CQM test 3
this group has ultimate responsibility for maintaining the quality and safety of patient care
provided by its Healthcare organization - board of directors
the document in which the leadership of a healthcare organization identifies the
organization's overall mission, vision, and goals to help set the long-term direction of the
organization as a business entity is called - strategic plan
strategic planning may include a process called SWOT analysis where the leaders complete
assessment of what four areas - strengths, weaknesses, opportunities, threats
the regular presentation of concise, appropriately displayed monitoring data for Hospital
board of directors that provides minute-to-minute data and an organized, comparative format
that maximizes the use of the board's time and assist its members and accomplishing
oversight activities is called - dashboard
oversight process by like professionals established according to an organization's medical
staff bylaws, organizational policy and procedure, or the requirements of state law that allows
the candid critique of colleagues without fear of reprisal is called - peer review
the senior leadership and board of directors are meeting to determine the key priorities for
Community Hospital for the year ahead. During this time they also used a SWOT analysis to
validate the mission. The resulting document of this session is called a - strategic plan
the data the organization's collects about its own performance should be analyzed and
considered when setting Improvement priorities only if a sentinel event has occurred. true or
false? - false
this organization has been responsible for accrediting Health Care Organization since the
mid-1900s and determines whether the healthcare organization is continually monitoring and
improving the quality of care it provides - Joint Commission
this accrediting body has become an alternative option for healthcare organizations because
of its facility friendly yet stringent annually occurring accreditation process - DNV
this type of healthcare organization review is performed to fulfill legal or licensure
requirements - compulsory review
every organization that provides services to Medicare and Medicaid beneficiaries must
demonstrate its compliance with this set of standards - CMS CoP
is certification required or voluntary - required
is accreditation required or voluntary - voluntary
this group has ultimate responsibility for maintaining the quality and safety of patient care
provided by its Healthcare organization - board of directors
the document in which the leadership of a healthcare organization identifies the
organization's overall mission, vision, and goals to help set the long-term direction of the
organization as a business entity is called - strategic plan
strategic planning may include a process called SWOT analysis where the leaders complete
assessment of what four areas - strengths, weaknesses, opportunities, threats
the regular presentation of concise, appropriately displayed monitoring data for Hospital
board of directors that provides minute-to-minute data and an organized, comparative format
that maximizes the use of the board's time and assist its members and accomplishing
oversight activities is called - dashboard
oversight process by like professionals established according to an organization's medical
staff bylaws, organizational policy and procedure, or the requirements of state law that allows
the candid critique of colleagues without fear of reprisal is called - peer review
the senior leadership and board of directors are meeting to determine the key priorities for
Community Hospital for the year ahead. During this time they also used a SWOT analysis to
validate the mission. The resulting document of this session is called a - strategic plan
the data the organization's collects about its own performance should be analyzed and
considered when setting Improvement priorities only if a sentinel event has occurred. true or
false? - false
this organization has been responsible for accrediting Health Care Organization since the
mid-1900s and determines whether the healthcare organization is continually monitoring and
improving the quality of care it provides - Joint Commission
this accrediting body has become an alternative option for healthcare organizations because
of its facility friendly yet stringent annually occurring accreditation process - DNV
this type of healthcare organization review is performed to fulfill legal or licensure
requirements - compulsory review
every organization that provides services to Medicare and Medicaid beneficiaries must
demonstrate its compliance with this set of standards - CMS CoP
is certification required or voluntary - required
is accreditation required or voluntary - voluntary
