Deck 12: Healthcare Quality Policy and Law

Question 1

Which agency is best known for its review and accreditation of hospitals?

A) Joint Commission
B) National Committee for Quality Assurance
C) Healthcare Facilities Accreditation Program
D) Utilization Review Accreditation Commission

Answer 1

A

Question 2

Which of the following monitors risks associated with nonphysician personnel and with facilities under direct control of hospital administrators?

A) Risk management
B) Utilization review
C) Peer review
D) Quality assurance

Answer 2

A

Question 3

The federal Patient Safety and Quality Improvement Act (PSQIA) was signed into law in 2005 in response to the To Err Is Human report from the:

A) American Medical Association.
B) Food and Drug Administration.
C) Institute of Medicine.
D) Centers for Disease Control and Prevention.

Answer 3

C

Question 4

What piece of legislation, one of the most complex areas of federal civil law, was established in 1974 mainly to protect the employee pension system from employer fraud?

A) American Recovery and Reinvestment Act
B) Medicare Improvements for Patients and Providers Act
C) Tax Relief and Health Care Act
D) Employee Retirement Income Security Act

Question 5

The legal framework applied to medical negligence cases was developed long before managed care.

Question 6

Overall, more people die each year from medical errors than from motor vehicle accidents, breast cancer, or AIDS.

Question 7

Generally speaking, ERISA permits individuals to recover damages for death and injuries caused by substandard medical professional conduct to the extent that the individual receives her health coverage through a private employer-sponsored benefit plan.

Question 8

Under the law of __________, the standard of care is key both to the provision of high-quality health care and to legal claims that a health professional's, hospital's, or managed care organization's negligence in rendering medical care resulted in injury or death.

Question 9

__________ liability allows a hospital to be held responsible in some situations for the negligent acts of the doctors that practice medicine under its roof, not because the hospital itself somehow acted negligently, but rather because the doctor is an agent of the hospital.

Question 10

The doctrine of __________, also called ostensible agency, is an exception to the general rule that employers should not be legally exposed for the negligence of their independent contractors.

Question 11

Which agency is responsible for accrediting managed care organizations?

A) Joint Commission
B) National Committee for Quality Assurance
C) Healthcare Facilities Accreditation Program
D) Utilization Review Accreditation Commission

Question 12

Which of the following processes is an evaluation of hospital-based physician practices by physicians themselves?

A) Risk management
B) Utilization review
C) Peer review
D) Quality assurance

Question 13

Which of the following describes one party being held legally accountable for the actions of another party based solely on the type of relationship between them?

A) Vicarious liability
B) Corporate liability
C) Insurer liability
D) Managed Care liability

Question 14

Which piece of legislation provided significant financial incentives to Medicare and Medicaid providers that meaningfully use electronic health records to improve the quality of care delivery?

A) Medical Prescription Drug and Modernization Act
B) Deficit Reduction Act
C) Medicare Improvements for Patients and Providers Act
D) American Recovery and Reinvestment Act

Question 15

Physicians have no legal duty to accept a new patient into treatment at their practice or to provide care upon request.

Question 16

Licensure laws define who has the power to engage in medical practice, who is allowed to practice specific types of health care, and how and when professional standards of conduct are enforced.

Question 17

The licensing of healthcare professionals and institutions is an important function of federal law.

Question 18

Proving tort liability is generally not easy, and proving tort liability in the context of medical care is not easy either.

Question 19

Constitutional liability holds hospitals accountable for their own institutional acts or omissions.

Question 20

A fiduciary is someone who manages money or property for another person and is expected to manage it in good faith.