Stack #404189
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| The NCQA is a private not-for-profit organization that is responsible for improving the quality of healthcare and offers an accreditation program that measures among other things, credentials verification, utilization management and preventive services a | show 🗑
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| show | process measure
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| show | performance measure
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| The foundations of care giving, which include buildings, equipment, professional staff and appropriate policies are included in what area of performance measurement? | show 🗑
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| show | processes
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| A type of PI team that constructs relatively simple and quick "fixes" to improve work process without going through the complete PI cycle is called: | show 🗑
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| show | Teamwork is an optional element in performance improvement.
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| show | Mission Statement
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| Which of the following is a idealistic portrayal of what the organization would like to be in the future? | show 🗑
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| In JCAHO facilities, the QA review activities target processes that are high volume, high risk, and problem prone. True or flase | show 🗑
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| show | sentinel Events
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| show | Team leader
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| The process of comparing the outcomes of HIM abstracting functions at your facility with those of comparable departments of superior performance in other healthcare facilities to help improve accuracy and quality is referred to as: | show 🗑
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| What process assists a healthcare facility in continuously looking at the ways that problems develop and seeking ways to prevent problems from happening in the future? | show 🗑
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| The process of comparing the outcomes of HIM abstracting functions at your facility with those of comparable departments of superior performance in other health care facilities to help improve accuracy and quality is referred to as | show 🗑
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| What feature is a trademark of an effective PI program? | show 🗑
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| show | Outcome measures
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| The quality improvement team for the HIM department meets to generate ideas to address physician complains about missing dictation reports. What QI tool would prove useful in discussing various recommendations for solving this problem? | show 🗑
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| show | structure
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| show | Outcome
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| show | Corrective action targets clinicians more so than processes.
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| What must be considered in light of the health care organization's different customers? | show 🗑
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| show | Any time they need it
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| Which of the following is a technique used to generate a large number of creative ideas from a group? | show 🗑
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| Which of the following is a data collection tool that records and compiles observations or occurrences? | show 🗑
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| Which of the following CQI tools would be most useful in determining how the Medical Staff likes or dislikes the new dictation system you have just installed in your HI Department? | show 🗑
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| show | check sheet
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| Bar Chart | show 🗑
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| Brainstorming | show 🗑
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| Pareto Diagram | show 🗑
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| Pie Chart | show 🗑
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| The customer is the receiver of a product or service as a result of an organizational process.True or flase | show 🗑
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| Internal customers are individuals from outside the organization who receive products or services from within the organization.true or flase | show 🗑
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| show | survey
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| show | unstructured interview
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| show | structured interview
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| This type of data is also called categorical data and includes values assigned to name-specific categories. | show 🗑
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| show | ordinal data
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| show | discrete data
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| This type of data assumes an infinite number of possible values in measurements that have decimal values as possibilities. | show 🗑
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| show | bar graphs
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| show | histogram
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| This type of data display tool is used to show the relationship of each part to the whole. | show 🗑
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| show | control chart
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| show | petechaie due to adverse drug reaction
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| Occurrences involving injury or property loss are called: | show 🗑
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| show | Claims Management
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| show | the manual reflects the normal course of business.
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| show | Near Miss
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| A patient injury or death that could be attributed to acts of negligence by health care practitioners or other involved individuals. | show 🗑
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| show | Risk Management
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| show | Root Cause
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| show | Risk Control
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| show | Incident
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| An improvement model that involves investigation of a sentinel event or other undesirable occurrence to identifying the underling problems that if corrected, would reduce the likelihood of future similar events. | show 🗑
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| Determining what risks or hazards exist or are anticipated, their characteristics, duration period and possible outcomes. | show 🗑
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| Process of comparing the estimated risk against given risk criteria to determine the significance of the risk. May be used to assist in the decision to accept or to treat a process as a risk. | show 🗑
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| Actions undertaken by individuals and organizations to protect health care recipients from being harmed by the effects of health care services. | show 🗑
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| show | patient care outcomes
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| Review of a planned admission to determine whether the services are medically necessary and whether the patient qualifies for inpatient benefits. | show 🗑
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| Assessment of a patient's readiness to leave the hospital. | show 🗑
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| Periodic review during a current admission to determine whether the patient still needs acute care services. | show 🗑
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| show | Concurrent Utilization Review
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| show | Utilization Management
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| Review of records some time following the patient's discharge to determine any of several issues, including quality or appropriateness of the care provided. | show 🗑
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| Standards that, if met, allow a hospital to receive reimbursement for care provided to Medicare beneficiaries | show 🗑
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| show | Screening Criteria
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| show | Preadmission Utilization Review
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| Review at the time of admission to determine medical necessity and appropriateness of care in an acute care setting | show 🗑
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| What is the role of a case manager? | show 🗑
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| A patient's family asked the attending physician to keep the patient in the hospital for a few days more until they could make arrangements for the patient's home care. Because the patient no longer meets criteria for continued stay, if the physician c | show 🗑
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| An infection that is brought to the hospital by the patient is called a | show 🗑
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| show | Risk Manager
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| Which of the following established legal liability for hospitals | show 🗑
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| A ____________ is a graphic tool used to standardize care for a specific diagnosis. | show 🗑
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| show | documentation utilization review
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| show | incident report
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| show | continued stay review
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| The best protection against injuries and ensuing financial liability is: | show 🗑
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| show | the intense analysis of a sentinel event
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| A large database that stores every data element collected within a healthcare organization and is used for PI activities is called: | show 🗑
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| As based in case law decisions and the JCAHO standards, who is ultimately responsible to assure quality and appropriateness of patient care in a health care facility? | show 🗑
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| show | peer review
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| show | director of utilization management
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| show | credentialing
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| This type of healthcare organization review is conducted as the request of the healthcare facility seeking accreditation. Question 9 answers | show 🗑
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| show | flase
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| show | accreditation
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| show | Comparative performance data
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| show | strategic plan
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| show | Code of Federal Regulations
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| This organization accredits managed care organizations, managed behavioral health organizations, and credentials verification for physician organizations. | show 🗑
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| show | medical staff leaders
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| show | Board of directors
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| This organization has been responsible for accrediting healthcare organizations since the middle 1950s and determines whether the organization is continually monitoring and improving the quality of care they provide. | show 🗑
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| show | licensure
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| The work of performance improvement is accomplished through ______. | show 🗑
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| show | compulsory review
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| show | licensure
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| This system allows medical professionals to candidly critique and criticize the work of their colleagues without fear of reprisal. | show 🗑
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| show | Commission on Accreditation of Rehabilitation Facilities
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| show | Conditions of Participation
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| show | Data repository
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| show | certification
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| show | Chief Executive Officer
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| The organization that coordinates the collection of performance data for managed care plans is the ___________. | show 🗑
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| show | Information warehouse
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| Which is following is not part of the Total Management assessment prospective | show 🗑
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