ABQUARP Exam Tested Questions
With Revised Correct Detailed
Answers
>Latest Update>>
1. PRO- peer review organization - ANSWER 1972-82 was physician
controlled, nonprofit org that looked at Medicare IP, Utilization and quality.
Changed to PSRO in 1982 via the Tax Equity and Fiscal Responsibility act
2. Peer review - ANSWER An individual c similar training and the one being
reviewed.
1-chart rev
2-patterns
3- peer intervention
3. QARI- quality assurance reform initiative - ANSWER 1993- to assist states
develop QI systems, focus on clinical studies
4. QISMC- quality improvement for system of Managed Care - ANSWER
1996-Federal govt formed as a guide for quality mgt, esp for Medicare and
Medicaid
-Designed to strengthen the efforts to protect and improve health and
satisfaction to Medicare and Medicaid enrollees
-clarifies responsibility in promoting quality
,-promotes partnership
-develop coordinated quality oversight
-looks for new developments
5. BBA-balanced budget Act - ANSWER 1997-comprehensive revision of
federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
6. QIO-quality improvement Org - ANSWER 2002-defined how quality
measurement and performance improvement should be applied to M/M
-improve quality of care to beneficiary
-protect integrity of Medicare Trust Fund
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
7. PQRI-physician quality reporting Initiative - ANSWER 2006-The Tax Relief
and health Care Act 2006 authorized implementation of a physician reporting
system, Financial incentive.
8. APSF- anesthesia patient safety foundation - ANSWER First org to develop
just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
9. IHI- institute for Healthcare improvement - ANSWER 1988- founded by
Berwick and Batalden
,-focus on all aspects of quality, esp safety
10. Adverse Events- stats: - ANSWER 1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
11. Dr, Lucian Leape - ANSWER "Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
12. JC-joint commision - ANSWER 1990- only accrediting body for hosp and
other health care org in US
13. NPSF-national pt safety foundation - ANSWER 1997-indep nonprofit org
to support change in pt safety
modeled after APSF
14. IOM-Institute of Medicine - ANSWER 1998-effforts to assess and improve
the quality of medicine
"to Err is Human: Building a safer health system" consider to be required reading
anyone interested in pt safety.
-claimed 44k-98K Americans die each year d/t error
, 15. Active Error - ANSWER whose effects are felt immediately
-sharp end
16. Latent error - ANSWER -lie dormant within the system, combines c other
factors to breach systems defenses.
-blunt end
-to discover and neutralize a latent error will have greater impact on pt safety
17. Swiss Cheese Model - ANSWER Certain risk that will fall through multiple
defenses to reach the pt cause harm
-minimize error, make multiple defenses make the harm potential low
18. John Williamson - ANSWER best means to assess quality of care is
through measuarable outcomes
19. Avedis Donabedian MD - ANSWER Brought modern quality assurance
techniques to modern medicine.
20. Medicare Prescription Drug and Improvement and Modernization Act 2003 -
ANSWER Projected focused on DM and CHF, target 5% savings
Failure, no savings. Noted lack of care coordination.
Demand Mgt - ANSWER 24 h hotlines and triage service
Provider Profiling - ANSWER reimbursement tied to quality targets
With Revised Correct Detailed
Answers
>Latest Update>>
1. PRO- peer review organization - ANSWER 1972-82 was physician
controlled, nonprofit org that looked at Medicare IP, Utilization and quality.
Changed to PSRO in 1982 via the Tax Equity and Fiscal Responsibility act
2. Peer review - ANSWER An individual c similar training and the one being
reviewed.
1-chart rev
2-patterns
3- peer intervention
3. QARI- quality assurance reform initiative - ANSWER 1993- to assist states
develop QI systems, focus on clinical studies
4. QISMC- quality improvement for system of Managed Care - ANSWER
1996-Federal govt formed as a guide for quality mgt, esp for Medicare and
Medicaid
-Designed to strengthen the efforts to protect and improve health and
satisfaction to Medicare and Medicaid enrollees
-clarifies responsibility in promoting quality
,-promotes partnership
-develop coordinated quality oversight
-looks for new developments
5. BBA-balanced budget Act - ANSWER 1997-comprehensive revision of
federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
6. QIO-quality improvement Org - ANSWER 2002-defined how quality
measurement and performance improvement should be applied to M/M
-improve quality of care to beneficiary
-protect integrity of Medicare Trust Fund
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
7. PQRI-physician quality reporting Initiative - ANSWER 2006-The Tax Relief
and health Care Act 2006 authorized implementation of a physician reporting
system, Financial incentive.
8. APSF- anesthesia patient safety foundation - ANSWER First org to develop
just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
9. IHI- institute for Healthcare improvement - ANSWER 1988- founded by
Berwick and Batalden
,-focus on all aspects of quality, esp safety
10. Adverse Events- stats: - ANSWER 1991-in 3.7% of hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
2.6% permanent
13.6% death
11. Dr, Lucian Leape - ANSWER "Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
12. JC-joint commision - ANSWER 1990- only accrediting body for hosp and
other health care org in US
13. NPSF-national pt safety foundation - ANSWER 1997-indep nonprofit org
to support change in pt safety
modeled after APSF
14. IOM-Institute of Medicine - ANSWER 1998-effforts to assess and improve
the quality of medicine
"to Err is Human: Building a safer health system" consider to be required reading
anyone interested in pt safety.
-claimed 44k-98K Americans die each year d/t error
, 15. Active Error - ANSWER whose effects are felt immediately
-sharp end
16. Latent error - ANSWER -lie dormant within the system, combines c other
factors to breach systems defenses.
-blunt end
-to discover and neutralize a latent error will have greater impact on pt safety
17. Swiss Cheese Model - ANSWER Certain risk that will fall through multiple
defenses to reach the pt cause harm
-minimize error, make multiple defenses make the harm potential low
18. John Williamson - ANSWER best means to assess quality of care is
through measuarable outcomes
19. Avedis Donabedian MD - ANSWER Brought modern quality assurance
techniques to modern medicine.
20. Medicare Prescription Drug and Improvement and Modernization Act 2003 -
ANSWER Projected focused on DM and CHF, target 5% savings
Failure, no savings. Noted lack of care coordination.
Demand Mgt - ANSWER 24 h hotlines and triage service
Provider Profiling - ANSWER reimbursement tied to quality targets
