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Question 1. A patient experience professional is reviewing a complaint
that a patient attached to a satisfaction survey. The patient explicitly
requests a formal review. How should this be classified?
A. Complaint
B. Grievance
C. Survey response
D. Informal feedback
Answer: B
Rationale: If a patient writes or attaches a request for resolution to a
survey, it is considered a grievance. Other survey responses are not
automatically complaints or grievances.
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Question 2. A hospital receives a letter from a patient regarding lack of
coordinated care that caused financial hardship. What is the correct
action?
A. Treat as a complaint
B. Treat as a grievance
C. Ignore because it was not on a survey
D. Forward to billing
Answer: B
Rationale: Written communications alleging issues such as lack of
coordinated care are treated as grievances, especially when they describe
significant impact.
Question 3. What is the timeframe for resolving a grievance?
A. 24 hours
B. 7 days on average, unless informed otherwise
C. 30 days
D. No timeframe
Answer: B
Rationale: Grievances must be acknowledged and resolved on average
within 7 days, unless the patient is informed that follow-up will be
provided within a stated number of days.
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Question 4. When is a grievance considered resolved?
A. When the patient receives a written notice with contact person, steps
taken, results, and date, and is satisfied
B. When the hospital says it is resolved
C. When the patient stops complaining
D. After 30 days
Answer: A
Rationale: A grievance is resolved when the patient is provided with
written notice containing the contact person, steps taken, results, and
date, and the patient is satisfied with the actions taken.
Question 5. Can billing concerns be considered a grievance?
A. Yes, always
B. No, not usually
C. Only if the patient writes a letter
D. Only if the amount is over $100
Answer: B
Rationale: Billing concerns are not usually considered grievances; they are
typically handled as complaints or billing issues.
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Question 6. How many items are on the HCAHPS survey?
A. 21
B. 29
C. 32
D. 40
Answer: B
Rationale: The HCAHPS survey contains 29 items.
Question 7. What is the standardized approach to gathering, analyzing,
and reporting information on patients' experiences with healthcare
services?
A. HCAHPS
B. VBP
C. CMS
D. AHRQ
Answer: A
Rationale: HCAHPS is the standardized survey instrument for collecting
patient experience data.