100-question multiple-choice exam HCA 375 Final Exam (100 Question) 1. � � � � Federal regulations require that states who contract with Medicaid managed care organizations (MCO) or Prepaid Inpatient Health Plans (PIHP) do which of the following? Question 2. � � � The organization that is best known for evaluating hospitals and physicians based on clinical outcomes and patient surveys is Question 3. � � � The Network for Regional Health Improvement (NRHI) created a network of regional health improvement collaborative made up of four groups. What are the four groups? Question 4. � � � Quality improvement is the responsibility of Question 5. � � � The two Institute of Medicine reports that increased awareness on the health care industry quality related issues are Question 6. � � � The organization that assists poverty stricken countries to find solutions to their health and development problems is Question 7. � � � If an organization is analyzing information to determine the success or failure of different interventions, then the organization is likely in which phase of the PDSA cycle? Question 8. � � � Health care organizations began working more intensely on quality improvement projects due to issues with the health care system. What spurred health care organizations to change? Question 9. � � � What year was the Network for Regional Health Improvement (NRHI) formed? Question 10. � � � Organizations interested in global quality improvement include all of the following EXCEPT Question 11. � � � During the pre-industrial era, what would we mostly likely see? Question 12. � � � Significant improvements occurred during the post-industrial behavior. Which of the following is considered the most significant? Question 13. � � � Which is an example of what occurred during the pre-industrial era of health care? Question 14. � � � CAHPS assesses consumers’ experience with health care. Which organization developed CAHPS? Question 15. � � � National Committee for Quality Assurance monitors the quality of care delivered by Question 16. � � � Hospital spending increased in the 1960S due to Question 17. � � � The reimbursement method under Accountable Care Organizations is based on the premise that providers Question 18. � � � The agency that is responsible for the nation’s health by educating citizens to prevent and control health threats is called Question 19. � � � An integrated delivery system Question 20. � � � Which receives the largest share of monies in health care spending? Question 21. � � � The Kefauver-Harris Drug Amendment’s purpose was to Question 22. � � � NCQA’s consist of the following categories EXCEPT Question 23. � � � Which of the following is an Accreditation Organization? Question 24. � � � Rules and Regulations are Question 25. � � � The U.S. Department of Health and Human Services monitors quality on all EXCEPT Question 26. � � � The Joint Commission accreditation process is every Question 27. � � � The largest accrediting agency of health care organizations in the United States is Question 28. � � � This act limited the use of pre-existing medical conditions to prevent an employee from obtaining health insurance coverage and mandated health care providers to protect electronic personal health information. What is it called? Question 29. � � � National Quality Improvement Goals are specific to Question 30. � � � Operational decisions and guidelines Question 31. � � � An example of a new quality measure is Question 32. � � � Some of the advantages of using existing internal data resources over new data to be collected are all EXCEPT Question 33. � � � The law of large numbers is referring to what? Question 34. � � � The principal model for assessing the quality of health care is called Question 35. � � � Socioeconomic data includes all EXCEPT Question 36. � � � ___________ coined the phrase “the vital few and the trivial many”� Question 37. � � � Which statement is true about probability-based schemes? Question 38. � � � The approach of following a patient’s health into the future is called Question 39. � � � The act of measuring a process, which results in improvement because it is being measured, is known as the Question 40. � � � Data is essential in measuring quality. Data is all of the following EXCEPT Question 41. � � � Evaluating the metrics to be used in QI against the clinical quality guidelines, should be done in which phase of the QI process? Question 42. � � � ___________ is the most frequently used data because of its ability to generate actionable information for quality improvement purposes. Question 43. � � The reasons to collect new data instead of existing data includes all EXCEPT Question 44. � � � Which of the following methods for collecting new data is more resource intensive? Question 45. � � � NCQA’s HEDIS consists of several measures that include all EXCEPT Question 46. � � � Donabedian’s model of care is categorized into 3 groups. What are the three groups? Question 47. � � � ___________ is the process of determining how an organization’s outcomes compare with a regional or national standard. Question 48. � � � An example of a Structure metric is all EXCEPT Question 49. � � � PDCA was changed to PDSA by Deming to Question 50. � � � Operational considerations should be able to Question 51. � � � Which is an example of a Six Sigma member who completed training at the black belt level? Question 52. � � � The idea of quality improvement originated in what industry? Question 53. � � � An example of a customer-oriented metrics is Question 54. � � � Customer-oriented metrics can be referred to Question 55. � � � Healthcare leadership needs to create a culture that is receptive to change. Which of the following is the best example of an organization that looks at problems as opportunities for improvement? Question 56. � � � All of the following would be an example that would align with the major goal of the United States health care system EXCEPT Question 57. � � � The Lean Theory was derived from what well-known company and adapted to health care? Question 58. � � � In what decade did the health care industry start to adopt quality improvement methodologies? Question 59. � � � Gemba is a Lean Theory term, which can be defined as Question 60. � � � The five S’s of Lean (Seiri, Seiton, Seiso, Seiketsu, Shitsuke) describe the importance of a neat, clean, organized, and clutter free work environment. Which would be an example of clean off your desk at the end of the day? Question 61. � � � Which is an example of a parallel-meso structure? Question 62. � � � The acronym DMAIC is related to which CQI methodology � � Question 63. � � � Two popular methodologies to improve health care are Question 64. � � � An example of Lean’s poka-yoke is all EXCEPT Question 65. � � � What is meant by the Lean Theory term jikoda? Question 66. � � � Kaizen is referred to as Question 67. � � � Which is a true statement about any quality improvement process? Question 68. � � � One of the purposes that a hospital may want to consider the financial metric in a CQI process is Question 69. � � � What is meant by the empirical rule used in Six Sigma? Question 70. � � � What is meant by parallel-meso structures? Question 71. � � � One of the first organizations established to monitor quality assurance was Question 72. � � � The best example of the six aims created by the Institute of Medicine’s timely care is Question 73. � � � The premise of Patient-centered care is Question 74. � � � The most comprehensive revision of Medicare is Question 75. � � � An example of the six aims created by the Institute of Medicine’s efficient care is Question 76. � � � Which expanded health insurance coverage to a large number of uninsured in the United States? Question 77. � � � HEDIS stands for Question 78. � � � An example of the six aims created by the Institute of Medicine’s safe care is Question 79. � � � Which is an example of Process? Question 80. � � � An example of Donabedian’s “the ability to obtain the greatest health improvement at the lowest cost”� would be all EXCEPT Question 81. � � � In order to effect change for a quality improvement project, _____________ and ___________ are critical to its success. � � Question 82. � � � The quality improvement team must consider many elements prior to starting a quality improvement project. Which of the following should be considered first before starting a quality improvement project? Question 83. � � � Which stage of a team is considered the honeymoon phase? Question 84. � � � Which of the following is a true statement about the CQI strategy, PDSA? Question 85. � � � All of the following are examples of a quality improvement interdisciplinary team EXCEPT Question 86. � � � Ethical issues need to be considered as well in any quality improvement project. All of the following are considered ethical issues EXCEPT Question 87. � � � The stages of teamwork are all EXCEPT Question 88. � � � Which of the following is an example of a cost effective quality improvement initiative for a hospital? Question 89. � � � What is required, according to Maslow (2010), in order for a person to move to higher-level needs? Question 90. � � � Quality improvement is usually accomplished by using a Continuous Quality Improvement (CQI) model. There are steps in each. Which of the following falls under “�identify alternatives’ in the 10-step process? � � Question 91. � � � Which of the following is an example of a sociological impact when considering a quality improvement initiative for a hospital? Question 92. � � � Patient-centered care can be defined as Question 93. � � � Cost of quality improvement projects must be considered based on what two elements? Question 94. � � � What is considered the foundation of patient-centered care? Question 95. � � � Which of the following is a true statement about the Continuous Quality Improvement? � � Question 96. � � � Which stage of a team would you typically see control issues occur? Question 97. � � � Which of the following would NOT be an example of Continuous Quality Improvement project? Question 98. � � � Which of the following interdisciplinary teams would be best suited to work on a quality improvement initiative related to patients who are admitted for broken bones due to falls, and subsequent follow-up treatment plan in order to reduce future admissions for the same diagnosis? Question 99. � � � In the post-stage of a quality improvement project, evaluating the effect is important because Question 100. � � Important factors to consider in communicating effectively with a patient should include all EXCEPT
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