CPXP Exam Prep – Questions With Clear Solutions
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Terms in this set (231)
What does HIPAA stand for? Health Insurance Portability and Accountability Act (1996)
What are the 3 key provisions of HIPAA? 1. Patients' Right to Access Health Information: Patients can
request and receive their health records.
2. Protection Against Unauthorized Disclosure: Healthcare
providers must protect patient data from unauthorized access
or release.
3. Data Security: Providers must implement safeguards to
prevent breaches (physical, administrative, and technical).
What is a Patient Bill of Rights? A document that outlines the fundamental rights and
responsibilities of patients in the healthcare system.
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship between
patients and healthcare providers.
What are 3 examples of core rights in a - Right to be informed and make decisions about care.
Patient Bill of Rights? - Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary quality and safety
accrediting body in healthcare that focuses
on improving ______
What are 3 key standards of The Joint 1. Patient safety and care quality
Commission? 2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance healthcare quality by evaluating the performance of
(NCQA) focuses on improving _____ healthcare organizations
,National Committee for Quality Assurance measurement, transparency, and accountability
(NCQA) uses _____, _____, and _____ to highlight
top performers and drive improvement
What organization is HEDIS part of? National Committee for Quality Assurance (NCQA)
What is HEDIS? Healthcare Effectiveness Data and Information Set
Measures used to evaluate how well healthcare organizations
provide preventive care, manage chronic conditions, and
improve patient outcomes.
What are the 6 HEDIS domains of care? 1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
6. Measures reported using electronic clinical data systems
Key areas of focus for Centers of Medicare - Reimbursement policies and payment models.
and Medicaid Services (CMS) - Value-based care models (e.g., Accountable Care
Organizations, Bundled Payments).
- Quality measurement
- Performance feedback/reporting (Hospital Compare,
Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare more
coverage available to [fewer/more]
individuals
T/F: The Affordable Care Act (ACA) True
established healath insurance exchanges
Affordable Care Act (ACA) prohibited pre-existing conditions
insurers from denying coverage due to
________
Affordable Care Act (ACA) introduced Medicaid
[Medicare/Medicaid] expansion in certain
states
Affordable Care Act (ACA) focused on improving quality of care and reducing healthcare costs
improving _________ and reducing ______
What is the Stark Law? 1991: Prevents healthcare providers from referring patients to
facilities where they have a financial interest
What is the Anti-Kickback Statute? Prevents the exchange of remuneration/payment for referrals
or recommendations for healthcare services
, National Patient Safety Goals (NPSGs) were The Joint Commission
introduced by ____ in 2002
What are the nine 2024 National Patient 1. Improve the accuracy of patient identification
Safety Goals (NPSGs)? 2. Improve the effectiveness of communication among
caregivers
3. Improve the safety of using medications
4. Reduce the risk of healthcare associated infections?
5. Reduce the risk of patient harm resulting from falls
6. Improve the accuracy of patient's medications
7. Reduce the risk of surgical fires
8. Ensure correct site, correct procedure, and correct patient
surgery
9. Improve the safety of clinical alarm systems
Which National Patient Safety Goal (NPSG) Improve the accuracy of patient identification
is this?
Use at least two patient identifiers (e.g.,
name, date of birth) when providing care,
treatment, or services
Which National Patient Safety Goal (NPSG) Improve the effectiveness of communication among
is this? caregivers
Standardized approaches (e.g., SBAR:
Situation, Background, Assessment,
Recommendation) for handoffs and
communication during transitions of care
Which National Patient Safety Goal (NPSG) Improve the safety of using medications
is this?
Label all medications, medication
containers, and other solutions.
Ensure that high-alert medications (e.g.,
insulin, opioids) are managed safely.
Ensure safe medication administration
practices are followed
Which National Patient Safety Goal (NPSG) Reduce the risk of healthcare-associated infections
is this?
Follow infection prevention practices,
including hand hygiene, sterilization of
instruments, and isolation protocols for
contagious patients.
Implement evidence-based guidelines to
prevent surgical site infections, central line-
associated bloodstream infections (CLABSI),
and catheter-associated urinary tract
infections (CAUTI).
Save
Students also studied
WSC 2026: Are we there yet? ፊደላት ትግርኛ ቑጽሪ 1 World Scholar's Cup
Teacher 156 terms Teacher 23 terms 430 terms
Amy_Woodall4 Preview Hermi733 Preview alexandergumede
Terms in this set (231)
What does HIPAA stand for? Health Insurance Portability and Accountability Act (1996)
What are the 3 key provisions of HIPAA? 1. Patients' Right to Access Health Information: Patients can
request and receive their health records.
2. Protection Against Unauthorized Disclosure: Healthcare
providers must protect patient data from unauthorized access
or release.
3. Data Security: Providers must implement safeguards to
prevent breaches (physical, administrative, and technical).
What is a Patient Bill of Rights? A document that outlines the fundamental rights and
responsibilities of patients in the healthcare system.
Goals:
- Empower patients
- Ensure their safety
- Promote a respectful and collaborative relationship between
patients and healthcare providers.
What are 3 examples of core rights in a - Right to be informed and make decisions about care.
Patient Bill of Rights? - Right to participate in care planning and decisions.
- Right to have complaints addressed.
The Joint Commission is the primary quality and safety
accrediting body in healthcare that focuses
on improving ______
What are 3 key standards of The Joint 1. Patient safety and care quality
Commission? 2. Leadership and organizational management
3. Infection control and patient outcomes
National Committee for Quality Assurance healthcare quality by evaluating the performance of
(NCQA) focuses on improving _____ healthcare organizations
,National Committee for Quality Assurance measurement, transparency, and accountability
(NCQA) uses _____, _____, and _____ to highlight
top performers and drive improvement
What organization is HEDIS part of? National Committee for Quality Assurance (NCQA)
What is HEDIS? Healthcare Effectiveness Data and Information Set
Measures used to evaluate how well healthcare organizations
provide preventive care, manage chronic conditions, and
improve patient outcomes.
What are the 6 HEDIS domains of care? 1. Effectiveness of care
2. Access/availability of care
3. Experience of Care
4. Utilization and risk adjusted utilization
5. Health plan descriptive information
6. Measures reported using electronic clinical data systems
Key areas of focus for Centers of Medicare - Reimbursement policies and payment models.
and Medicaid Services (CMS) - Value-based care models (e.g., Accountable Care
Organizations, Bundled Payments).
- Quality measurement
- Performance feedback/reporting (Hospital Compare,
Physician Quality Reporting)
- Health equity
- Addressing affordability
- Innovation
Affordable Care Act (ACA) made healthcare more
coverage available to [fewer/more]
individuals
T/F: The Affordable Care Act (ACA) True
established healath insurance exchanges
Affordable Care Act (ACA) prohibited pre-existing conditions
insurers from denying coverage due to
________
Affordable Care Act (ACA) introduced Medicaid
[Medicare/Medicaid] expansion in certain
states
Affordable Care Act (ACA) focused on improving quality of care and reducing healthcare costs
improving _________ and reducing ______
What is the Stark Law? 1991: Prevents healthcare providers from referring patients to
facilities where they have a financial interest
What is the Anti-Kickback Statute? Prevents the exchange of remuneration/payment for referrals
or recommendations for healthcare services
, National Patient Safety Goals (NPSGs) were The Joint Commission
introduced by ____ in 2002
What are the nine 2024 National Patient 1. Improve the accuracy of patient identification
Safety Goals (NPSGs)? 2. Improve the effectiveness of communication among
caregivers
3. Improve the safety of using medications
4. Reduce the risk of healthcare associated infections?
5. Reduce the risk of patient harm resulting from falls
6. Improve the accuracy of patient's medications
7. Reduce the risk of surgical fires
8. Ensure correct site, correct procedure, and correct patient
surgery
9. Improve the safety of clinical alarm systems
Which National Patient Safety Goal (NPSG) Improve the accuracy of patient identification
is this?
Use at least two patient identifiers (e.g.,
name, date of birth) when providing care,
treatment, or services
Which National Patient Safety Goal (NPSG) Improve the effectiveness of communication among
is this? caregivers
Standardized approaches (e.g., SBAR:
Situation, Background, Assessment,
Recommendation) for handoffs and
communication during transitions of care
Which National Patient Safety Goal (NPSG) Improve the safety of using medications
is this?
Label all medications, medication
containers, and other solutions.
Ensure that high-alert medications (e.g.,
insulin, opioids) are managed safely.
Ensure safe medication administration
practices are followed
Which National Patient Safety Goal (NPSG) Reduce the risk of healthcare-associated infections
is this?
Follow infection prevention practices,
including hand hygiene, sterilization of
instruments, and isolation protocols for
contagious patients.
Implement evidence-based guidelines to
prevent surgical site infections, central line-
associated bloodstream infections (CLABSI),
and catheter-associated urinary tract
infections (CAUTI).
