HCA 375 Final Exam (100 Question)

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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