Deck 10: Performance Standards and Measures

Question 1

Excluding laboratories,how often must a health care organization undergo an on-site survey in order to maintain accreditation with The Joint Commission?

A)Every year
B)Every 3 years
C)Every 5 years
D)Every 7 years

Answer 1

Every 3 years

Question 2

Which of the following original CMS value-based programs determines whether or not an acute care hospital should be paid a reduced amount based on performance across health-acquired infections and unacceptable adverse events?

A)Hospital value-based purchasing
B)Hospital readmissions reduction
C)Hospital-acquired conditions
D)None of the above

Answer 2

Hospital-acquired conditions

Question 3

Who oversees the licensure of health care facilities?

A)Accrediting organizations
B)Federal government
C)State government
D)CMS

Answer 3

State government

Question 4

Which initiative encourages individual eligible professionals and group practices to assess and report the quality of care provided to their patients and risk negative payment adjustments if they do not do so?

A)PSO
B)NQS
C)PQRS
D)MIPS

Question 5

Which organization developed a widely used group of patient experience surveys in the public arena under the Consumer Assessment of Healthcare Providers and Systems program?

A)AHRQ
B)NQF
C)CMS
D)HRSA

Question 6

Which of the following is not a "lever" that helps align organizations with the NQS?

A)Payment and incentives
B)Incident reporting
C)Certification,accreditation,and regulation
D)Workforce development

Question 7

Which is one of the oldest and widely used sets of health care performance measures in the US with more than 90 percent of health plans in the US collecting and reporting this data?

A)ORYX
B)PQRS
C)HEDIS
D)CQM

Question 8

Which new program streamlines three existing quality programs and rewards eligible professionals for meeting and surpassing established thresholds?

A)PSO
B)NQS
C)PQRS
D)MIPS

Question 9

How often are CQMs (clinical quality measures) updated?

A)Every year
B)Every 3 years
C)Every 5 years
D)Every 7 years

Question 10

__________ is the process that gives a facility legal approval to operate.

A)Licensure
B)Certification
C)Accreditation
D)Authorization

Question 11

Which of the following is defined as a patient safety event that did not reach the patient?

A)Incidents
B)Near misses
C)Unsafe conditions
D)None of the above

Question 12

__________ is the process of comparing one or more performance measures against a standard.

A)Assessing
B)Benchmarking
C)Regulating
D)Standardizing

Question 13

Which of the following is NOT one of the six aims for establishing quality health care as outlined by Crossing the Quality Chasm?

A)Effective
B)Efficient
C)Ethical
D)Equitable

Question 14

__________ gives a health care organization the authority to participate in the federal Medicare and Medicaid programs.

A)Licensure
B)Certification
C)Accreditation
D)Authorization

Question 15

All of the following are online tools that allow organizations to compare data sets except:

A)Dartmouth Atlas
B)Quality Check
C)Hospital Compare
D)All of the above are online tools for comparing data

Question 16

Which of the following is NOT one of the four major categories of quality measures?

A)Structure
B)Process
C)Outcome
D)All of the above are categories

Question 17

Which of the following is NOT an accrediting agency?

A)The Joint Commission
B)NCQA
C)CMS
D)All of the above are accrediting agencies

Question 18

Which of the following organizations is the leading accrediting body for health plans?

A)The Joint Commission
B)NQF
C)CIHQ
D)NCQA

Question 19

Which of the following is NOT one of the three broad aims of the National Quality Strategy?

A)Innovative care
B)Healthy people and communities
C)Affordable care
D)All of the above are aims

Question 20

Which is a nonprofit organization with board members from both private and public sectors that maintains a large,searchable database of performance measures?

A)AHRQ
B)NQF
C)CMS
D)HRSA