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HCA 600 Final Exam Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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HCA 600 Final Exam Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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HCA 600 FinalMedical Errors - ANS 251, 454 deaths stem from medical errors which translates into 9.5% of
all deaths
Father of QA in healthcare - ANS Avedis Donabedian
Structure - ANS 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 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 - ANS 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 the process contains all acts of
healthcare delivery. Information about the process can be obtained from medical records,
interviews with patients and practitioners or patients, or direct observation of healthcare visits.
Outcome - ANS 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 - ANS focus on value and removes waste
P4P and PQRS - ANS improve transparency and accountability
Pay For Performance - ANS value based purchasing offer financial incentives to physicians and
hospitals to meet performance measures
, Physician Quality Reporting System - ANS 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 - ANS initiative to reduce ER wait times
Never events? - ANS CMS announced they are investigating ways that Medicare can help
reduce or eliminate the occurrence of "never events" - serious and costly errors in the provision
of health care services that should never happen
Like the surgery on the wrong body part of mismatched blood transfusions, cause serious injury
or death to beneficiaries and results in increased costs to Medicare program to treat the
consequences of the error
Joint Commission on Accreditation of Healthcare Organization - ANS since 1951, hospitals,
long term care facilities, home care and hospice agencies. Required to be a Medicare provider.
Typically awards 3 years. Certifies more than 21,000 health care organizations
National Committee for Quality Assurance - ANS Private, non-profit healthcare organization
since 1991. Accredit health care plans, individual physicians and medical groups. CAHPS
scores
Moral Hazard - ANS Pauly 1968, purchasing more of something because someone else's
money pays for all or part of it, as in providers and patients utilizing greater medical procedures
because health insurance companies shoulder the majority of the cost
Hospitalists (in-patient doctors) - ANS Physicians whose primary professional focus is the
general medical care of hospitalized patients. Their activities include patient care, teaching,
research, and leadership related to hospital medicine
Support healthy behavior - ANS in the workplace, and to improve health outcomes. Known as
'corporate wellbeing' outside the US, workplace wellness often compromises activities such as
health education, medical screenings, weight management programs, onsite fitness programs
or facilities. These programs can be classified as primary, secondary or tertiary health programs,
depending on the goal of the specific program. Primary prevention programs usually target a
fairly healthy employee population, and encourage them to frequently engage in health
behaviors that will encourage ongoing good health.
Example of primary prevention program - ANS includes stress management, and exercise and
healthy eating promotion. Secondary prevention programs are targeted at reducing behavior
that is considered a risk factor for poor health. Examples for such programs include smoking
cessation programs and screenings for high blood pressure or other cardiovascular disease
related risk factors. Tertiary health programs address existing health programs, and aim to help
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