HIT 254 Final Exam Questions and Answers Latest Update 2025-2026
PCE - Answers potentially compensable event
occurrence, such as an accident or medical error, that may result in personal injury or loss of
property to patients, staff, visitors, or the healthcare organization. - Answers potentially
compensable event (PCE)
an incident/occurrence report should NOT be placed in MR. (T or F) - Answers T
any occurrence or circumstance that might result in a loss - Answers risk
set of policies, processes and procedures that identify potential operational and financial losses,
prevent losses whenever possible, and lessen the effects of losses that cannot be prevented -
Answers risk management
process of managing the legal and administrative aspects of the healthcare organization's
response to injury claims - Answers Claims management
Utilization management programs in acute care hospitals are required by whom? - Answers TJC
MCOP - Medicare Conditions of Participation
process of determining whether the medical care provided to a specific pt is necessary -
Answers Utilization review (UR)
occurrences that resulted-or could have resulted- in life-threatening injuries or serious physical
or psychological injury to pts., medical staff, visitors or employees - Answers Sentinal Event (SE)
network of doctors and hospitals that shares responsibility for providing care to patients -
Answers Accountable Care Organization (ACO)
The ACO is all a part of what? - Answers Affordable Care Act of 2010
rewarding organizations for quality outcomes - Answers pay for performance
an occurrence with an undesirable outcome usually occurring only once - Answers Sentinel
Event (SE)
TJC uses its sentinel events as a basis for its what? - Answers National Patient Safety Goals
(NPSG)
a patient representative that responds personally to complaints from patients and their families
- Answers ombudsperson (patient advocate)
trained to handle minor complaints and to seek remedies on behalf of patients and to know
when to forward an issue to PI or risk management - Answers ombudsperson (patient advocate)
PCE - Answers potentially compensable event
occurrence, such as an accident or medical error, that may result in personal injury or loss of
property to patients, staff, visitors, or the healthcare organization. - Answers potentially
compensable event (PCE)
an incident/occurrence report should NOT be placed in MR. (T or F) - Answers T
any occurrence or circumstance that might result in a loss - Answers risk
set of policies, processes and procedures that identify potential operational and financial losses,
prevent losses whenever possible, and lessen the effects of losses that cannot be prevented -
Answers risk management
process of managing the legal and administrative aspects of the healthcare organization's
response to injury claims - Answers Claims management
Utilization management programs in acute care hospitals are required by whom? - Answers TJC
MCOP - Medicare Conditions of Participation
process of determining whether the medical care provided to a specific pt is necessary -
Answers Utilization review (UR)
occurrences that resulted-or could have resulted- in life-threatening injuries or serious physical
or psychological injury to pts., medical staff, visitors or employees - Answers Sentinal Event (SE)
network of doctors and hospitals that shares responsibility for providing care to patients -
Answers Accountable Care Organization (ACO)
The ACO is all a part of what? - Answers Affordable Care Act of 2010
rewarding organizations for quality outcomes - Answers pay for performance
an occurrence with an undesirable outcome usually occurring only once - Answers Sentinel
Event (SE)
TJC uses its sentinel events as a basis for its what? - Answers National Patient Safety Goals
(NPSG)
a patient representative that responds personally to complaints from patients and their families
- Answers ombudsperson (patient advocate)
trained to handle minor complaints and to seek remedies on behalf of patients and to know
when to forward an issue to PI or risk management - Answers ombudsperson (patient advocate)
