Quality Assurance and Performance
Exam And Answers With Complete
Solutions
What quality indicator would prove useful in tracking customer satisfaction in the release of information
unit? - ANSWER - the turn around time from the date a request is received to the date the information is
provided
What feature is a trademark of an effective QI program? - ANSWER - a continuous cycle of improvement
projects over time
What process assist a health care facility in continuously looking at the ways that problems develop and
seeking ways to prevent problems from happening in the future? - ANSWER - quality improvement
What is the goal of the Health Care Quality Improvement Programs - ANSWER - Improving the health of
Medicare beneficiaries
Which of the following organizations was a forerunner of the evaluation of quality medical care? -
ANSWER - The Joint Commission
Which data bank is a result of HIPAA legislation - ANSWER - Healthcare Integrity and Protection Data
Bank
Which is not a part of the JCAHO survey process - ANSWER - None are excluded
When conducting medical record review for clinical effectiveness, which of the following would not be
reviewed? - ANSWER - condition of physician during surgery
When a hospital implements a clinical quality assessment program, it should assure the committe is -
ANSWER - multidisciplinary
,Which of the following are predefined statements of the criteria against which the
performance of a healthcare organization will be assessed during a voluntary
review process? - ANSWER -
Which organization sponsors the HEDIS reporting system? - ANSWER - NCQA
Which of the following statements best defines utilization management? - ANSWER - It is a set of
processes used to determine the appropriateness of
medical services provided during specific episodes of care
Which of the following is the goal of clinical practice guidelines? - ANSWER - To standardize clinical
decision making
Which of the following documents the results of care for individual patients as
well as for specific types of patients grouped by diagnostic category? - ANSWER - Outcome measures
Which one of the following is the largest healthcare standards-setting body in the world? - ANSWER -
The Joint Commission
Which of the following are detailed step-by-step guides used by healthcare
practitioners to make clinical decisions related directly to patient care? - ANSWER - Clinical Practice
Guidelines
Who purchases the most health care in the United States?
a. Employers
b. Government
c. Patients
d. Insurance companies - ANSWER - b. Government
, Which of the following is an element of a Quality Assessment Program? - ANSWER -
Which of the following is a technique used to generate a large number of creative ideas from a group? -
ANSWER - Brainstorming
Which of the following are detailed step by step guides used by healthcare practitioners to make clinical
decisions related directly to patient care? - ANSWER - Clinical practice guidelines
Which of the following documents the results of care for the individual patients as well as for specific
types of patients grouped by diagnostic category? - ANSWER - Outcome measures
Which of the following is not a responsibility of a healthcare organizations quality management
department?
a. participating in regular department meetings across the organization
b. determining the method for studying potential problems
c. using medical peer review to identify patterns of care
d. Helping departments to identify potential clinical quality problems - ANSWER -
Which of the following organizations provides the most complete view of managed care plan quality? -
ANSWER - NCQA
Which of the following are predefined statements of the criteria against which the performance of a
healthcare organization will be assessed during a voluntary review process? - ANSWER - accreditation
standards
Which of the following is a data collection tool that records and compiles observations or occurrences? -
ANSWER - checksheet
Which of the following is used to plot the points for two variables that may be related to each other in
some way? - ANSWER - scatter diagram
Exam And Answers With Complete
Solutions
What quality indicator would prove useful in tracking customer satisfaction in the release of information
unit? - ANSWER - the turn around time from the date a request is received to the date the information is
provided
What feature is a trademark of an effective QI program? - ANSWER - a continuous cycle of improvement
projects over time
What process assist a health care facility in continuously looking at the ways that problems develop and
seeking ways to prevent problems from happening in the future? - ANSWER - quality improvement
What is the goal of the Health Care Quality Improvement Programs - ANSWER - Improving the health of
Medicare beneficiaries
Which of the following organizations was a forerunner of the evaluation of quality medical care? -
ANSWER - The Joint Commission
Which data bank is a result of HIPAA legislation - ANSWER - Healthcare Integrity and Protection Data
Bank
Which is not a part of the JCAHO survey process - ANSWER - None are excluded
When conducting medical record review for clinical effectiveness, which of the following would not be
reviewed? - ANSWER - condition of physician during surgery
When a hospital implements a clinical quality assessment program, it should assure the committe is -
ANSWER - multidisciplinary
,Which of the following are predefined statements of the criteria against which the
performance of a healthcare organization will be assessed during a voluntary
review process? - ANSWER -
Which organization sponsors the HEDIS reporting system? - ANSWER - NCQA
Which of the following statements best defines utilization management? - ANSWER - It is a set of
processes used to determine the appropriateness of
medical services provided during specific episodes of care
Which of the following is the goal of clinical practice guidelines? - ANSWER - To standardize clinical
decision making
Which of the following documents the results of care for individual patients as
well as for specific types of patients grouped by diagnostic category? - ANSWER - Outcome measures
Which one of the following is the largest healthcare standards-setting body in the world? - ANSWER -
The Joint Commission
Which of the following are detailed step-by-step guides used by healthcare
practitioners to make clinical decisions related directly to patient care? - ANSWER - Clinical Practice
Guidelines
Who purchases the most health care in the United States?
a. Employers
b. Government
c. Patients
d. Insurance companies - ANSWER - b. Government
, Which of the following is an element of a Quality Assessment Program? - ANSWER -
Which of the following is a technique used to generate a large number of creative ideas from a group? -
ANSWER - Brainstorming
Which of the following are detailed step by step guides used by healthcare practitioners to make clinical
decisions related directly to patient care? - ANSWER - Clinical practice guidelines
Which of the following documents the results of care for the individual patients as well as for specific
types of patients grouped by diagnostic category? - ANSWER - Outcome measures
Which of the following is not a responsibility of a healthcare organizations quality management
department?
a. participating in regular department meetings across the organization
b. determining the method for studying potential problems
c. using medical peer review to identify patterns of care
d. Helping departments to identify potential clinical quality problems - ANSWER -
Which of the following organizations provides the most complete view of managed care plan quality? -
ANSWER - NCQA
Which of the following are predefined statements of the criteria against which the performance of a
healthcare organization will be assessed during a voluntary review process? - ANSWER - accreditation
standards
Which of the following is a data collection tool that records and compiles observations or occurrences? -
ANSWER - checksheet
Which of the following is used to plot the points for two variables that may be related to each other in
some way? - ANSWER - scatter diagram
