HSA 6114 Final Exam With Correct Solution
access - ANSWER the ability to use needed, affordable, convenient, acceptable and
effective personal health care services in a timely manner
utilization - ANSWER realized access or actual use of healthcare services
framework to access - ANSWER
population characteristics - ANSWER predisposing characteristics --> enabling
resources --> need
predisposing characteristics - ANSWER demographics, social structure, health beliefs
enabling resources - ANSWER personal/family, community, insurance
need - ANSWER perceived, evaluated
health behavior - ANSWER personal health practices, use of health services
outcomes - ANSWER perceived health status, evaluated health status, consumer
satisfaction
dimensions of access (5 As) - ANSWER availability, accessibility, accommodation,
affordability, acceptability
availability - ANSWER the fit between service capacity and individual's requirements
accessibility - ANSWER the fit between the locations of providers and patients
accomodation - ANSWER the fit between how resources are organized to provide
services and the individuals' ability to use the arrangement
affordability - ANSWER individuals' ability to pay
acceptability - ANSWER the compatibility between patients, attitudes about providers'
personal and practice characteristics and providers' attitudes towards their clients'
personal characteristics and values
measurement of access - individual level - ANSWER medical services utilization relative
to enabling and predisposing factors controlling for need for care
measurement of access - delivery system - ANSWER measure access in an
environmental context
healthcare effectiveness data and information set (HEDIS) - ANSWER performance
improvement tools offered by National Committee for Quality Assurance (NCQA) to
improve person-centered care. collects data from health plans and PPOs
, HEDIS 5 domains - ANSWER effectiveness of care, access/availability, utilization, risk
adjusted utilization, measures collected using electronic clinical data systems
actions to reduce health disparities - ANSWER raise awareness and improve
understanding of which groups are most vulnerable, invest in SDOH, coordinate with
gov local agencies and community, and develop and implement effective policies and
programs
national quality strategy 6 priorities for quality of care - ANSWER safe, effective,
efficient, patient-centered, timely, equitable, population health, afforable
population health - ANSWER working with communities to promote wide use of best
practices to enable healthy living
donabedian model - ANSWER
quality assessment - ANSWER measurement of quality against an established standard
quality assurance - ANSWER quality improvement, ongoing assessment + results of
assessment for continuous quality improvement
quality assessment and quality assurance - ANSWER
prevention quality indicators - ANSWER uses hospital inpatient discharge data to
identify quality of care for "ambulatory care sensitive conditions" - conditions for which
good outpatient care can prevent hospitalization or more severe disease
ex: diabetes short/long-term complications admission rate, hypertension admission rate
pediatric quality indicators - ANSWER uses hospital inpatient discharge data to provide
perspective on quality of pediatric healthcare
ex: neonatal mortality rate, postoperative sepsis rate, asthma admission rate
inpatient quality indicators - ANSWER uses hospital administrative data to measure
quality of care by looking at mortality, utilization, and volume
ex: coronary artery bypass graft mortality rate, hip replacement mortality rate, acute
stroke mortality rate
patient safety indicators - ANSWER measure quality of care by focusing on avoidable
safety events that could be improved like complications following surgeries,
procedures, and childbirth
ex: death rate among surgical inpatients with serious treatable conditions, in hospital
fall with hip fracture rate, postoperative sepsis rate
national quality strategy - ANSWER 1. make healthcare more accessible safe and
patient-centered 2. address environmental social and behavioral influences on health
and health care 3. make care more affordable
access - ANSWER the ability to use needed, affordable, convenient, acceptable and
effective personal health care services in a timely manner
utilization - ANSWER realized access or actual use of healthcare services
framework to access - ANSWER
population characteristics - ANSWER predisposing characteristics --> enabling
resources --> need
predisposing characteristics - ANSWER demographics, social structure, health beliefs
enabling resources - ANSWER personal/family, community, insurance
need - ANSWER perceived, evaluated
health behavior - ANSWER personal health practices, use of health services
outcomes - ANSWER perceived health status, evaluated health status, consumer
satisfaction
dimensions of access (5 As) - ANSWER availability, accessibility, accommodation,
affordability, acceptability
availability - ANSWER the fit between service capacity and individual's requirements
accessibility - ANSWER the fit between the locations of providers and patients
accomodation - ANSWER the fit between how resources are organized to provide
services and the individuals' ability to use the arrangement
affordability - ANSWER individuals' ability to pay
acceptability - ANSWER the compatibility between patients, attitudes about providers'
personal and practice characteristics and providers' attitudes towards their clients'
personal characteristics and values
measurement of access - individual level - ANSWER medical services utilization relative
to enabling and predisposing factors controlling for need for care
measurement of access - delivery system - ANSWER measure access in an
environmental context
healthcare effectiveness data and information set (HEDIS) - ANSWER performance
improvement tools offered by National Committee for Quality Assurance (NCQA) to
improve person-centered care. collects data from health plans and PPOs
, HEDIS 5 domains - ANSWER effectiveness of care, access/availability, utilization, risk
adjusted utilization, measures collected using electronic clinical data systems
actions to reduce health disparities - ANSWER raise awareness and improve
understanding of which groups are most vulnerable, invest in SDOH, coordinate with
gov local agencies and community, and develop and implement effective policies and
programs
national quality strategy 6 priorities for quality of care - ANSWER safe, effective,
efficient, patient-centered, timely, equitable, population health, afforable
population health - ANSWER working with communities to promote wide use of best
practices to enable healthy living
donabedian model - ANSWER
quality assessment - ANSWER measurement of quality against an established standard
quality assurance - ANSWER quality improvement, ongoing assessment + results of
assessment for continuous quality improvement
quality assessment and quality assurance - ANSWER
prevention quality indicators - ANSWER uses hospital inpatient discharge data to
identify quality of care for "ambulatory care sensitive conditions" - conditions for which
good outpatient care can prevent hospitalization or more severe disease
ex: diabetes short/long-term complications admission rate, hypertension admission rate
pediatric quality indicators - ANSWER uses hospital inpatient discharge data to provide
perspective on quality of pediatric healthcare
ex: neonatal mortality rate, postoperative sepsis rate, asthma admission rate
inpatient quality indicators - ANSWER uses hospital administrative data to measure
quality of care by looking at mortality, utilization, and volume
ex: coronary artery bypass graft mortality rate, hip replacement mortality rate, acute
stroke mortality rate
patient safety indicators - ANSWER measure quality of care by focusing on avoidable
safety events that could be improved like complications following surgeries,
procedures, and childbirth
ex: death rate among surgical inpatients with serious treatable conditions, in hospital
fall with hip fracture rate, postoperative sepsis rate
national quality strategy - ANSWER 1. make healthcare more accessible safe and
patient-centered 2. address environmental social and behavioral influences on health
and health care 3. make care more affordable
