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Question 1. A patient experience leader is reviewing the history of quality
reporting. In what year did hospitals begin voluntarily reporting quality
measures to CMS?
A. 1995
B. 2001
C. 2006
D. 2012
Answer: B
Rationale: Hospitals could voluntarily report quality measures starting in
2001, and this evolved into the current reporting system.
Question 2. What does HCAHPS stand for?
A. Hospital Consumer Assessment of Healthcare Providers and Systems
B. Healthcare Consumer Assessment of Hospital Providers and Systems
C. Hospital Care Assessment of Healthcare Providers and Services
D. Healthcare Consumer Assessment of Hospital Performance and
Satisfaction
,Answer: A
Rationale: HCAHPS is the Hospital Consumer Assessment of Healthcare
Providers and Systems survey.
Question 3. Which of the following is an outcome metric of care?
A. Patient satisfaction
B. Mortality
C. Staff courtesy
D. Room cleanliness
Answer: B
Rationale: Outcome metrics include mortality, readmission,
complications, and hospital-associated infections.
Question 4. What is pay for performance?
A. A system that pays hospitals regardless of quality
B. Financial incentives to providers for improvement and optimal
outcomes
C. A penalty for reporting quality measures
D. A survey method for patients
Answer: B
Rationale: Pay for performance provides financial incentives to hospitals,
physicians, and other providers to carry out improvement and achieve
optimal outcomes.
Question 5. Why may patients not voice complaints?
,A. They do not know where to complain
B. They fear retribution
C. They believe it is not worth the trouble
D. All of the above
Answer: D
Rationale: Patients may not complain because they do not know where to
complain, fear retribution, or believe it is not worth the trouble.
Question 6. What are the IOM six aims for quality?
A. Safe, timely, effective, efficient, equitable, patient-centered
B. Safe, timely, effective, efficient, equal, patient-focused
C. Safe, timely, efficient, equitable, patient-centered, cost-effective
D. Safe, effective, efficient, equitable, patient-centered, accessible
Answer: A
Rationale: The IOM six aims are Safe, Timely, Effective, Efficient,
Equitable, and Patient-centered, remembered as STEEEP.
Question 7. What is the IHI Triple Aim?
A. Improve patient experience, improve health of populations, reduce per
capita cost
B. Improve patient satisfaction, reduce readmissions, increase revenue
C. Improve quality, reduce errors, increase staff satisfaction
D. Improve access, reduce cost, improve outcomes
Answer: A
, Rationale: The IHI Triple Aim is to improve patient experience, improve
health of populations, and reduce per capita cost.
Question 8. What is health literacy?
A. The ability to read and write
B. The capacity to obtain, process, and understand basic health
information to make appropriate health decisions
C. The ability to speak English
D. The ability to use a computer
Answer: B
Rationale: Health literacy is the capacity to obtain, process, and
understand basic health information needed to make appropriate health
decisions.
Question 9. What percentage of adults are estimated to have proficient
health literacy?
A. 12%
B. 25%
C. 50%
D. 75%
Answer: A