MPH Comp exam health admin part 5 Accurate Verified Questions And Answers Guaranteed For Pass.

Health Care, Public Health - correct answer Quality Improvement _________________ -QI consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups. (HRSA) __________________ -QI in Public Health is the use of a deliberate and defined improvement process which is focused on activities that are responsive to community needs and improving population health. It refers to a continuous and ongoing effort to achieve measurable improvements in the efficiency, effectiveness, performance, accountability, outcomes, and other indicators of quality in services or processes which achieve equity and improve the health of the community. (NACCHO) Quality Assurance (QA) - correct answer They Are Not the Same QA vs. QI Reactive Works on problems after they occur Regulatory usually by State or Federal Law Led by management Periodic look-back Responds to a mandate or crisis or fixed schedule Meets a standard (Pass/Fail) Quality Improvement (QI) - correct answer They are not the same QA vs. QI ____________________________ Proactive Works on processes Seeks to improve (culture shift) Led by staff Continuous Proactively selects a process to improve Exceeds expectations evaluation - correct answer They Are Not the Same Evaluation vs. QI _______________________ Assess a program at a moment in time Static Does not include identification of the source of a problem or potential solutions Does not measure improvements Program-focused A step in the QI process Quality Improvement (QI) - correct answer They are not the same Assessment vs. QI ___________________________ Understand the process that is in place Ongoing Entails finding the root cause of a problem and interventions targeted to address it Focused on making measurable improvements Customer-focused Includes evaluation 44000 to 98000 - correct answer To Err is Human IOM's 1999 Report -Avoidable medical errors resulted in ____________ deaths yearly. --More than motor-vehicle accidents, breast cancer or AIDs. -Over 1 million injuries. -HC was lagging compared to other high risk industries. -2008: Annual costs of medical errors that harm patients amounted to $171 billion 1 million - correct answer To Err is Human IOM's 1999 Report -Avoidable medical errors resulted in 44,000 to 98,000 deaths yearly. --More than motor-vehicle accidents, breast cancer or AIDs. -Over _____________ injuries. -HC was lagging compared to other high risk industries. -2008: Annual costs of medical errors that harm patients amounted to $171 billion structurally weak in every area - correct answer Quality Chasms 2001: Centers for Disease Control and Prevention (CDC) declared the public health system as "____________________" 2001: terrorist attacks in New York City, Congress allocated $3 billion over a three year period to strengthen public health agencies and infrastructure 39th - correct answer Quality Chasms 2011: gaps still exist; US ranks #1 in terms of health care spending per capita; however, the nation ranked: -____ for infant mortality -43rd for adult female mortality -42nd for adult male mortality -36th for life expectancy Emerging health challenges: obesity, climate change, and chronic disease epidemic 43rd - correct answer Quality Chasms 2011: gaps still exist; US ranks #1 in terms of health care spending per capita; however, the nation ranked: -39th for infant mortality -____ for adult female mortality -42nd for adult male mortality -36th for life expectancy Emerging health challenges: obesity, climate change, and chronic disease epidemic 42nd - correct answer Quality Chasms 2011: gaps still exist; US ranks #1 in terms of health care spending per capita; however, the nation ranked: -39th for infant mortality -43rd for adult female mortality -____ for adult male mortality -36th for life expectancy Emerging health challenges: obesity, climate change, and chronic disease epidemic 36th - correct answer Quality Chasms 2011: gaps still exist; US ranks #1 in terms of health care spending per capita; however, the nation ranked: -39th for infant mortality -43rd for adult female mortality -42nd for adult male mortality -____ for life expectancy Emerging health challenges: obesity, climate change, and chronic disease epidemic Patient Protection and Affordable Care Act (PPACA) - correct answer Advances in QI for Health Care -_________________________________ (PPACA) -Accountable Care Organizations (ACOs) -Hospital Readmission Reduction Program -Pay for Performance -Triple Aim Accountable Care Organization (ACO) - correct answer Advances in QI for Health Care -Patient Protection and Affordable Care Act (PPACA) -___________________________________ (ACOs) -Hospital Readmission Reduction Program -Pay for Performance -Triple Aim Hospital readmission reduction program - correct answer Advances in QI for Health Care -Patient Protection and Affordable Care Act (PPACA) -Accountable Care Organizations (ACOs) -__________________________________________________ -Pay for Performance -Triple Aim pay form performance - correct answer Advances in QI for Health Care -Patient Protection and Affordable Care Act (PPACA) -Accountable Care Organizations (ACOs) -Hospital Readmission Reduction Program -__________________________ -Triple Aim Triple Aim - correct answer Advances in QI for Health Care -Patient Protection and Affordable Care Act (PPACA) -Accountable Care Organizations (ACOs) -Hospital Readmission Reduction Program -Pay for Performance -____________ Patient Protection and Affordable Care Act (PPACA) - correct answer _______________________________________ - seeks to improve quality, access to care, and improvements in population health -National Quality Strategy includes priorities to improve outcomes, patient care, payment policy, health data, reduce errors and preventable admissions Accountable Care Organizations - correct answer _______________________ -Network of doctors and hospitals that shares financial and medical responsibility for providing coordinated care to patients. -Bring together primary care, specialists, hospitals, home health care, etc. and ensure that all of the "parts work well together." -Assume the risk and benefits. --Meeting quality benchmarks = bonuses --Focus on prevention and carefully managing patients with chronic diseases. Doctors and hospitals have to meet specific quality benchmarks, focusing on prevention and carefully managing patients with chronic diseases. In other words, providers get paid more for keeping their patients healthy and out of the hospital Hospital Readmissions Reduction Program - correct answer __________________________ Every year, ~2.6 million seniors are readmitted within 30 days of discharge. -$26 billion cost to Medicare Factors leading to readmission within 30 days: -Complications from treatments received during a hospital stay -Inadequate treatment -Inadequate care coordination and follow up care in the community -Unexpected worsening of disease after discharge from the hospital PPACA authorizes Medicare to reduce payments to acute care hospitals with excess readmissions that are paid under CMS's inpatient prospective payment system. Focuses on patients who were readmitted for selected high-cost or high-volume conditions: heart attack, heart failure, and pneumonia. pay for performance - correct answer _______________________________ Hospital Value-Based Purchasing Program (VBP) Medicare is adjusting a portion of payments: -How well they perform on each measure compared to all hospitals, or -How much they improve their own performance on each measure compared to their performance during a prior baseline period. Paying for quality not quantity. Institute for Healthcare Improvement: Triple Aim - correct answer Approach to optimizing health system performance -Improving the patient's experience of care in terms of safety, quality, and satisfaction; -Improving the health of populations; and -Reducing the per capita cost of health care