HCA 600 Final questions with correct answers
Medical Errors Correct Answer-251, 454 deaths stem from medical
errors which translates into 9.5% of all deaths
Father of QA in health care Correct Answer-Avedis Donabedian
Structure Correct Answer-includes all of the factors that affect the
context in which care is delivered. This includes physical facility,
equipment, and human resources as well as organizational characteristics
such as staff training and payment methods. These factors control how
providers and patients in a healthcare system act and are measure the
average quality of care within a facility or system. Structure is often easy
to observe and measure and it may be the upstream cause of problems
identified in progress.
Process Correct Answer-is the sum of all actions that make up
healthcare. These commonly include diagnosis, treatment, preventive
care, and patient education but may be expanded to include actions taken
by the patient or their families. Processes can be further classified as
technical processes, how care is delivered, or interpersonal processes,
which all encompass the manner in which care is delivered. According
to Donabedian, the measurement of process is nearly equivalent to the
measurement of quality care because process contains all acts of
healthcare delivery. Information about process can be obtained from
medical records, interviews with patients and practitioners or patients, or
direct observation of healthcare visits.
, Outcome Correct Answer-Contains all the effects of healthcare on
patients or populations, including changes to health status, behavior or
knowledge as well as a patient satisfaction and health related quality of
life. Outcomes are sometimes seen as the most important indicators of
quality because improving patient health status is the primary goal of
healthcare. However, accurately measuring outcomes that can be
attributed exclusively to healthcare is very difficult. Drawing
connections between process and outcomes often requires large sample
populations, adjustments by case mix, and long term follow ups as
outcomes may take considerable time to be observable.
Lean Programs Correct Answer-focus on value and removes waste
P4P and PQRS Correct Answer-improve transparency and
accountability
Pay For Performance Correct Answer-value based purchasing offer
financial incentives to physicians and hospitals to meet performance
measures
Physician Quality Reporting System Correct Answer-a healthcare
quality improvement incentive program initiated by the Centers for
Medicare and Medicaid services. It is an example of pay for
performance program which rewards providers financially for reporting
healthcare quality data to CMS
Pay for results Correct Answer-initiative to reduce ER wait times
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