•Efficiency is either allocative or production Ans✓✓✓ TRUE
•Electronic Health Record (EHR) Ans✓✓✓ •Contains everything in the EMR and
more
•Goes beyond standard clinical data collected in provider's office and provides a
broader view of patient's care
•Electronic Medical Record (EMR)* Ans✓✓✓ •Digital version of the paper charts
in the clinician's office
Age-adjusted mortality rate* Ans✓✓✓ •Takes into account the population's age
distribution when calculating mortality rate
•Commonly used when comparing mortality rates across different populations
Allocative efficiency Ans✓✓✓ concerns attaining the most valued mix of health
care services offered
Baker & Chassin state: Ans✓✓✓ Although the goal of medicine is to improve
health outcomes for patients, using outcome measures for accountability requires
extreme care. We must approach this task as rigorously as has been done for
process measures if we are going to identify and reward providers who achieve
the best outcomes and use measurement to drive quality improvement
Baker and Chassin (2017) proposed four criteria for all outcome measure used to
hold providers accountable for care: Ans✓✓✓ •Strong evidence should exist that
, good medical care leads to improvement in the outcome within the time period
for the measure
•The outcome should be measurable with a high degree of precision
•The risk-adjustment methodology should include and accurately measure the
risk factors most strongly associated with the outcome; and
>Implementation of the outcome measure must have little chance of inducing
unintended adverse consequences
Benchmark Ans✓✓✓ a starting point from which to begin the comparison
(usually implies "average", might even be "mediocre")
Clinical Outcome Studies Ans✓✓✓ indicate the quality of the health care
received by patients— answering these questions:
Clinical outcomes Ans✓✓✓ Conducted with scientifically valid methods
•Consequences of health care interventions that are specific to persons who have
received care
•Unlike the quality assessment based on population health outcomes, clinical
outcomes assessment begins with the provider-patient interaction and its
subsequent clinical processes and outcomes