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ABQUARP EXAM Questions and Answers ( 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 gene 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 , and legal issues. Improve documentation. Medical records analysis is very helpful.Ultimate responsibility is the governing body of the hospital.
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