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ABQUARP EXAM ACTUAL Questions and Answers (Verified Answers)
- BBA-balanced budget Act.
Answer. 1997-comprehensive revision of federal statutes governing Medicaid. Revised 1999. Uses QISMC to set quality assurance provisions.
- QIO-quality improvement Org.
Answer. 2002-defined how quality measurement and performance improvement should be applied to M/M. Improve quality of care to beneficiary, protect integrity of Medicare Trust Fund.Medicare contracts with 1 QIO in each state, not-for-profit, staffed by professionals.
- PQRI-physician quality reporting Initiative.
Answer. 2006-The Tax Relief and Health Care Act 2006 authorized implementation of a physician reporting system, financial incentive.
- How is quality defined?.
Answer. No errors, degree of excellence, do the right thing and do it well. Meeting customers' expectations, exceed expectations.
- What is quality mgmt.?.
Answer. Examine the process to delivery of care, the outcomes measured.
- Plan-do-check-act. 1 / 3
Answer. Walter Shewhart.
- Edward Deming.
Answer. Introduced statistical process to improve quality. Recognized importance of having accurate and meaningful information to improve quality.
- Demings 7 deadly diseases.
Answer. Lack of consistency, emphasis on short-term profits, evaluation of performance, job hopping, excessive medical cost, excessive liability.
- Joseph Juran.
Answer. Introduced Total Quality Control.
- Philip Crosby.
Answer. Added financial consequences to quality performance. Savings are generated by "doing things right the first time."
- Quality Mangt. QM.
Answer. Approaches to improving quality. Emphasis on preventing errors, empowerment of employees, improve performance, focus on supplier relationships.
- Quality Assurance.
Answer. Addresses negative outcomes (sentinel events). History of punishment of peers.
- Quality Improvement. 2 / 3
Answer. Improving on outcomes that are considered satisfactory. Typically focus on process and systems, not individuals.
- Continuous Quality Improvement.
Answer. Uses a systematic process to enhance performance. Looks at processes, not individuals (e.g., laparoscopy, less hospital stay).
- Total quality management.
Answer. Uses QA, QI, CQM and focuses on customer desire.
- Sentinel Event.
Answer. Unexpected death, unrelated loss of function, inpatient suicide, infant abduction, transfusion reaction, wrong site surgery.
- Root Cause Analysis.
Answer. Analyzing a sentinel event, must assess the culture.
- Credentialing.
Answer. Key part of QM. Ensure the right person, right knowledge in the right position.
- Risk Mgt..
Answer. Focus on monetary loss by eliminating negative outcomes. Includes insurance, patient satisfaction, and legal issues. Improve documentation. Medical records analysis is very helpful.Ultimate responsibility is the governing body of the hospital.
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