CPXP Exam Study Guide | 226 Questions with 100% Correct Answers | Verified | Updated 2023

CPXP Exam Study Guide | 226 Questions with 100% Correct Answers | Verified | Updated 2023 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, readmiss ion, 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 pati ents 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 conc epts 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 retu rn 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 What is a level 2 complaint ✔✔addressed a t employee or escalated to management with additional tools (coupons, parking, flowers) What is a level 3 complaint ✔✔employee escalates to manager refers patient/family or concern to patient relations What are the characteristics of hospitals that did well with value based purchasing? ✔✔smaller, didn't train residents, more affluent patient mix, for profit What are the characteristics of hospitals that did NOT do well with value based purchasing? ✔✔bigger, teaching hospitals, poor patients, govt o wned What is the goal of Partnership for Patients ✔✔decrease preventable hospital -acquired conditions, decrease preventable complications during care center transition When did Medicare Physician Pay for Performance begin? ✔✔started in 2015 for some physicians and physician groups - projected to be for all physicians by 2017 What does the RUSH way stand for? ✔✔systematic approach to process improvement (Ready, understand, solve, hold) Time frame that AHA establishes membe rship group: National society for patient representation and consumer affairs ✔✔early 70's Which year did AHA develop and adopts patients bill of rights? ✔✔1973 What was the Karen Quinian case? ✔✔Young women slipped into coma after drug interaction with alcohol (ethics of euthanasia)