HSCI710 Quiz Quality Care

Question 1

The National Strategy for Quality Improvement was mandated by which of the following?

The Affordable Care Act (ACA)

The Centers for Disease Control and Prevention (CDC)

The Institute for Healthcare Improvement

The Partnership for Patients

 

Question 2

Which of the following ideally characterize data that can contribute to quality improvement? Select all that apply.

Readily available as a by-product of the care process itself

Accessible to all stakeholders in the health care system

Recent enough to permit analysis and improvement in close to real time

Detailed enough to enable hypothesizing about which factors contribute to current levels of quality

 

Question 3

Which of the following is the third-leading cause of hospital deaths in the United States?

Cancer

Heart disease

Medical errors

Accidents

 

Question 4

Which of the following helped increase life expectancy in the United States by as much as 30 years over the course of the twentieth century? Select all that apply.

Dramatic reductions in cardiovascular disease

The transformation of HIV infection to a manageable chronic condition

The growing concentration of medical professionals in urban areas

Significant reductions in the number of people who smoke

 

Question 5

Which of the following must administrators do in the years ahead to implement change in the health care industry? Select all that apply.

Outsource the task of improving quality and safety

Promote excellence in response to individual patient needs and preferences

Promote effective teamwork

Celebrate innovations that make the right thing to do the easy thing to do

 

Question 6

Which of the following is a disadvantage of social media such as Facebook, Yelp, and Twitter as tools of consumer engagement in the health care industry?

Consumer engagement via social media is far-reaching in terms of audience and impact

Social media generate greater information sharing and dialogue

Social media offer an avenue for the patient’s voice to contribute to efforts to improve health care delivery

There is no credible third-party mediator in social media

 

Question 7

Which of the following is used by the Centers for Medicare & Medicaid Services as a quality metric?

Number of hospital-acquired infections

Readmission rates

Number of vaccinated children in schools

Patient satisfaction with providers

 

Question 8

Process and outcomes have a significant influence on quality care

True

False

 

Question 9

An organizational culture refers to clinicians having the right tools or data to do one’s job.

True

False

 

Question 10

A particularly vulnerable moment for many patients occurs when which of the following occurs?

Discharge from the hospital

First consultation with a new care provider

Awakening in the recovery room

Post-surgical checkup

 

Question 11

We can incentive healthcare quality through financial and policy methods to drive behavior

True

False

 

Question 12

Which of the following are the dimensions of quality care in the model proposed by Donabedian? Select all that apply.

Structures

Process

Outcomes

Payment

 

Question 13

Which of the following are future challenges for public reporting in the health care industry? Select all that apply.

The need to link cost information to quality

The need to incorporate social media to reach more consumers

The need to reduce the cost of reporting

The need to increase the timeliness and clinical robustness of public reports

 

Question 14

The effort to create deliberate, targeted incentives to improve quality in health care often relies on which of the following strategies?

Capitation

Pay for performance

Fee for service

Third-party billing

 

Question 15

Which of the following has helped link payment for health care services to results?

Passage of the Affordable Care Act (ACA)

Some states’ refusal of federal funds to expand Medicaid

New definitions of quality as it applies to health care

The plethora of online information about provider performance

 

Question 16

Which country has often ranked last in an ongoing Commonwealth Fund study of health care in 11 countries?

Germany

Sweden

Australia

The United States

 

Question 17

Despite being one step removed from the actual delivery of services, an increasing number of health care payers have begun to do which of the following?

Encourage patients to choose ambulatory services rather than hospitalization

Incorporate rates of hospital-acquired infections in their payment strategies

Rely on social media to inform patients about quality criteria in health care

Look for blockbuster drugs to improve more outcomes

 

Question 18

The system can improve quality and safety by measuring what they are doing and with what effect.

True

False

 

Question 19

A study of public reporting in the health care industry found that about what percent of even the best reports needed substantial improvement and redesign?

15%

30%

50%

80%

 

Question 20

All medical professionals are required to do which of the following?

Adopt the team-based model of care

Develop a patient database

Document their commitment to continuing medical education

Expand their professional networks

 

Question 21

Which of the following is a major goal of patient groups like the National Breast Cancer Coalition and the Arthritis Foundation?

To integrate patients’ self-reported and clinical data

To advocate for additional research on quality

To assign patient-safety letter grades to hospitals

To move health care payment from volume-based to value-based

 

Question 22

Quality care is one’s individual experience with a healthcare provider rather than the cumulative experiences of the individual or a group.

True

False

 

Question 23

 

Which of the following are among the drivers that can influence provider behavior and improve quality? Select all that apply.

Professionalism

Public reporting

Patient privacy policies

National and regional quality improvement initiatives

Consumerism

 

Question 24

Which of the following face reporting mandates in only 8 states?

Physicians

Hospitals

Nursing homes

Health plans

 

Question 25

Which of the following are dimensions of quality according to the Institute of Medicine? Select all that apply.

Safety

Effectiveness

Efficiency

Low cost

Equitable access