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Exam (elaborations)

BCACP – regulatory Exam Solved

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What does FDA do? - ANSWER-approves new medication and issues warnings or other recommendations for already approved meds What does CMS and HHS do? - ANSWER-determine rules and regs for federally sponsored health care or medicare and other national health care laws What does CDC do? - ANSWER-determines rules and starndard procedures for point of care testing, immunizations, and mgmt of patients with transmittable diseases What org are NCQA, PCMH, joint commission, CPPA? - ANSWER-accreditation organizations, establish standards for quality an dsafety. NCQA? - ANSWER-works to improve health care quality through the administration of utilizes evidence-based standards, measures, programs, and accreditation. The private, nonprofit organization operates on a formula of measure, analyze, and improve. And it aims to build consensus across the industry by working with policymakers, employers, doctors, and patients, as well as health plans. What measures does NCQA have? - ANSWER-Hedis (Healthcare Effectiveness Data and Information Set which recent law changed the landscape for documentation, creating meaninguf use initiatives? incentivezes health care organization to use electronic portals for documentation - ANSWER-american recovery and reinvestment act of 2009 What organization sets the national strategy for quality imporvemnt? - ANSWER-AHRQ agency for healthcare research and quality What is the public resource for evidence based quality measures? - ANSWER-national quality measures clearinghoue (NQMC) What doe the IOM institute of medicine do? - ANSWER-independent, nonprofit, role is to work outside govt to provide unbiased and authoritative adice to decisionmakers and the public Pharmacy quality alliance role? - ANSWER-ensure provision of quality services to medicare beneficiaries and all patientts Why was NCQA founded in 1979? - ANSWER-to review PPO and HMO Who uses the HEDIS that NCQA developed? - ANSWER-for employhers to evaluate the health plans they use for employy benefits

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