CHAPTER 23 INTRO TO HEALTHCARE
QUESTIONS AND ANSWERS WITH
SOLUTIONS WITH 2024
Finding the balance between maintaining high-quality patient care and controlling costs - ANSWER is a
major struggle for modern providers of health care
it ranks lower in life expectancy and patient satisfaction and higher in infant mortality than many other
industrial-ized countries: - ANSWER although the United States spends more on health care than any
other country
what is quality of care?
how can quality of care be measured? - ANSWER Discussions about improving the quality of care and
raising patient satisfaction begin with two very difficult questions:
quality - ANSWER can be defined as a measure of the degree to which delivered health services meet
established profes-sional standards and judgments of value to the consumer.
quality - ANSWER the degree to which actions taken or not taken maximize the probability of beneficial
health outcomes and minimize risk and other negative out-come
patient satisfaction
lowest cost
patient outcomes - ANSWER ways to measure quality of care
the most effective
it means that those providing the least care are rated as the best - ANSWER the health care facilities that
spent the least would be measured as _________ this is an inadequate tool because ____
time spent in the health care system and only focuses on the end result - ANSWER patient outcomes has
limitations because because it ignores the value of the _______
, number of variables that exist among patients with similar procedures. - ANSWER Another challenge in
comparing patient outcomes is the tremendous _________
costs
prohibitive - ANSWER Unfortunately, if patient satisfaction concerns were addressed without regard to
____, they would lead to ____ health care costs.
100% correct care - ANSWER In health care, the goal is__________ with no errors
The Centers for Medicare and Medicaid Services - ANSWER is a federal agency within the U.S.
Department of Health and Human Services (DHHS). Programs for which it is respon-sible include
Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Health Insurance Portability
and Accountability Act of 1996 (HIPAA), and the Clinical Laboratory Improvement Amendments (CLIA)
Centers for Medicare and Medicaid Services (CMS) - ANSWER The ___ promoted the development of
internal monitoring (within health care organizations) and evaluation processes. These were designed to
identify the changes needed to decrease costs while still maintaining quality.
quality assessment and performance improvement (QAPI) - ANSWER The CMS requires all health care
facilities to establish a _____ program that is committed to ensuring high-quality and cost-effective care
Medicare contractors - ANSWER __________ are required to prepare and submit a QAPI report to the
CMS in order to receive reimbursement for any of the CMS programs
The Partnership for Patients - ANSWER is a public-private partner-ship, under the umbrella of the CMS,
working to improve the quality, safety, and affordability of health care for all Americans
physicians, nurses, hospitals, employers, patients and their advocates, and federal and state
governments
goal is 20% reduction in hospital-caused harm to patients and a 12% reduction in 30-day hospital
readmissions. - ANSWER the partnership for patients memberhsip consists of ________ and its goal is
________
QUESTIONS AND ANSWERS WITH
SOLUTIONS WITH 2024
Finding the balance between maintaining high-quality patient care and controlling costs - ANSWER is a
major struggle for modern providers of health care
it ranks lower in life expectancy and patient satisfaction and higher in infant mortality than many other
industrial-ized countries: - ANSWER although the United States spends more on health care than any
other country
what is quality of care?
how can quality of care be measured? - ANSWER Discussions about improving the quality of care and
raising patient satisfaction begin with two very difficult questions:
quality - ANSWER can be defined as a measure of the degree to which delivered health services meet
established profes-sional standards and judgments of value to the consumer.
quality - ANSWER the degree to which actions taken or not taken maximize the probability of beneficial
health outcomes and minimize risk and other negative out-come
patient satisfaction
lowest cost
patient outcomes - ANSWER ways to measure quality of care
the most effective
it means that those providing the least care are rated as the best - ANSWER the health care facilities that
spent the least would be measured as _________ this is an inadequate tool because ____
time spent in the health care system and only focuses on the end result - ANSWER patient outcomes has
limitations because because it ignores the value of the _______
, number of variables that exist among patients with similar procedures. - ANSWER Another challenge in
comparing patient outcomes is the tremendous _________
costs
prohibitive - ANSWER Unfortunately, if patient satisfaction concerns were addressed without regard to
____, they would lead to ____ health care costs.
100% correct care - ANSWER In health care, the goal is__________ with no errors
The Centers for Medicare and Medicaid Services - ANSWER is a federal agency within the U.S.
Department of Health and Human Services (DHHS). Programs for which it is respon-sible include
Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Health Insurance Portability
and Accountability Act of 1996 (HIPAA), and the Clinical Laboratory Improvement Amendments (CLIA)
Centers for Medicare and Medicaid Services (CMS) - ANSWER The ___ promoted the development of
internal monitoring (within health care organizations) and evaluation processes. These were designed to
identify the changes needed to decrease costs while still maintaining quality.
quality assessment and performance improvement (QAPI) - ANSWER The CMS requires all health care
facilities to establish a _____ program that is committed to ensuring high-quality and cost-effective care
Medicare contractors - ANSWER __________ are required to prepare and submit a QAPI report to the
CMS in order to receive reimbursement for any of the CMS programs
The Partnership for Patients - ANSWER is a public-private partner-ship, under the umbrella of the CMS,
working to improve the quality, safety, and affordability of health care for all Americans
physicians, nurses, hospitals, employers, patients and their advocates, and federal and state
governments
goal is 20% reduction in hospital-caused harm to patients and a 12% reduction in 30-day hospital
readmissions. - ANSWER the partnership for patients memberhsip consists of ________ and its goal is
________
