question

Which of the following is a data collection tool that records current processes? Flow chart Force-field analysis Pareto chart Scatter diagram

answer

Flow chart

question

Hospital A discharges 10,000 patients per year. Hospital B is located in the same town and discharges 5,000 patients per year. At Hospital B's medical staff committee a physician reports that he is concerned about the quality of care at Hospital B because the hospital has doubled the number of deats per year than Hospital A. The HIM director is attending the meeting in a staff position. Which of the following actions should the director take? Make no comment since this is a medical staff meeting Agree with the physician that the data suggests a quality issue Suggest that the data be adjusted for possible differences in type and volume of patients treated Suggest that an audit be done immediately to determine the cause of deaths within the hospital.

answer

Suggest that the data be adjusted for possible differences in type and volume of patients treated

question

Brainstorming, affinity grouping, and nominal group techniques are tools and techniques used during performance improvement initiatives to facilitate ____________ among employees. Communication Knowledge Quality improvement Cooperation

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Communication

question

Which of the following has the ultimate responsibility for ensuring quality in a healthcare facility? Board of Directors Quality management department Medical staff Utilization management department

answer

Board of Directors

question

The process that involves ongoing surveillance and prevention of infections so as to ensure the quality and safety of healthcare for patients and employees is known as: Utilization management Infection control Risk management Case management

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Infection Control

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As part of the clinic's performance improvement program, a HIM director wants to implement benchmarking for the transcription division at a large physician clinic. The clinic has 21 transcriptionists who average about 140 lines per hour. The transcription unit supports 80 physicians at a cost of 15 cents per line. What should be the first step that the supervisor takes to establish benchmarks for the transcription division? Clearly define what is to be studied and accomplished by instituting benchmarks Hold a meeting with the transcriptionists to announce the benchmark program Obtain benchmarks from other institutions Hire a consultant to assist with the process

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Clearly define what is to be studied and accomplished by instituting benchmarks

question

Managing the adoption and implementation of new processes is called: Management by design Change management Process flow implementation Visioning

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Change management

question

Which of the following is an organization's planned response to protect its information in the case of a natural disaster? Administrative controls Audit trail Business continuity plan Physical controls

answer

Business continuity plan

question

Which of the following provide process measure metrics in a precise format? Dashboard Scoreboard Structured indicator Outcome indicator

answer

Dashboard

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A key feature of performance improvement is: Replacing unstructured decision making Developing managers to control processes And endless loop of feedback A continuous cycle of improvement

answer

A continuous cycle of improvement

question

Which of the following terms refers to the process of planning for change? Brainstorming Change agent Change management Performance improvement

answer

Change management

question

Which of the following should be the first step in any quality improvement decision-making process? Analyzing the problem Identifying the problem Developing alternative solution Deciding on the best solution

answer

Identifying the problem

question

A report that lists the ICD-9-CM codes associated with each physician in a healthcare facility can be used to assess the quality of the physician's services before he or she is: Scheduled for a coding audit Subjected to corrective action Recommended for staff reappointment Involved in an in-house training program

answer

Recommended for staff reappointment

question

In conducting a qualitative analysis to ensure that documentation in the health record supports the diagnosis of the patient, what documentation would a coder look for to substantiate the diagnosis of aspiration pneumonia? Diffuse parenchymal lung disease on x-ray Patient has a history of inhaled food, liquid, or oil Positive culture for Pneumocystis carinii Positive culture for Streptococcus pneumonia

answer

Patient has history of inhaled food, liquid, or oil

question

Which of the following statements does not represent a fundamental principle of performance improvement? The structure of a system determines its performance Systems are static and do not demonstrate variation Improvements rely on the collection and analysis of data Performance improvement requires the commitment and support of top administration

answer

Systems are static and do not demonstrate variation

question

Many organizations and quality experts define quality as meeting or exceeding: Patient quotas System outputs Customer expectations Data collection

answer

customer expectations

question

W. Edwards Deming believed that quality must be built into the: Job title Employee evaluation Product Organizational hierarchy

answer

Product

question

Every healthcare organization's risk management plan should include the following components except: Loss prevention and reduction Safety and security management Peer review Claims management

answer

Peer Review

question

A HIM department is researching various options for scanning the hospital's health records. The department director would like to achieve efficiencies through scanning such as performing coding and cancer registry functions remotely. Given these considerations which of the following would be the best scanning process? Scanning all documents at the time of patient discharge Scanning all documents after physicians have completed any record deficiencies Begin remote work only after all deficiencies have been corrected in the paper work Using scanners with the maximum amount of output

answer

Scanning all documents at the time of patient dishcarge.

question

Change management is the process of planning for change. It concentrates on: Addressing employee resistance to changes in processes, procedures, and policies Scheduling planned changes in processes, procedures, and policies Implementing the technology required to execute planned changes Managing the cost of implementing planned changes

answer

Addressing employee resistance to changes in processes, procedures, and policies

question

Which of the following is not a responsibility of a healthcare organization's quality management department? Helping departments to identify potential clinical quality problems Participating in regular departmental meetings across the organization Conducting medical peer review to identify patterns of care Determining the method for studying potential problems

answer

Conducting medical peer review to identify patterns of care

question

Total quality management and continuous quality improvement are well-known: Performance improvement models Quality indicators Change management techniques Management philosophies

answer

Performance improvement models

question

According to the Pareto Principle: 20% of the sources of a problem are responsible for 80% of its actual effects 80% of the sources of a problem are responsible for 80% of its effects 20% of the sources of a problem are responsible for 20% of its effects 80% of the sources of a problem are responsible for 100% of its effects

answer

20% of the sources of a problem are responsible for 80% of its actual effects

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A record that fails quantitative analysis is missing the quality criterion of: Legibility Reliability Completeness Clarity

answer

Completeness

question

Donabedian proposed three types of quality indicators: structure indicators, process indicators, and: Performance indicators Management indicators Outcome indicators Output indicators

answer

outcome indicators

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A quantitative tool that provides an indication of an organization's performance in relation to a specific process or outcome is a/an: Performance measure Improvement opportunity Team-based process Data measure

answer

Performance Measure

question

This type of performance measure focuses on a process that leads to a certain outcome, meaning that a scientific or experimental basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome. Outcome measure Data measure Process measure System measure

answer

Process Measure

question

Who is responsible for ensuring the quality of health record documentation? Board of directors Administrator Provider Health information management professional

answer

Provider

question

When all required data elements are included in the health record, the quality characteristics for ____________ is met. Data security Data accessibility Data flexibility Data comprehensiveness

answer

Data comprehensiveness

question

The final results of care, treatment, and services in terms of the patient's expectations, needs, and quality of life, which may be positive and appropriate or negative and diminishing are included in what area of performance measurement? Outcomes Processes Systems Benchmarks

answer

Outcome

question

Which of the following actions is not included about a physician in the National Practitioner Data Bank? Malpractice lawsuits Disciplinary actions Credentialing information from other facilities Personal bankruptcy

answer

Personal bankruptcy

question

The Joint Commission's quality improvement activities for health record documentation include all but which of the following core performance measures for hospitals: Acute myocardial infarction Hypertension Pregnancy and related conditions Seizure disorder

answer

Seizure disorder

question

The primary goal of the Hospital Standardization Program established in 1918 by the American College of Surgeons was to: Establish minimum quality standards for hospitals Train physicians and nurses for American hospitals Standardize the educational curricula of American medical schools Force substandard hospitals to close

answer

Establish minimum quality standards for hospitals

question

When the patient's physician contacts a healthcare organization to schedule an episode of care service, the healthcare organization begins which step in the case management process? Preadmission care planning Care planning at the time of admission Review the progress of care Discharge planning

answer

Preadmission care planning

question

The principal process by which organizations optimize the continuum of care for their patients is: Utilization management Services management Case management Resource management

answer

Case management

question

Which of the following services is most likely to be considered medically necessary? Caregivers' convenience or relief Cosmetic improvement Investigational cancer prevention Standard care for health condition

answer

Standard care for health condition

question

Environmental assessments are performed as part of which of the following processes? Strategic planning Operational planning Quality improvement planning Budget planning

answer

Strategic planning

question

Two coders have found the same abbreviation on two records. One abbreviation of "O.D." was used on an eye health record to mean "right eye." The other abbreviation on the other patient's record was used to mean "overdose" on an abuse record. What data quality component is lacking here? Timeliness Completeness Security Consistency

answer

Consistency

question

When all required data elements are included in the health record, the quality characteristics for ___________ is met. Data security Data accessibility Data flexibility Data comprehensiveness

answer

Data comprehensiveness

question

A standard of performance or best practice for a particular process or outcome is called a(n): Performance measure Benchmark Improvement opportunity Data measure

answer

Benchmark

question

In this case management step, the case manager confirms that the patient meets criteria for the care setting and that the services can be provided at the facility. Preadmission care planning Care planning at the time of admission Review the progress of care Discharge planning

answer

Care planning at the time of admission

question

All of the following services are typically reviewed for medical necessity and utilization, except: Pressure ulcers Staphylococcus infections Catheter associated urinary tract infections Air embolism

answer

Staphylococcus infections

question

This data set was developed by the National Committee for Quality Assurance to aid consumers with health-related issues with information to compare performance of clinical measures for health plans: HEDIS UHDDS UACDS ORYX

answer

HEDIS

question

The interrelated activities in healthcare organizations, which promote effective and safe patient outcomes across services and disciplines within an integrated environment are included in what area of performance measurement? Outcomes Processes Systems Benchmarks

answer

Processes

question

After an outpatient review, individual audit results by coder should become a part of the: Individual employee's performance evaluation Patient's health record Coding compliance review summary Mission of the coding team

answer

Individual employee's performance evaluation

question

Which of the following is not a step in quality improvement decision-making? Determination of the quickest solution Definition of the problem Development of alternative solutions Implementation and follow-up

answer

Determination of the quickest solution

question

The sixth scope of work for quality improvement organizations (QIOs) introduced which of the following? Hospital Payment Monitoring Program Payment Error Prevention Program Program for Evaluation Payment Patterns Electronic Report Compliance Program Guidance for Hospitals

answer

Payment Error Prevention Program

question

A performance measure that enables healthcare organizations to monitor a process to determine whether it is meeting process requirements is called: Indicator Data measure Indication System measure

answer

Indicator

question

This status is conferred by a national professional organization that is dedicated to a specific area of healthcare practice. Credential Certificate License Degree

answer

Credential

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