Quiz Questions Part 2 Flashcards Preview

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Flashcards in Quiz Questions Part 2 Deck (60)
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1
Q

This organization accredits managed care organizations, managed behavioral health organizations, and credentials verification for physician organizations:

A

National Committee for Quality Assurance

2
Q

Community Hospital of the West has recently been accredited by the Joint Commission for a full three-year period. Based on its accreditation status, CMS assumes that the Community Hospital of the West meets the Conditions of Participation. The reason CMS makes this assumption is because the Joint Commission has been granted _____.

A

deemed status

3
Q

Before the on-site survey team leaves the healthcare facility they meet with the organization’s leadership team and provide a report of their findings. This meeting is called _____.

  1. preliminary report
  2. exit conference
  3. closing meeting
  4. convening conference
A

exit conference

4
Q

During a recent Joint Commission survey, one of the survey team members asked a nurse in the ICU about her patient. The surveyor asked the nurse about the medications that the patient was on and also asked for the nurse to explain how those medications were ordered and received from the pharmacy. After the nurse explained this process, the surveyor then went to the pharmacy and asked the pharmacist to explain his role in the medication process for this specific patient. The surveyor is utilizing what process?

A

tracer methodology

5
Q

Western States University Hospital has a contractual relationship with a municipal managed care health plan in its region. Each year, health plan quality management officials come to University Hospital to review cases against selected screens for health maintenance. What criteria are these health screens based on?

A

HEDIS

6
Q

Which type of data collection pertains to the care services provided to each patient?

A

Patient-specific

7
Q

Which of the following is a healthcare IT initiative that is designed to improve quality of patient care through the use of electronic health records?

A

Meaningful Use

8
Q

When healthcare organizations evaluate their core measure data with those of a similar organization, they are using what?

A

comparative performance data

9
Q

This type of healthcare organization review is conducted at the request of the healthcare facility seeking accreditation _____

A

Voluntary review

10
Q

This planning technique provides a structure that requires the project team to identify the order and projected duration of activities needed to complete a project:

A

PERT chart

11
Q

As part of the CARF accreditation process, reviewers examine policies and procedures, administrative rules and regulations, administrative records, human resource records, and the case records of patients. This process is called _____.

A

Document review

12
Q

At the beginning of a recent accreditation visit, the surveyors met with key leaders of the organization. During the meeting an outline of the schedule was discussed as well as key interviewees are identified. What is the term for this important accreditation meeting?

A

Opening conference

13
Q

At this stage in project management process, the status of the project is assessed regularly in reference to planned activities and their timeline. If the project is off target, a project manager would take action to bring it back on track.

A

Monitoring and controlling

14
Q

The change phase that is characterized by acceptance and hope for the future is called

A

beginning

15
Q

The change phase that is characterized by confusion and creativity is called

A

transition

16
Q

The change phase that is characterized by grief and letting go is called

A

ending

17
Q

During a recent strategic planning session, the board of directors listed the following items on the board: poor signage and limited parking for the clinics. The items listed by the board of directors represent which component of the SWOT analysis.

A

Weaknesses

18
Q

The forming stage of project team development in which team members tend to be very polite as they get to know one another is also called ______.

A

Cautious affiliation

19
Q

Healthcare organizations require that prior to conducting human subjects’ research; all researchers must submit an application to the ______.

A

IRB or privacy board

20
Q

The improper or negligent treatment of a patient, as by a physician, resulting in injury, damage, or loss is called:

A

Malpractice

21
Q

In his research on human reactions to change, Lewin determined three phases of change. The three phases are ___,____, and ____.

A

refreezing, changing, unfreezing

22
Q

The stage of project team development in which team members learn to communicate and collaborate is called ______.

A

Harmonious cohesiveness

23
Q

The stage of project team development in which team members work together easily is called

A

collaborative teamwork

24
Q

TRUE/FALSE: The organization’s leaders have a central role in initiating and maintaining the organization’s PI priorities.

A

TRUE

25
Q

The key to a healthcare organization’s success is the coordination and cooperation of three key groups as they work together to identify community needs and pursue organizational goals. These three key groups are _______________.

A

governance, management and employed staff

26
Q

This phase in the project life cycle indicates clear objectives, importance of the project and the expected outcome on the organization

A

planning

27
Q

Name three categories into which healthcare organizations’ data collection falls

A

patient specific, aggregated, and comparative

28
Q

The patient experience manager at a local hospital is initiating a PI project to improve overall patient satisfaction for all outpatient departments. This manager is providing the budget for the project as well as the vision for change. In this situation, the patient experience manager is considered to have what role in this project?

A

Sponsor

29
Q

This phase in the project life cycle is where the project shifts to become an integrated part of organizational operations:

A

Closure

30
Q

The term used to describe when information that is not shielded and can be introduced at a trial to support a patient’s malpractice action against a hospital or physician is _____.

A

Discoverable

31
Q

TRUE/FALSE: The four basic elements of negligence that must be proven in a malpractice case are: duty to use due care, breach of duty, damages, and causation.

A

TRUE

32
Q

John presented to the emergency department with rectal bleeding. Earlier in the day, John had a colonoscopy the revealed a polyp. John’s physician used hot forceps to remove the polyp. After examination in the emergency department, John is taken back to the GI suite where it is revealed that during the polyp removal procedure, John’s physician inadvertently perforated his colon. The perforated colon represents which of the following?

A

Damages

33
Q

In a malpractice action, the issue is whether a physician exercised a standard of care that a reasonably prudent physician would have exercised under those circumstances. Failure to exercise due care is a ______.

A

Breach of duty

34
Q

In the scenario in question 11, the physician that performed John’s colonoscopy had an obligation to John to act reasonably, or a(n) ________.

A

Duty to use due care

35
Q

In the context of research, this term means that the results of the activity may be applied to populations outside the population being studied.

A

Generalized knowledge

36
Q

A privilege applies to discussions and correspondence between persons with a certain type of relationship that has been recognized as needing confidentiality. Privileged information is not admissible at trial unless _____.

A

The holder waives the privilege

37
Q

This phase in the project life cycle is where installation of equipment or construction begins, and any policy or procedure manuals should be prepared for distribution:

A

Execution

38
Q

This phase in the project life cycle begins with the determination that there is a gap between an organization’s performance and expected outcomes:

A

Initiation

39
Q

In the business intelligence tool (extract-transform-load), which step involves pulling the data from multiple sources, such as electronic health records, data repository, or other health information systems?

A

Extract

40
Q

The Joint Commission has categorized its performance measures into _______ and nonaccountability measures.

A

Accountability

41
Q

TRUE/FALSE: Peer review and performance improvement discussions, deliberations, records, and proceedings of the medical staff committees are considered “discoverable” in a court.

A

FALSE

42
Q

TRUE/FALSE: The process for ensuring qualifications for medical staff members in healthcare organizations is known as peer review.

A

TRUE

43
Q

In the context of research, _____ means that the results of the activity may be applied to populations outside the population being studied.

A

generalizable knowledge

44
Q

In a malpractice action, when there is evidence that failure to exercise due care is responsible for actual patient harm this is called _____.

A

causation

45
Q

TRUE/FALSE: It is not necessary to prove causation in a malpractice case.

A

FALSE

46
Q

TRUE/FALSE: One basic element that must be proven in a malpractice case is damages.

A

TRUE

47
Q

TRUE/FALSE: The process for ensuring qualifications for medical staff members in healthcare organizations is known as credentialing

A

FALSE

48
Q

TRUE/FALSE: A healthcare organization has the responsibility for disclosing a factual explanation of the circumstances surrounding an adverse event.

A

TRUE

49
Q

This private, not-for-profit organization is committed to developing and maintaining practical, customer-focused standards to help organizations measure and improve the quality, value, and outcomes of behavioral health and medical rehabilitation programs:

A

Commission on Accreditation of Rehabilitation Facilities

50
Q

The HIM Department has been receiving complaints about the turnaround time for release of information (ROI) requests. A PI team is created to investigate this issue. What data source would be appropriate to use to investigate this issue further?

A

ROI tracking system

51
Q

As part of ARRA, this Act requires that healthcare organizations and providers make significant investments in information systems to have a positive impact on the care that they provide:

A

HITECH

52
Q

Deploying this type of technology can be used to allow everyone in a healthcare organization to be informed of the current status of performance improvement projects:

A

intranet-based communication

53
Q

Data found on sites such as Hospital Compare use aggregated data to describe the experiences of unique types of patients with one or more aspects of their care. What is this data collection called?

A

comparative

54
Q

Which of the following organizations mobilizes employer purchasing power to promote healthcare safety, quality, and customer value and recognize improvements with rewards?

A

leapfrog

55
Q

The stage of project team development n which conflicts emerge is called?

A

Competitiveness

56
Q

In a PERT chart, the path with the greatest total duration time that represents the longest amount of time required to complete the total project is referred to as?

A

Critical path

57
Q

This stage in the PI process cycle provides positive closure for the team members and is a time to celebrate successes and recognize team members contributions and accomplishments.

A

Adjourning

58
Q

Before the on-site survey team leaves the healthcare facility, they meet with the organization’s leadership team and provide a report of their findings. This meeting is called _____________.

A

preliminary report

59
Q

Who can waive privilege?

A

Patient and hospital administration

60
Q

_______ is a civil action as opposed to a criminal act or breach of contract
A wrongful act committed against a person or a piece of property
One example of Tort Law is healthcare negligence

A

Tort law