ABQAURP EXAMINATION TEST 2025/2026 QUESTIONS
AND SOLUTIONS GRADED A+
✔✔Credentialing - ✔✔Key part of QM.Make sure the right person , right knowledge in
the right position
✔✔Risk Mgt. - ✔✔Focus on monetary loss by eliminating negative outcomes. Includes
insurance, pt satisfaction and legal issues.. Improve documentation. Medical records
analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
✔✔UR - ✔✔formal review of the consumption of all resources in the delivery of care.,
Can be prospective, concurrent or retrospective .Reduce resources to achieve the same
result.
✔✔Infection Control - ✔✔Focus on Outcomes, looks at transmission of illness to
providers, staff and visitors. Reduce risk of future infection
✔✔Outcome studies - ✔✔important to analyze effectiveness. Computer generated
outcomes best. self report survey are vulnerable to inaccuracy, single review least
reliable.
✔✔Peer review - ✔✔An individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
✔✔PRO- peer review organization - ✔✔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
✔✔QARI- quality assurance reform initiative - ✔✔1993- to assist states develop QI
systems, focus on clinical studies
✔✔QISMC- quality improvement for system of Managed Care - ✔✔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
✔✔BBA-balanced budget Act - ✔✔1997-comprehensive revision of federal statutes
governing Medicaid
, Revised 1999. Uses QISMC to set quality assurance provisions.
✔✔QIO-quality improvement Org - ✔✔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
✔✔PQRI-physician quality reporting Initiative - ✔✔2006-The Tax Relief and health Care
Act 2006 authorized implementation of a physician reporting system, Financial
incentive.
✔✔APSF- anesthesia patient safety foundation - ✔✔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
✔✔IHI- institute for Healthcare improvement - ✔✔1988- founded by Berwick and
Batalden
-focus on all aspects of quality, esp safety
✔✔Adverse Events- stats: - ✔✔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
✔✔Dr, Lucian Leape - ✔✔"Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
✔✔JC-joint commision - ✔✔1990- only accrediting body for hosp and other health care
org in US
✔✔NPSF-national pt safety foundation - ✔✔1997-indep nonprofit org to support change
in pt safety
modeled after APSF
✔✔IOM-Institute of Medicine - ✔✔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
AND SOLUTIONS GRADED A+
✔✔Credentialing - ✔✔Key part of QM.Make sure the right person , right knowledge in
the right position
✔✔Risk Mgt. - ✔✔Focus on monetary loss by eliminating negative outcomes. Includes
insurance, pt satisfaction and legal issues.. Improve documentation. Medical records
analysis is very helpful
Ultimate responsibility is the governing body of the hospital.
✔✔UR - ✔✔formal review of the consumption of all resources in the delivery of care.,
Can be prospective, concurrent or retrospective .Reduce resources to achieve the same
result.
✔✔Infection Control - ✔✔Focus on Outcomes, looks at transmission of illness to
providers, staff and visitors. Reduce risk of future infection
✔✔Outcome studies - ✔✔important to analyze effectiveness. Computer generated
outcomes best. self report survey are vulnerable to inaccuracy, single review least
reliable.
✔✔Peer review - ✔✔An individual c similar training and the one being reviewed.
1-chart rev
2-patterns
3- peer intervention
✔✔PRO- peer review organization - ✔✔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
✔✔QARI- quality assurance reform initiative - ✔✔1993- to assist states develop QI
systems, focus on clinical studies
✔✔QISMC- quality improvement for system of Managed Care - ✔✔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
✔✔BBA-balanced budget Act - ✔✔1997-comprehensive revision of federal statutes
governing Medicaid
, Revised 1999. Uses QISMC to set quality assurance provisions.
✔✔QIO-quality improvement Org - ✔✔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
✔✔PQRI-physician quality reporting Initiative - ✔✔2006-The Tax Relief and health Care
Act 2006 authorized implementation of a physician reporting system, Financial
incentive.
✔✔APSF- anesthesia patient safety foundation - ✔✔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
✔✔IHI- institute for Healthcare improvement - ✔✔1988- founded by Berwick and
Batalden
-focus on all aspects of quality, esp safety
✔✔Adverse Events- stats: - ✔✔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
✔✔Dr, Lucian Leape - ✔✔"Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
✔✔JC-joint commision - ✔✔1990- only accrediting body for hosp and other health care
org in US
✔✔NPSF-national pt safety foundation - ✔✔1997-indep nonprofit org to support change
in pt safety
modeled after APSF
✔✔IOM-Institute of Medicine - ✔✔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
