©BRIGHSTARS 2024/2025 ALL RIGHTS RESERVED.
Chapter 14: JCAHO Exam Questions With
Correct Answers.
JCAHO stands for - Answer✔Joint Commission on Accreditation for Health Care Organizations
Goals of JCAHO - Answer✔-Review and analyze efficacy
-nutrition assessment, counseling, education, and intervention
-outcome measures vs. budget
Sentinel event - Answer✔event that changes how the institution practices
Reference guide on sentinel events: sentinel event definition - Answer✔-An unexpected incident,
related to system or process deficiencies, which leads to death or major and enduring loss of
function* for a recipient of health care services.
Event type description of sentinel events - Answer✔-Surgery performed on the wrong body part
-Surgery performed on the wrong patient
-Wrong surgical procedure performed on the wrong patient
-Retained instruments in patient discovered after surgery/procedure
-Patient death during or immediately post surgical procedure
surgical sentinel event - Answer✔anesthesia-related
device or product sentinel event - Answer✔-contaminated drugs/devices/products
-using device for something other than its intended use
-failure/breakdown of device or med equipment
-intravascular air embolism
Total Quality Mgmt (TQM) - Answer✔-Continuous assessment and evaluation
-Pre-determined criteria
-Systems for feedback and correction
1|Page
, ©BRIGHSTARS 2024/2025 ALL RIGHTS RESERVED.
-Quality control points at every point where information is transferred (progress reports, budget
alterations, training of staff & participants)
Obstacles to implementation of TQM - Answer✔-Increasing knowledge base
-Conflicting information
-Delineation between work and external motivations (Compensation)
-Delineation between work and internal motivation (Pride)
-Resistance to change
-Increased technological advancement and specialization.
DRG stands for - Answer✔Diagnostic-Related Group
Methods of reimbursement - Answer✔-DRG's
-Diagnoses codes
-Always less than the service costs
-Time constraints
-Medicare, Medicaid, Private billing
-Private Practice Dietitians; Malpractice Insurance
-Private Institutions; Overhead
-Governmental Agencies
Tools - Answer✔-NCP & Model
-JCAHO, TQM, EBP, NCP
ADA NCP model is defined as... - Answer✔A systematic problem solving method that dietetics
professionals use to critically think and make decisions to address nutrition related problems and
provide safe, effective, high quality nutrition care.
ADA's NCP & Model - Answer✔-Nutrition Care Process Steps
-Central Core (relationships)
-Outer Rings (skills and environmental factors)
-Supporting systems (screening & referral access; outcomes mgmt system)
Relationship between client and dietetics professional is... - Answer✔-collaborative
-client-focused
-individualized
2|Page
Chapter 14: JCAHO Exam Questions With
Correct Answers.
JCAHO stands for - Answer✔Joint Commission on Accreditation for Health Care Organizations
Goals of JCAHO - Answer✔-Review and analyze efficacy
-nutrition assessment, counseling, education, and intervention
-outcome measures vs. budget
Sentinel event - Answer✔event that changes how the institution practices
Reference guide on sentinel events: sentinel event definition - Answer✔-An unexpected incident,
related to system or process deficiencies, which leads to death or major and enduring loss of
function* for a recipient of health care services.
Event type description of sentinel events - Answer✔-Surgery performed on the wrong body part
-Surgery performed on the wrong patient
-Wrong surgical procedure performed on the wrong patient
-Retained instruments in patient discovered after surgery/procedure
-Patient death during or immediately post surgical procedure
surgical sentinel event - Answer✔anesthesia-related
device or product sentinel event - Answer✔-contaminated drugs/devices/products
-using device for something other than its intended use
-failure/breakdown of device or med equipment
-intravascular air embolism
Total Quality Mgmt (TQM) - Answer✔-Continuous assessment and evaluation
-Pre-determined criteria
-Systems for feedback and correction
1|Page
, ©BRIGHSTARS 2024/2025 ALL RIGHTS RESERVED.
-Quality control points at every point where information is transferred (progress reports, budget
alterations, training of staff & participants)
Obstacles to implementation of TQM - Answer✔-Increasing knowledge base
-Conflicting information
-Delineation between work and external motivations (Compensation)
-Delineation between work and internal motivation (Pride)
-Resistance to change
-Increased technological advancement and specialization.
DRG stands for - Answer✔Diagnostic-Related Group
Methods of reimbursement - Answer✔-DRG's
-Diagnoses codes
-Always less than the service costs
-Time constraints
-Medicare, Medicaid, Private billing
-Private Practice Dietitians; Malpractice Insurance
-Private Institutions; Overhead
-Governmental Agencies
Tools - Answer✔-NCP & Model
-JCAHO, TQM, EBP, NCP
ADA NCP model is defined as... - Answer✔A systematic problem solving method that dietetics
professionals use to critically think and make decisions to address nutrition related problems and
provide safe, effective, high quality nutrition care.
ADA's NCP & Model - Answer✔-Nutrition Care Process Steps
-Central Core (relationships)
-Outer Rings (skills and environmental factors)
-Supporting systems (screening & referral access; outcomes mgmt system)
Relationship between client and dietetics professional is... - Answer✔-collaborative
-client-focused
-individualized
2|Page
