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How did the report of quality measures to CMS begin?
CORRECT ANSWER:
Hospitals could voluntarily report quality measures starting in 2001- adapting to
current state from there
What is HCAHPS
CORRECT ANSWER:
Hospital Consumer Assessment of Healthcare Providers and System
What are some metrics for outcome of care?
CORRECT ANSWER:
mortality, readmission, complications, hospital associated infections
Describe "Pay for performance"
CORRECT ANSWER:
provide financial incentives to hospitals, physicians, and other providers to
carry out improvement and achieve optimal outcomes for patients
What are some reasons patients may not voice their complaints?
CORRECT ANSWER:
Don't know where to complain, afraid of retribution, not worth the trouble
,What are the IOM six aims of for quality (established in 2001)
CORRECT ANSWER:
Safe, time, effective, efficient, equitable, patient-centered (STEEEP)
What is the IHI triple aim?
CORRECT ANSWER:
improve patient experience, improve health of populations, reduce per capita
cost
Describe health literacy
CORRECT ANSWER:
capacity to obtain, process and understand basic health information needed to
make appropriate health decisions
What percentage of adults are estimated to have a proficient health literacy
CORRECT ANSWER:
12 %
Which year was the American Society for Hospital Risk Management formed?
CORRECT ANSWER:
1980
What was the original name for the CMS
CORRECT ANSWER:
Health Care Financing Administration
What is the definition of Culture (Irwin Press)
CORRECT ANSWER:
Culture exists when its members share values and behaviors that they take for
granted
What is empathy
CORRECT ANSWER:
the ability to understand and share the feelings of another
,What percentage of CMS reimbursement is dependent on patient satisfaction
scores
CORRECT ANSWER:
1%
What are the 4 basic needs that should be met to create an ideal patient
experience
CORRECT ANSWER:
confidence, integrity, pride, passion
In which year did hospitals establish patient advocates and representatives?
CORRECT ANSWER:
1965
In which year did the American hospital association develop patients bill of
rights
CORRECT ANSWER:
1973
What is the RATER scale and when was it developed
CORRECT ANSWER:
Reliability, Assurance, Tangibles, Empathy, Responsiveness (early 80s)
What are some of the key concepts of the Planetree model
CORRECT ANSWER:
Importance of social support, patient/resident education, healing environment
(design- iron curtain)
In which year were Diagnostic Related Groups (DRG) introduced?
CORRECT ANSWER:
1983
What is the Emergency Medical Treatment and Labor Act (EMTALA) and when
was it established
CORRECT ANSWER:
, requires hospitals to stabilize any patient who shows up in the ER regardless of
ability to pay (1986)
When was the Health Insurance Portability and Patient Protection Act (HIPPA)
created?
CORRECT ANSWER:
1996
In which year did the IOM publish the report "To Err is Human" regarding the
significance of medical errors
CORRECT ANSWER:
1999
What is the IPFCC
CORRECT ANSWER:
Institute for patient family-centered care
What are some of the limitations to the Press Ganey surveys
CORRECT ANSWER:
low return rate, minorities underrepresented
What is a "Likert" scale
CORRECT ANSWER:
Ex: Very poor, poor, fair, good, very good
What is the Hospital Consumer Assessment of Healthcare Providers and
Systems (HCAHPS)
CORRECT ANSWER:
first national standardized publicly reported survey of patients perceptions of
hospital experience
What are the main functions of the Office of Patient Relations
CORRECT ANSWER:
Provide a centralized mechanism for addressing patient concerns, liaison
between patients and medical providers
What are the main goals of the Office of Patient Relations at Rush