HIT 220 HEALTH CARE INFORMATION MGT CP 18 Performance Improvement

A _____________ allows the team to organize similar ideas into logical groupings.

Affinity grouping

A hospital's c-section rate is an example of which of the following?

Clinical performance measure

An organization that is recognized by CMS as meeting the Medicare Conditions of Participation has attained which of the following?

Deemed status

Because of their importance to patient care, incident reports are always filed in the patient's health records.

False

Donabedian proposed three types of quality indicators: structure indicators, process indicators, and _____________.

Outcome indicators

Initiatives and programs that reward organizations and providers for quality outcomes are called which of the following?

Pay for performance

Many organizations and quality experts define quality as meeting or exceeding ______________.

Customer expectations

Problems in patient care and other areas of the healthcare organization are usually symptoms inherent in which of the following?

System

The continuous study and adaptation of a healthcare organization's functions and processes to increase the likelihood of achieving desired outcome is called which of the following?

Performance improvement

The leader of the coding performance improvement team wants all of her team members to clearly understand the coding process. Which of the following would be the best tool for accomplishing this objective?

Flowchart

The medical transcription improvement team wants to identify the cause of poor transcription quality. Which of the following tools would best aid the team in identifying the root cause of the problem?

Fishbone diagram

The process improvement methodology that is focused on eliminating waste while also improving the flow of work processes is called which of the following?

Lean

True or false. DNV GL is a voluntary accreditation organization that is relatively new to healthcare and has not yet received deemed status from CMS.

False

True or false. Sentinel events are events that showcase the good quality of care provided by a healthcare facility.

False

True or false. The Joint Commission's methodology for accessing quality of healthcare during its survey process is to follow specific patients through their entire admission and to identify noncompliance with standards as reflected in the experience of pa

True

True or false. The National Committee on Quality Assurance (NCQA) has issued specific national patient safety goals in response to its identification of patient safety as its top priority in accrediting managed healthcare organizations.

False

What is the process that monitors and confirms that a patient receives consistent dosing across all facility transfers called?

Medication reconciliation

Which of the following elements of team success compares an organization's performance against that of external standards?

Benchmarking

Which of the following is a data collection tool that records and compiles observations or occurrences?

Checksheet

Which of the following is a technique used to generate a large number of creative ideas from a group?

Brainstorming

Which of the following is an important part of quality patient care as it helps to ensure necessary and appropriate care, effectiveness of the services provided to the patient, and timely and safe discharge of patients?

Utilization management

Which of the following is the goal of clinical practice guidelines?

Standardize clinical decision making

Which of the following is used in healthcare organizations to handle minor complaints and to seek remedies on behalf of patients?

Patient representative

Which of the following statements best defines utilization management?

It is a set of processes used to determine the appropriateness of medical services provided during specific episodes of care.

Which of the following would be considered an external customer?

Third-party payer