HEALTHCARE QUALITY MANAGEMENT EXAM
QUESTIONS AND ANSWERS
1. Which of the following is not a type of managed care?:
ACO
2. Which of the following entities is responsible for
retrospectively examining the care provided to
beneficiaries and comparing it to similar providers' per-
formance in different regions of the US?: Quality improvement
organizations
3. During the mid-1700s, the citizens of Philadelphia, PA,
recognized the need to sequester newly arrived
immigrants, who often contracted diseases during their
long voyages to America. This procedure is an
example of early
.-
: Infection Control
,4. Demonstrate how the Flexner report shaped current
performance improve-ment or quality initiatives in the modern
era.: (The flexner report identified that the medical schools weren't
teaching proper medical care. This is the start of peer review processes.)
The Flexner report identified unacceptable variations in medical school curriculum
that would ultimately result in variations in the patient care being delivered by these
physicians. This is the early stage of peer review processes, medical licensing, and
credentialing activities that are prevalent in healthcare organizations today.
5. Summarize the ways in which the Affordable Healthcare
Act of 2010 changed
healthcare delivery in the US.: (to improve access to healthcare services
for US citizens.)
The major focus of the act is providing or improving access to healthcare services
for millions of US citizens. Recognizing that access is a financial issue as well as a
quality issue, the act also has requirements directly related to the issue of quality.
For example, it requires establishment of a quality measures program for Medicaid;
requires long-term care, rehabilitation, and hospice facilities to submit quality data
to CMS; and expands the quality reporting in the prospective payment system that
can have a negative impact on reimbursement rates when the patient encounters
adverse events or complications resulting from inadequate treatment by
providers.
6. Which of the following associations was established in
1840 to represent the
interests of physician across the US?: American Medical
Association
,7. The practice of reporting patient outcomes to the
Hospital Board of Trustees was begun at which of the
following hospitals?: Massachusetts General
8. Which state was the first to pass legislation that
required nurses to be registered?: North Carolina
9. In the 1700-1800s, which of the following hospitals
became a model for the development of hospitals in other
communities?: Pennsylvania Hospital
10. True or False
TQM mobilizes individuals directly involved in a work
process to examine and
, improve the process with the goal of achieving a better
product or outcome. It does not matter what the
product or outcome might be.: True
11. A system in which purchasers hold providers of
healthcare accountable for both the costs of
healthcare and its quality is called .: Value-
based purchasing
12. A set of National Patient Safety Goals (NPSGs) that
all institutions partic-ipating in accreditation must
promote and train their staffs providing care to adhere
to was developed by which of the following
organizations?: Joint Commission
13. Which of the following is the act that stimulated
investment in the informa-tion systems infrastructure of
professional practices, clinics, and hospitals?: - HITECH
14. Which of following individuals was instrumental in
bringing attention to the
formal training needs for nurses?: Dr. Samuel Gross
15. Which of the following acts established a quality-
reporting program for skilled nursing care in the US?: Improving
Medicare Post-Acute Care Transformation Act (IMPACT)
16. Community Hospital recently completed earthquake
retrofitting and seis-mic upgrades on their physical
building in order to increase the safety of their building
QUESTIONS AND ANSWERS
1. Which of the following is not a type of managed care?:
ACO
2. Which of the following entities is responsible for
retrospectively examining the care provided to
beneficiaries and comparing it to similar providers' per-
formance in different regions of the US?: Quality improvement
organizations
3. During the mid-1700s, the citizens of Philadelphia, PA,
recognized the need to sequester newly arrived
immigrants, who often contracted diseases during their
long voyages to America. This procedure is an
example of early
.-
: Infection Control
,4. Demonstrate how the Flexner report shaped current
performance improve-ment or quality initiatives in the modern
era.: (The flexner report identified that the medical schools weren't
teaching proper medical care. This is the start of peer review processes.)
The Flexner report identified unacceptable variations in medical school curriculum
that would ultimately result in variations in the patient care being delivered by these
physicians. This is the early stage of peer review processes, medical licensing, and
credentialing activities that are prevalent in healthcare organizations today.
5. Summarize the ways in which the Affordable Healthcare
Act of 2010 changed
healthcare delivery in the US.: (to improve access to healthcare services
for US citizens.)
The major focus of the act is providing or improving access to healthcare services
for millions of US citizens. Recognizing that access is a financial issue as well as a
quality issue, the act also has requirements directly related to the issue of quality.
For example, it requires establishment of a quality measures program for Medicaid;
requires long-term care, rehabilitation, and hospice facilities to submit quality data
to CMS; and expands the quality reporting in the prospective payment system that
can have a negative impact on reimbursement rates when the patient encounters
adverse events or complications resulting from inadequate treatment by
providers.
6. Which of the following associations was established in
1840 to represent the
interests of physician across the US?: American Medical
Association
,7. The practice of reporting patient outcomes to the
Hospital Board of Trustees was begun at which of the
following hospitals?: Massachusetts General
8. Which state was the first to pass legislation that
required nurses to be registered?: North Carolina
9. In the 1700-1800s, which of the following hospitals
became a model for the development of hospitals in other
communities?: Pennsylvania Hospital
10. True or False
TQM mobilizes individuals directly involved in a work
process to examine and
, improve the process with the goal of achieving a better
product or outcome. It does not matter what the
product or outcome might be.: True
11. A system in which purchasers hold providers of
healthcare accountable for both the costs of
healthcare and its quality is called .: Value-
based purchasing
12. A set of National Patient Safety Goals (NPSGs) that
all institutions partic-ipating in accreditation must
promote and train their staffs providing care to adhere
to was developed by which of the following
organizations?: Joint Commission
13. Which of the following is the act that stimulated
investment in the informa-tion systems infrastructure of
professional practices, clinics, and hospitals?: - HITECH
14. Which of following individuals was instrumental in
bringing attention to the
formal training needs for nurses?: Dr. Samuel Gross
15. Which of the following acts established a quality-
reporting program for skilled nursing care in the US?: Improving
Medicare Post-Acute Care Transformation Act (IMPACT)
16. Community Hospital recently completed earthquake
retrofitting and seis-mic upgrades on their physical
building in order to increase the safety of their building
