Patient Safety and Quality in Healthcare, Exams of Medicine

Download Patient Safety and Quality in Healthcare and more Exams Medicine in PDF only on Docsity!

Patient safety and quality Lesson

Questions

care that is safe, effective, patient-centered, timely, efficient and equitable. - ✔ANS: Quality Healthcare part of quality healthcare, and is assured through preventing errors and creating a culture of safety across patients and providers. - ✔ANS: Patient Safety On any given day, about how many patients have an infection caused by their medical care? - ✔ANS: 1 in 25, True of False: One in every nine patients who acquire an infection in the hospital will die from it. - ✔ANS: True A recent study estimated that if added in medical errors, it would be the _________leading cause of death. First Second Third Fourth - ✔ANS: Third In 2001, the Institute of Medicine Report Crossing the Quality Chasm, defined this as "the degree to which health services for individuals and populations increases the likelihood of desired health outcomes and are consistent with current professional knowledge." - ✔ANS: Quality

Fill in the blank: ___ is care that is safe, effective, patient-centered, timely, efficient and equitable. - ✔ANS: Quality healthcare Fill in the blank: ___ is part of quality healthcare, and is assured through preventing errors and creating a culture of safety across patients and providers. - ✔ANS: Patient Safety True or false: Doctors are instructed to list the underlying cause of death - the condition that leads an individual to seek treatment - on death certificates, and this includes medical errors. - ✔ANS: False The name of the key 2001 IOM report that addressed healthcare quality was: - ✔ANS: Crossing the Quality Chasm Safe, effective, patient-centered, timely, efficient and equitable healthcare is: Not Possible High Quality Improves health outcomes B&C - ✔ANS: B&C True or false: Racial and ethnic minorities and individuals who have lower socioeconomic status have consistently shown poorer healthcare quality compared to non-Hispanic whites and those with higher socioeconomic status. - ✔ANS: True Choose the IOM quality aim addressed by this CMS objective: Ensure all care delivery incorporates patient and caregiver preferences. Safe Effective

Timely Patient-Centered - ✔ANS: Patient-Centered What are the the six IOM aims for improving access to care? - ✔ANS: safety, effectiveness, patient-centered, timely, efficient, equitable care What was developed by CMS and provides the core processes and decision criteria to be followed when developing, implementing, and maintaining quality measures. - ✔ANS: Measures Management System (MMS) The process of MMS includes what 5 steps? - ✔ANS: Conceptualization, Specification, testing, Implementation, Use Which step of of Measures Management System defines measurement topic(s) within areas of interest as defined by the CMS Quality Strategy? - ✔ANS: Measure Conceptualism Which step of of Measures Management System defines and develops the selected measures and present them for review and feedback? - ✔ANS: Measure Specification Which step of of Measures Management System plans comprehensive measure testing to evaluate whether the proposed measures will support the intended quality programs successfully. - ✔ANS: Measure testing Which step of of Measures Management System plans measure implementation to support rollout to the healthcare providers who will collect and report the new measures. - ✔ANS: Measure Implementation Which step of of Measures Management System monitors and measure the use of quality measures to ensure that they continue to support the quality programs

they were designed to support, and identify opportunities to tweak or repurpose measures to improve reporting and increase the value of quality program measurement results? - ✔ANS: Measure Use, Continuing Evaluation, and Maintenance More than _______ of American health plans use HEDIS to measure their performance, quality and service improvements across five domains: Effectiveness of Care Access/Availability of Care Experience of Care (Patient Satisfaction) Utilization and Relative Resource Use Health Plan Descriptive Information - ✔ANS: 90% HEDIS stands for what - ✔ANS: Healthcare Effectiveness Data and Information Set To evaluate the improvement of hospital quality and safety, AHRQ QIs measure quality improvement, pay-for-performance, and public health monitoring for reporting across four areas: - ✔ANS: Inpatient Prevention Patient Safety Pediatric Care There are three types of quality measures that we examine in healthcare. These three types come from the Donabedian model, which provides a framework for examining quality of healthcare, and includes the dimensions of : - ✔ANS: Structure, Process, Outcomes

Which U.S. Government organization has action plans to prevent adverse drug events and healthcare-associated infections? - ✔ANS: Which system uses data collected or reported through claims, assessment instruments, chart abstractions and registries to help CMS with quality improvements, public reporting, and pay for performance programs? - ✔ANS: Measures Management System Which U.S. Government organization created the HEDIS quality tool? - ✔ANS: NCQA NCQA stands for - ✔ANS: National Committee for Quality Assurance What does AHRQ QI stand for? - ✔ANS: Agency for Healthcare Research and Quality / Quality Indicators ORYX - ✔ANS: Which of the following was developed by the Joint Commission?

• HEDIS
• MDS
• OASIS-C -ORYX ORYX - ✔ANS: The Joint Commission's initiative that supports the integration of outcomes data and other performance measurement data into the accreditation process. National Hospital Inpatient Quality Measures - ✔ANS: A set of specific data that hospitals must collect and report to CMS and the Joint Commission to document quality patient care.

CAHPS -

✔ANS: Consumer Assessment of Healthcare Providers and Systems To measure patient care experiences during hospital stays, AHRQ and CMS developed what? - ✔ANS: CAHPS Which U.S. Government organization has action plans to prevent adverse drug events and healthcare-associated infections? Agency for Healthcare Research and Quality Centers for Disease Control and Prevention The Comprehensive Unit-Based Safety Program None of the above - ✔ANS: The Comprehensive Unit-Based Safety Program Which U.S. Government organization aims to invest in research on the nation's health delivery system to make healthcare safer, improve quality, and create teaching and training materials for healthcare systems and professionals? Agency for Healthcare Research and Quality Centers for Disease Control and Prevention The Comprehensive Unit-Based Safety Program None of the above - ✔ANS: Agency for Healthcare Research and Quality Which U.S. Government resource aims to help healthcare organizations increase safety by improving how clinical teams work together, and assuring evidence- based clinical practices? Agency for Healthcare Research and Quality Centers for Disease Control and Prevention The Comprehensive Unit-Based Safety Program

None of the above - ✔ANS: The Comprehensive Unit-Based Safety Program Donabedian's model provides a framework for examining quality of healthcare and includes the dimensions of: Safety, production, outreach Structure, process, outcomes Research and development None of the above - ✔ANS: Structure, process, outcomes Which type of quality measure includes the physical structure, equipment, organizational characteristics and human resources that affect how care is delivered? Structural measures Process measures Outcomes measures - ✔ANS: Structural measures Which type of quality measure includes the actions that collectively define care that is delivered? Structural measures Process measures Outcomes measures - ✔ANS: Process measures Which policy has saved more than 50,000 lives and $12 billion dollars through its patient safety and quality assurance measures? Affordable care organization Patient-centered medical home

Transition of care Nurse-managed health clinic - ✔ANS: Transition of care True or false: To enforce changes in patient safety in ambulatory care settings, The Joint Commission has implemented National Patient Safety Goals of identifying patients correctly, using medicine safely, preventing infection, and preventing mistakes in surgery. - ✔ANS: True True or false: Identifying safety hazards in the home is not important, as this does not expose anyone to additional health risks. - ✔ANS: False he following are best practices created by The Joint Commission: Ask patients for the name of their primary care provider (PCP) Ask patients for the name of their home care provider Send summary clinical information to the PCP upon visit completion Send summary clinical information to the home care provider upon visit completion These best practices are for which of the following? Long-term care settings Home health care settings Urgent care settings - ✔ANS: Urgent care settings The following are best practices created by the Joint Commission:

Perform modified medication reconciliation upon visit completion Provide patient with effective education upon visit completion Provide patient with written discharge instructions upon visit completion These best practices are for which of the following? Long-term care settings Home health care settings Urgent care settings - ✔ANS: Urgent Care settings The major quality and patient safety focal points for which care setting includes detecting change in a resident's condition and falls prevention and management? Long-term care settings Home health care settings Urgent care settings - ✔ANS: Long-term care settings True or false: Patient safety is part of quality healthcare, and is assured through preventing errors and creating a culture of safety across patients and providers. - ✔ANS: True True or false: On any given day, about 1 in 25,000 patients have an infection caused by their medical care, most commonly from surgery sites or in the lungs, but also the bloodstream, urinary tract, and gastrointestinal areas. - ✔ANS: True Choose the IOM quality aim addressed by this CMS objective: Reduce inappropriate an unnecessary care Safe

Effective Patient-Centered Timely - ✔ANS: Safe Choose the IOM quality aim addressed by this CMS objective: Increase appropriate use of screening and prevention services: Safe Effective Patient-Centered Timely - ✔ANS: Effective Which type of quality measure includes changes to health, behavior or knowledge, patient satisfaction, and health-related quality of life? Structural measures Process measures Outcomes measures - ✔ANS: Outcomes measures What are the groups of healthcare providers and hospitals organized to accept a contracted overall payment to provide care for at least 5,000 patients called? HMO's Patient-centered outcomes groups Accountable care organizations None of the above - ✔ANS: Accountable care organizations

Which resource was created by the Affordable Care Act to fund more comparative effectiveness research to improve healthcare quality? Group of answer choices Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Institute National Institutes of Health None of the above - ✔ANS: Patient-Centered Outcomes Research Institute True or false: Doctors are instructed to list the medical error that led to a patient's cause of death on the death certificate. - ✔ANS: False True or false: Racial and ethnic minorities and individuals who have lower socioeconomic status receive higher quality healthcare compared to non-Hispanic whites and those with higher socioeconomic status. - ✔ANS: False What are the types of quality measures? Group of answer choices Safety, production, outreach Structure, process, outcomes Research and Development None of the above - ✔ANS: Structure, process, outcomes