CPXP Exam Study Guide 2024 Top Graded

How did the report of quality measures to CMS begin? - Hospitals could voluntarily report quality measures starting in 2001- adapting to current state from there What is HCAHPS - Hospital Consumer Assessment of Healthcare Providers and System What are some metrics for outcome of care? - mortality, readmission, complications, hospital associated infections Describe "Pay for performance" - provide financial incentives to hospitals, physicians, and other providers to carry out improvement and achieve optimal outcomes for patients What are some reasons patients may not voice their complaints? - Don't know where to complain, afraid of retribution, not worth the trouble What are the IOM six aims of for quality (established in 2001) - Safe, time, effective, efficient, equitable, patient-centered (STEEEP) What is the IHI triple aim? - improve patient experience, improve health of populations, reduce per capita cost Describe health literacy - capacity to obtain, process and understand basic health information needed to make appropriate health decisions What percentage of adults are estimated to have a proficient health literacy - 12 % Which year was the American Society for Hospital Risk Management formed? - 1980 What was the original name for the CMS - Health Care Financing Administration What is the definition of Culture (Irwin Press) - Culture exists when its members share values and behaviors that they take for granted What is empathy - the ability to understand and share the feelings of another What percentage of CMS reimbursement is dependent on patient satisfaction scores - 1% What are the 4 basic needs that should be met to create an ideal patient experience - confidence, integrity, pride, passion In which year did hospitals establish patient advocates and representatives? - 1965 In which year did the American hospital association develop patients bill of rights - 1973 What is the RATER scale and when was it developed - Reliability, Assurance, Tangibles, Empathy, Responsiveness (early 80s) What are some of the key concepts of the Planetree model - Importance of social support, patient/resident education, healing environment (design- iron curtain) In which year were Diagnostic Related Groups (DRG) introduced? - 1983 What is the Emergency Medical Treatment and Labor Act (EMTALA) and when was it established - requires hospitals to stabilize any patient who shows up in the ER regardless of ability to pay (1986) When was the Health Insurance Portability and Patient Protection Act (HIPPA) created? - 1996 In which year did the IOM publish the report "To Err is Human" regarding the significance of medical errors - 1999 What is the IPFCC - Institute for patient family-centered care What are some of the limitations to the Press Ganey surveys - low return rate, minorities underrepresented What is a "Likert" scale - Ex: Very poor, poor, fair, good, very good What is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) - first national standardized publicly reported survey of patients perceptions of hospital experience What are the main functions of the Office of Patient Relations - Provide a centralized mechanism for addressing patient concerns, liaison between patients and medical providers What are the main goals of the Office of Patient Relations at Rush - Understand service gaps through increased complaint capture Improve complaint resolution time What is a level 1 complaint - concern addressed immediately by employee