improve independent functioning ?
Occupational Therapy.
Dr. Smith has been granted permission by community hospital to perform cardiac catherizations. This permission is called?
Clinical Privileges.
Ambularory care is the shot-term care provided to diagnose and/or treat an illness.
True
A registered nurse qualified by advanced education and clinical management experience usually administers patient care services.
True.
Healthcare reform results in closing of some hospitals.
True
The average length of stay for acute care hospital is 21 days or less.?
False
Rehabilitation services include only physical therepy and occupational therapy.
False
I have been asked to describe quality of helthcare. Which of the following would Iinclude in my definition?
Care that is provided at the lowest cost.
I work for an organization that owns a hospitals, a skilled nusing facility, and physician practices. I work for what type of organization?
An integrated delivered system
Which of the following is true regarding Medicare certification of hospitals.
Must be Joint Commission Accredited.
I have been asked for the purpose of evidence-based guidelines. How would I respond?
The help to improve the quality of patient care
At our facility, our staff in the nursing units are cross-trained to perform many task for a small group of patients. This concept is called?
Patient-focused care
A Medicare patient needs intermittent skilled nursing care and speech therapy. Which of the following is the best services for this patient ?
Home care.
Quality has several components, including appropriateness, technical excellence, acceptability and,
Accessibility
What type of program has been place in the hospital for years and is required by the Medicare and Medicaid programs as well as accreditation standards ?
Quality Improvement.
Which of the following is true statement about peer review ?
Involves assesment of the work of colleagues by those in the same profession
what program attempts to contain hospital inpatient cost and improve quality by restructuring services so that is done in nursing unit ?
Patient-focused care.
I am a patient . I went to see the doctor who owns office practice.This type of care is called ?
Private medical practice
My daughter fell and cut herself tonight. I believe that she needs stitches. It is not an emergency but I believe that she really needs to see someone tonight for treatment. What type of setting would I most likely access?
Freestanding ambulatory care center.
I work for a healthcare provider that provide ambulatory care to low-income patients. We receive funding from many sources.What type of setting do I work for?
Voluntary agency.
A physician needs to find a place to care for a terminally ill patient . What type of long term care setting is the most appropriate?
Hospice.
which of the following statements is true about behavioral health ?
Insurance coverage generally places restriction on the psychiatric care such as a limit on the number of outpatient visits.
Day treatment program?
Provide alternatives to inpatient care or serve as a transition from inpatient to outpatient care or discharge.
Skilled nursing facility
Health care rendered in non-acute care facility to patient who require inpatient nursing and related services for more than 30 concecutive days.
Residential care facility
Are designed to meet patient's daily living schooling , recreational,socialization and routine medical care needs
Public Health Services ?
Has a analysis and leadership role form health promotion and disease prevention
Contimuum of care ?
Care provided by different caregivers at several different levels of the healthcare system.
A disadvantage of individual health plans is ?
They cost more than group policies
Iam retired from the military. I am seeing a civilian healthcare provider for my care What insurance do I most likely have?
Tricare
An HMO is a model of a prepaid healthcare plan that falls under what type of reimbursment philosophy?
Managed Care.
Which of the following best describe workers' compensation insurance?
Insurance system covering healthcare cost associated with work-related injuries.
which of the following allows the patients to pay for deductible with pretax dollars ?
Health Saving Accounts
The development of managed care was a direct result of the federal government's enactment of the Medicare and Medicaid laws in 1965.
False
Medicare part B is optional?
True
workers' compensation plans are operated by the state governments.
true
One of the disadvantages of the health saving accounts is that the deductible is paid with pretax dollars
False
Medicaid is co-funded by federal and state government
True
which of the following provide process measure metrics in a precise format?
dashboards.
The focus of performance improvement should be on ?
Customers
Fifty percent of our HIM staff have a nationally reconized credential. This is an example of what type of indicator ?
Structured
Performance monitoring is outcomes driven ?
False
Performance improvement is something that is done periodically ?
False
An outcome indicator measurement results of care provided to the patient?
False
which tools is used to display performance data over time
Benchmark
the nasocomial infection rate for our hospital is 0.2% while the rate at similar hospital across town is 0.3% This is an example of ?
Benchmark
the type variation that is caused by factor outside a system is called ?
Special-Cause- Variation.
Goals should be measurable?
True
Effective communication is the responsibility of administration only ?
False
A checksheet is used to record and complete observation and occurrences.?
True
Staff members adapt to change more readily when ?
they have been a part of the decision
which of the following documents the current process ?
Flowchart
what technique would be the best to display ranking ?
Pareto chart.
Affinity grouping helps to determine what issue is the most important ?
False
Establishing ground rules and identifying customer and their requirements are part of team-based performance improvement processes ?
True
Brainstorming tries to identify a large number of ideas in a short amount of time?
True
QIOs use peer review, data analysis ,and other tools to ?
Identify areas that need improvement.
Shared leadership means?
Employees are participants in the performance improvement programs
The NPSG (National Patient Safety Goals) score organization on areas that?
commonly lead to patient injury.
Accreditation standards were developed to standardize clinical decision making?
False
The condition of participation are used to monitor hospitals and other healthcare organization in becoming licensed by the states?
False
The mission of AHRQ(Agency for Healthcare Research and Quality) is to improve quality,safety, efficiency, and effectiveness for all americans.
True
A group of processes that determine the appropriateness of medical services is ?
Utilization management
A patient has been discharged prior to an administrative utilization review being conducted. which of the following should be performed ?
Retrospective utilization review