BRITTTON PRESENTS YOU WITH QUALITY EXAM,TESTBANKS AND ASSIGNMENTS

this group has ultimate responsibility for maintaining the quality and safety of patient care provided by its Healthcare organization - correct answer 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 - correct answer strategic plan strategic planning may include a process called SWOT analysis where the l...

Access Fee - correct answer Fee charged by an MCO for access to its provider network, including its reimbursement terms, by an employer/MCO Accrual - correct answer The amount of money that is set aside to cover expenses ACG (Ambulatory Care Group) - correct answer Method of categorizing outpatient episodes ACR - correct answer (Adjusted Community Rate) Adjudication - correct answer The management and pricessing of claims by an MCO or health insurance company Admitted asset - corr...

Who are the three groups affected by healthcare quality? - correct answer Purchasers, Providers, & Consumers Diagnostic or therapeutic interventions conducted primarily to safeguard the provider against malpractice liability is called - correct answer Defensive Medicine Which of the following statement is untrue? - correct answer Quality must constantly be managed and occasionally improved. Best possible care should be provided to everyone. - correct answer Equity Care intended to he...

Total Quality Management (TQM) - correct answer "A management philosophy that includes all activities in which the needs of the customer and the organization are satisfied in the most efficient manner by using employee potentials and continuous improvement." Satisfy the customer by using employee potential and continuous improvement Quality Definition (Manufacturing) - correct answer Q = P/E p: performance E: expectation Measure of excellence or state of being free from defects, def...

Who initially decided quality should be measured - correct answer Abraham Flexner Lead the founding of the Joint Commission - correct answer E.A. Codman Brought modern quality assurance techniques to moder medicine - correct answer Avedis Donabedian Named the PDCA cycle - correct answer W. Edwards Deming Developed the PDCA cycle - correct answer Walter Shewhart Deming's seven diseases - correct answer 1.) Lack of consistency of purpose 2.) Emphasis on short-term profits 3.) Eva...

Sec 1833 of SS act - correct answer "...no payment shall be made to any provider... unless there has been furnished such information as may be necessary in order to determine the amounts due such provider ...;" Sec 1862 SS act - correct answer states no Medicare payment shall be made for expenses incurred for items or services that "are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member;" Suppleme...

measurment is a tool - correct answer usuaully in the form of a number or statistic used to monitor the quality of some aspect of healthcare services the ______ are known as performance measures or quality indicators - correct answer numbers A measure expressed as a proportion into a ________ is usually more useful than a measure expressed as an absolute number. - correct answer percentage A percentage clearly communcates a measures _______ in a population - correct answer prevelance...

Basic common threads of Quality Management. - correct answer Examine the processes leading to the delivery of care, the outcomes expected from the care, and the degree to which the expected outcomes are reached. Abraham Flexner - correct answer Quality should be measured. E.A. Codman, MD - correct answer Boston surgeon from the early 1900's was a public health pioneer studying hospital outcomes to determine how they could be improved. Founded by E.A. Codman - correct answer American Co...

Liberty Mutual used case management to help with this population's cost management in the 1940's. - correct answer Workers' Compensation Early public health case management efforts focused on these two areas. - correct answer Psychiatry and social work. Following this event many insurance companies employed nurses and social workers to take care of patients with multiple and complex injuries. - correct answer World War II Intracorp - correct answer Founded by CIGNA in 1966 for worker...

Pareto principle - correct answer 20% of the population owns 80% of the wealth. Principle of factor sparsity - correct answer Much like the Pareto principle - accounts for why rescue care - the 20% of patients with significant chronic illness using care in hospital consumes more than 80% of our health care resources. Clinical Pathways - correct answer structured multidisciplinary plans of care designed to support the implementation of clinical guidelines and protocols. Support clinical man...

2001 Crossing the Quality Chasm: A New Health System for the 21st Century - correct answer Published by the Institute of Medicine stating health care delivery system should pursue six aims: safe, effective, patient-centered, timely, efficient, and equitable. National Transitions of Care Coalition - correct answer Founded in 2006 to address problems associated with care coordination and transitions of care. 2007 Medicare Payment Advisory commission - correct answer 17.6% of Medicare benefic...

Accreditation - correct answer A voluntary process that a health care institution, provider or program undergoes to demonstrate compliance with standards developed by an official agency. EA Codman - correct answer founded the American College of Surgeons. Wanted to collect statistics to foster standardization across hospitals. Joint Commission on Accreditation of Hospitals - correct answer In 1953, the American College of Surgeons, the American College of Physicians, the American Hospital ...

First organization developed expressly to improve safety for patients. - correct answer Anesthesia Patient Safety Foundation - founded 1985. Ellison Pierce - correct answer Established the Committee on Patient Safety and Risk Management in 1982; coined the term "patient safety", founded the Anesthesia Patient Safety Foundation in 1985; delivered the Rovenstine Lecture in 1996. 1996's Rovenstine Lecture (40 Years behind the Mask: Safety Revisited) - correct answer Ellison Pierce describe...

how is quality defined? - correct answer no errors, degree of excellence, do the right thing and do it well. Meeting customers expectations, exceed expectations. What is quality mgmt.? - correct answer examine the process to delivery of care, the outcomes measured plan-do-check-act - correct answer Walter Shewhart Edward Deming - correct answer introduced statistical process to improve quality He recognized importance of having accurate and meaningful infor to improve quality Deming...

AARP - correct answer American Association of Retired Persons- a nonprofit, nonpartisan organization dedicated to helping older Americans achieve lives of independence, dignity and purpose ACA - correct answer Affordable Care Act: comprehensive healthcare reform law that makes health insurance available to more people ACHE - correct answer American College of Healthcare Executives: professional society for healthcare leaders committed to improving health. ACLS - correct answer Advanced ...

Basic common threads of Quality Management. - correct answer Examine the processes leading to the delivery of care, the outcomes expected from the care, and the degree to which the expected outcomes are reached. Abraham Flexner - correct answer Quality should be measured. E.A. Codman, MD - correct answer Boston surgeon from the early 1900's was a public health pioneer studying hospital outcomes to determine how they could be improved. Founded by E.A. Codman - correct answer American Co...

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What is current flow? - correct answer the flow of electrons in the curcuit What is impedance? - correct answer Opposition to alternating current flow Like charges will? - correct answer Repel each other Any material that will readily release electrons is called? - correct answer A conductor The symbol for current is? - correct answer I Electricity can produce? A. heat B. light C. magnetism D. all of the above - correct answer D. all of the above The safety ground conduct...

The service disconnecting means may be installed in all of the following EXCEPT - correct answer the bathroom. What is the minimum size EMT conduit required for three 14 AWG, six 12 AWG, and three 8 AWG conductors? All wires are THHN solid wire. - correct answer 1 inch Overcurrent protection for feeders branch circuits supplying electric vehicle supply equipment shall be sized for continuous duty and shall have a rating of not less than what percentage of the maximum load of the electric v...