Deck 14: Quality

Question 1

Which component of the delivery of care is the simplest to measure when assessing quality?

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

Answer 1

Structure

Question 2

The algorithm for measuring health care quality contained which three components of the delivery of care?

A) Results, diagnoses, process
B) Structure, process, outcome
C) Diagnoses, process, results
D) Procedures, diagnoses, outcome

Answer 2

Structure, process, outcome

Question 3

Which component of the delivery of care is measured by physical, social, and psychological functioning that can be attributed to receiving health care?

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

Answer 3

Outcome

Question 4

Which of the following are examples of outcomes measures?

A) Morbidity
B) Mortality
C) Infection rates
D) All of the above

Question 5

Which of the following is another name for quality assurance?

A) Total quality management (TQM)
B) Quality improvement (QI)
C) Six Sigma
D) All of the above

Question 6

What organization issued a report in 2001 that stated thousands are injured every year due to medical errors and that the current care system is not designed to solve the problem?

A) AMA
B) IOM
C) NNIS
D) NCQA

Question 7

Which of the following is NOT true regarding hospital-acquired infections?

A) The incidence rate of HAI is at crisis level in United States hospitals.
B) The incidence rate of HAI has risen steadily over the last couple of decades,
C) HAIs are linked to the quality of care processes that patients receive and their hospital environment.
D) HAIs are linked to the preexisting severity of the patient's condition upon admission.

Question 8

Which of the following is a recommendation to improve the quality of health care offered by the National Council on Quality Assurance (NCQA)?

A) Health plans and providers should privately report on how their performance compares with quality performance standards.
B) Employers and patients must make choices between health plans and providers based on quality information reported by insurance companies.
C) Access to public quality information is critical for consumers to make wise decisions for themselves and their families.
D) None of the above

Question 9

Who was known as the father of quality in health care?

A) Emory W. Groves
B) Dr. Ernest A. Codman
C) Avedis Donabedian
D) Dr. Arthur T. Cabot

Question 10

Which of the following is true regarding licensure and specialty certification?

A) Physicians completing training are licensed by the medical licensing board in the state in which the newly minted physician wants to practice.
B) Specialty boards at the state level deliver exams and certify physicians after they have completed specialty training.
C) Other health professions do not have licensure boards and specialty certification procedures.
D) None of the above

Question 11

Which of the following describes the Retrospective category of quality assessment?

A) Measures quality beforehand; data are collected based on predetermined measures or objectives
B) Entails making a decision about quality of care that has already been delivered.
C) Analyzes quality of care as it is being provided
D) None of the above

Question 12

Which of the following is true regarding the National Committee for Quality Assurance (NCQA)?

A) Reports that quality of care delivered by health plans has declined in the past decade
B) Many more health plans are reporting their quality information to NCQA as part of accreditation requirements and participation in Medicare.
C) Has determined that very few advancements in health care quality have been made as a consequence of publicly reporting quality data
D) None of the above

Question 13

Which of the following describes the Prospective category of quality assessment?

A) Measures quality beforehand; data are collected based on predetermined measures or objectives
B) Entails making a decision about quality of care that has already been delivered.
C) Analyzes quality of care as it is being provided
D) None of the above

Question 14

Which of the following describes the Concurrent category of quality assessment?

A) Measures quality beforehand; data are collected based on predetermined measures or objectives
B) Entails making a decision about quality of care that has already been delivered.
C) Analyzes quality of care as it is being provided
D) None of the above

Question 15

What of the following describes provider report cards?

A) Reveal how health care organizations measure up to their competitors
B) Shows how a physician compares to his or her peers
C) Compares managed care plans
D) All of the above

Question 16

Which component of the delivery of care is evaluated against standards and expectations for specific diagnostic categories and procedures?

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

Question 17

What does the CAHPS measure?

A) Enrollment or plan coverage
B) Delivery of unnecessary care
C) Wait times
D) All of the above

Question 18

What of the following describes organizational report cards?

A) Reveal how health care organizations measure up to their competitors
B) Shows how a physician compares to his or her peers
C) Compares managed care plans
D) All of the above

Question 19

Which of the following is true regarding continuing medical education?

A) Clinician training ends with undergraduate and graduate education and training.
B) Clinicians are not required to complete some form of continuing education during their practice lives, but it is encouraged.
C) The specialty boards dictate continuing medical education requirements for physicians.
D) None of the above

Question 20

Which of the following areas of care are part of the focus of quality studies?

A) Technical care
B) Interpersonal aspects of care
C) Amenities of care
D) All of the above

Question 21

Which of the following is a stated purposes of the Pennsylvania Health Care Cost Containment Council (PHC4)?

A) To promote health care cost containment
B) To promote the public interest by encouraging the development of competitive health care services
C) To ensure that all citizens have reasonable access to quality care
D) All of the above
Completion
Complete each statement.

Question 22

Which of the following organizations are committed to improving the quality of care?

A) NCQA
B) JCAHO
C) The Leapfrog Group
D) All of the above

Question 23

Care should be delivered within uniform quality standards without regard for gender, race, geographic region, and __status.

Question 24

Quality ___is the process by which quality of care is measured at some point in time.

Question 25

Which of the following is true regarding the Flexner Report (1910)?

A) Changed medical education into a university-based science model.
B) Recognized the inherent variability in this training approach and recommended a university-based science model for medical education.
C) Johns Hopkins Medical School served as the model
D) All of the above

Question 26

__focuses on the context of the environment in which services are provided and the settings and instrumentalities available and used for care.

Question 27

Which of the following is true regarding the National Practitioner Data Bank?

A) Designed to impede the movement of incompetent doctors from state to state
B) Contains credentialing and professional society actions.
C) Malpractice insurance companies must report lawsuits to the data bank.
D) All of the above

Question 28

__research attempts to improve medical care decisions by linking the choices of care to their effects on outcomes.

Question 29

What of the following describes health plan report cards?

A) Reveal how health care organizations measure up to their competitors
B) Shows how a physician compares to his or her peers
C) Compares managed care plans
D) All of the above

Question 30

Which of the following is NOT true regarding accreditation and facility Inspection?

A) The Joint Commission is the most recognized accreditation entity in health care.
B) Health care organizations do not have to have Joint Commission accreditation.
C) The Joint Commission is a nongovernmental, not-for-profit system that accredits health care organizations.
D) Health care organizations do not have to be accredited to participate in programs such as Medicare and Medicaid.

Question 31

NCQA's Healthcare __Data and Information Set (HEDIS) is the most widely used quality performance tool in the health industry.

Question 32

Which of the following is true regarding the National Practitioner Data Bank?

A) Consumers have access to this information.
B) The data bank's information is highly confidential
C) Hospital officials and state licensing or accreditation officials do not have access.
D) None of the above

Question 33

Which of the following describes the Professional Standard Review Organizations (PSRO)?

A) The Center for Medicare and Medicaid Services (CMS) contracted with PSROs to address quality assessment for Medicare and Medicaid.
B) In 1972, Medicare legislation required hospitals to conduct utilization review, with the primary focus on underutilization.
C) The goal of PSROs was to ensure that quality care was delivered to the uninsured.
D) All of the above

Question 34

Which of the following describes quality improvement organizations (QIOs)?

A) Are under contract with the state and local government to ensure that hospitals and physicians follow Medicare rules
B) Focus on maintaining access to care while controlling cost through utilization review
C) Started when diagnostic-related groups (DRGs) were instituted to address quality assessment for Medicare and Medicaid
D) Were effective because evaluators used internalized or implicit standards to make qualitative judgments

Question 35

In 2009, the ___Act provided $19.2 billion over several years for health information technology.

Question 36

In 2001, the __(IOM) released a report stating that between 44,000 and 98,000 Americans die each year due to medical errors.

Question 37

The IOM provided general guidance for improving quality when it called for future health care to be safe, effective, __centered, timely, efficient, and equitable.

Question 38

Care should be based on ______-based practices and provided to all who would receive the most benefit.

Question 39

Assessing ___aspects of care centers on human-level interactions such as the physician-patient relationship and bedside manner.

Question 40

__is the specific means by which care is provided; the activities of physicians and other health professionals in the management of patients.

Question 41

Promotion of health and ___may help to reduce health care costs and increase the quality of life for all patients.

Question 42

The Medicare Modernization Act of 2003 contained a provision for CMS to implement a ______-for-performance program.

Question 43

The goal of PSROs was to ensure that quality care was delivered to Medicare and __recipients.

Question 44

Match the term with the definition or description:
Failures to execute clinical quality of care plans and procedures properly

A)Quality of health care
B)Misuse
C)Overuse
D)Underuse

Question 45

Match the term with the definition or description:
Measures the outcomes of health care services

A)Quality of health care
B)Misuse
C)Overuse
D)Underuse

Question 46

Match the term with the definition or description:
Use of health care resources and procedures in the absence of healing evidence

A)Quality of health care
B)Misuse
C)Overuse
D)Underuse

Question 47

Clinicians have a responsibility to "First do no ______" to their patients, and most clinicians make that their priority.

Question 48

High-quality care should be rewarded by the ___system.

Question 49

Recent legislation in the form of an economic __bill and the recently passed AHCA Act calling for health care reform have provided substantial funding to improve quality.

Question 50

Match the term with the definition or description:
Failures to use evidence-based health care practices that have proven to be beneficial to patients

A)Quality of health care
B)Misuse
C)Overuse
D)Underuse