HEIT 205 CH14 CD WORKBOOK – Flashcards

Risk management and quality improvement programs are related because of which of the following reasons? a. They share similar underlying processes. b. They emphasize the reduction of liability. c. They are usually located in the HIM department. d. They lessen the chances of financial loss.

The systematic means of determining potential losses defines the process of: a. risk analysis. b. risk identification. c. risk financing. d. riskevaluation d. risk evaluation.

A sentinel event in a Joint Commission accredited facility is: a. significant and should be investigated and evaluated every time it occurs. b. usually related to the structure of care and must be reported to The Joint Commission. c. a standard that measures the final outcome of care. d. an important situation that must be carefully documented in the progress notes.

Which of the following gives information to be classified as a reviewable sentinel event, according to The Joint Commission? a. patient fall from bed b. high readmission rate c. wrong leg amputated during surgery d. medication error

The purpose of root cause analysis (RCA) is to: a. gather information for credentials files. b. understand the causes of a sentinel event. c. assure responsible individuals are held accountable. d. complete a full report for The Joint Commission.

The Institute of Medicine objectives for improvement include: a. safety, timeliness, organization, measurement, patient-centered care (STOMP). b. safety, timeliness, efficiency, effectiveness, equitable, patient-centered care (STEEEP). c. safety, timeliness, utilization, measurement, patient-centered care (STUMP). d. safety, leadership, efficiency, effectiveness, equity, patient-centered care (SLEEEP).

The EMTALA regulations include all but which of the following? a. transfers of non-stabilized patients must only occur under certain specific conditions b. Every patient arriving at the emergency department must receive an appropriate "medical screening exam" c. If an emergency medical condition exists, the hospital must treat and stabilize the emergency condition or transfer the patient. d. Non-Medicare, indigent patients must be transferred to the nearest Level 1 trauma center.

Which of the following is not an example of a private or governmental group focused on quality? a. Institute for Healthcare Improvement b. Safe Practices for All c. Commonwealth Fund d. Leapfrog Group

An example of a documentation indicator in a health record, signaling a problem, is: a. information regarding a patient's consent to a surgical procedure is described by the physician b. a correction in a record is obliterated so that only the newly added and correct information appears c. only factual information is recorded d. abbreviations used in the record appear on the approved abbreviations list of the health care facility

Darling v. Charleston Community Memorial Hospital is most often credited for: a. creating quality improvement organizations. b. eliminating the doctrine of charitable immunity. c. challenging the authority of The Joint Commission. d. creating the risk management process.

Quality improvement organizations (QIOs) are responsible for all of the following except: a. improving quality of care for Medicare beneficiaries. b. protecting beneficiaries by addressing complaints. c. ensuring that services paid for are medically necessary. d. requiring that personal health records are used by every facilities.

Risk analysis involves the consideration of: a. loss frequency. b. loss severity. c. quality thresholds. d.financial effect of a potential loss.

After an adverse patient event, which of the following should occur with regard to the health record? a. documentation in the record should be clarified b. documentation in the record should be altered c. the health record should be secured d. the ability to edit a record should be maintained

The Joint Commission's safety goals include: a. time-outs prior to procedures. b. use of at least two patient identifiers. c. read-back of verbal orders. d. all of the above

The Joint Commission's quality improvement activities for health record documentation include all but which of the following core performance measures for hospitals: a. acute myocardial infarction. b. hypertension. c. pregnancy and related conditions. d. heart failure

The American Hospital Association's Patient Care Partnership was originally called the: a. Quality Healthcare Initiative. b. Patient Bill of Rights. c. Quality Improvement Organization. d. Joint Commission sentinel event.

The Hill-Burton Act: a. provided hospitals with money for construction and modernization. b. decreased the obligation to provide uncompensated care. c. exempts hospitals from complying with EMTALA. d. was passed by Congress in 2000.

The National Practitioner Data Bank is associated most closely with which hospital function? a. billing b. coding c. credentialing d. surgeries

The Americans with Disabilities Act: a. lists all impairments that are covered by the act. b. excludes mental conditions. c. prohibits discrimination in employment and transportation only. d. applies to impairments that substantially limit major life activities.

With regard to seclusion and restraint, federal laws: a. encourage their use. b. restrict their use. c. prohibit their use. b. none of the above

Which of the following was a precursor to quality improvement organizations? a. Professional Standards Review Organization (PSRO) b. Medicare Utilization and Quality Control Peer Review Program c. Healthcare Quality Improvement Program (HCQIP) d. Leapfrog

Which of the following was a precursor to quality improvement organizations? a. Institute of Medicine b. Hospital Compare c. Peer Review Organization d. National Quality Forum

Which of the following has/have initiatives in place to reduce medical errors and improve patient safety? a. private organizations b. state government c. federal government d. all of the above

Pay for performance: a. is linked to reimbursement by all payers. b. applies only to nursing home reimbursement. c. will encourage better health outcomes. d. was eliminated by Medicare in 2006.

Risk management programs are more commonly governed by: a. state law. b. federal law. c. accreditation standards. d. none of the above; risk management programs are never subject to legal requirements.