AFT2 HCM 5000
Accreditation Audit
Comprehensive FA Review (Qns & Ans)
2025
1. Which of the following is the primary purpose of healthcare
accreditation?
- A) Increasing hospital profits
- B) Enhancing patient safety and quality of care
- C) Expanding hospital facilities
- D) Reducing staff workload
- ANS: B) Enhancing patient safety and quality of care
©/2025
, - Rationale: Healthcare accreditation aims to enhance patient
safety and improve the quality of care provided by healthcare
organizations.
2. What is a critical component of the Joint Commission's
accreditation process?
- A) Financial audits
- B) Facility expansion plans
- C) Performance improvement initiatives
- D) Marketing strategies
- ANS: C) Performance improvement initiatives
- Rationale: The Joint Commission emphasizes performance
improvement initiatives as a critical component of its
accreditation process to ensure continuous quality enhancement.
Fill-in-the-Blank Questions
3. The __________ survey is an unannounced visit conducted
by accreditation bodies to assess compliance with standards.
- ANS: tracer
- Rationale: A tracer survey involves following the
experience of care for patients through the organization's entire
©/2025
,service delivery process, providing a comprehensive assessment
of compliance with accreditation standards.
4. __________ is the systematic process of evaluating
healthcare organizations against predetermined standards of
excellence.
- ANS: Accreditation
- Rationale: Accreditation is the systematic evaluation of
healthcare organizations to ensure they meet established standards
of quality and safety.
True/False Questions
5. True or False: Healthcare organizations are required to
achieve accreditation to operate legally.
- ANS: False
- Rationale: While accreditation is not legally required for
healthcare organizations to operate, it is highly beneficial as it
demonstrates commitment to quality and safety, potentially
leading to improved patient trust and reimbursement
opportunities.
6. True or False: The focus of accreditation audits includes both
clinical and non-clinical aspects of healthcare organizations.
©/2025
, - ANS: True
- Rationale: Accreditation audits assess both clinical and
non-clinical aspects of healthcare organizations to ensure
comprehensive evaluation of quality and safety standards.
Multiple Response Questions
7. Which of the following are common standards evaluated
during healthcare accreditation audits? (Select all that apply)
- A) Infection control
- B) Patient rights and education
- C) Staff personal finances
- D) Medication management
- ANS: A) Infection control, B) Patient rights and education,
D) Medication management
- Rationale: Accreditation audits commonly evaluate
standards related to infection control, patient rights and education,
and medication management, as these are critical to ensuring
patient safety and quality care. Staff personal finances are not
typically evaluated during accreditation audits.
8. Which of the following strategies can help healthcare
organizations prepare for accreditation audits? (Select all that
apply)
©/2025
Accreditation Audit
Comprehensive FA Review (Qns & Ans)
2025
1. Which of the following is the primary purpose of healthcare
accreditation?
- A) Increasing hospital profits
- B) Enhancing patient safety and quality of care
- C) Expanding hospital facilities
- D) Reducing staff workload
- ANS: B) Enhancing patient safety and quality of care
©/2025
, - Rationale: Healthcare accreditation aims to enhance patient
safety and improve the quality of care provided by healthcare
organizations.
2. What is a critical component of the Joint Commission's
accreditation process?
- A) Financial audits
- B) Facility expansion plans
- C) Performance improvement initiatives
- D) Marketing strategies
- ANS: C) Performance improvement initiatives
- Rationale: The Joint Commission emphasizes performance
improvement initiatives as a critical component of its
accreditation process to ensure continuous quality enhancement.
Fill-in-the-Blank Questions
3. The __________ survey is an unannounced visit conducted
by accreditation bodies to assess compliance with standards.
- ANS: tracer
- Rationale: A tracer survey involves following the
experience of care for patients through the organization's entire
©/2025
,service delivery process, providing a comprehensive assessment
of compliance with accreditation standards.
4. __________ is the systematic process of evaluating
healthcare organizations against predetermined standards of
excellence.
- ANS: Accreditation
- Rationale: Accreditation is the systematic evaluation of
healthcare organizations to ensure they meet established standards
of quality and safety.
True/False Questions
5. True or False: Healthcare organizations are required to
achieve accreditation to operate legally.
- ANS: False
- Rationale: While accreditation is not legally required for
healthcare organizations to operate, it is highly beneficial as it
demonstrates commitment to quality and safety, potentially
leading to improved patient trust and reimbursement
opportunities.
6. True or False: The focus of accreditation audits includes both
clinical and non-clinical aspects of healthcare organizations.
©/2025
, - ANS: True
- Rationale: Accreditation audits assess both clinical and
non-clinical aspects of healthcare organizations to ensure
comprehensive evaluation of quality and safety standards.
Multiple Response Questions
7. Which of the following are common standards evaluated
during healthcare accreditation audits? (Select all that apply)
- A) Infection control
- B) Patient rights and education
- C) Staff personal finances
- D) Medication management
- ANS: A) Infection control, B) Patient rights and education,
D) Medication management
- Rationale: Accreditation audits commonly evaluate
standards related to infection control, patient rights and education,
and medication management, as these are critical to ensuring
patient safety and quality care. Staff personal finances are not
typically evaluated during accreditation audits.
8. Which of the following strategies can help healthcare
organizations prepare for accreditation audits? (Select all that
apply)
©/2025
