Practice Questions with
Verified Answers. GRADED A+.
Latest 2026/2027 Update.
How did the report of quality measures to CMS begin? - Answer✔✔-Hospitals
could voluntarily report quality measures starting in 2001- adapting to current
state from there
What is HCAHPS - Answer✔✔-Hospital Consumer Assessment of Healthcare
Providers and System
What are some metrics for outcome of care? - Answer✔✔-mortality,
readmission, complications, hospital associated infections
Describe "Pay for performance" - 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? - 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) - Answer✔✔-
Safe, time, effective, efficient, equitable, patient-centered (STEEEP)
What is the IHI triple aim? - Answer✔✔-improve patient experience, improve
health of populations, reduce per capita cost
Describe health literacy - 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 -
Answer✔✔-12 %
Which year was the American Society for Hospital Risk Management formed? -
Answer✔✔-1980
What was the original name for the CMS - Answer✔✔-Health Care Financing
Administration
What is the definition of Culture (Irwin Press) - Answer✔✔-Culture exists when
its members share values and behaviors that they take for granted
What is empathy - Answer✔✔-the ability to understand and share the feelings
of another
,What percentage of CMS reimbursement is dependent on patient satisfaction
scores - Answer✔✔-1%
What are the 4 basic needs that should be met to create an ideal patient
experience - Answer✔✔-confidence, integrity, pride, passion
In which year did hospitals establish patient advocates and representatives? -
Answer✔✔-1965
In which year did the American hospital association develop patients bill of
rights - Answer✔✔-1973
What is the RATER scale and when was it developed - Answer✔✔-Reliability,
Assurance, Tangibles, Empathy, Responsiveness (early 80s)
What are some of the key concepts of the Planetree model - Answer✔✔-
Importance of social support, patient/resident education, healing environment
(design- iron curtain)
In which year were Diagnostic Related Groups (DRG) introduced? - Answer✔✔-
1983
What is the Emergency Medical Treatment and Labor Act (EMTALA) and when
was it established - 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? - Answer✔✔-1996
, In which year did the IOM publish the report "To Err is Human" regarding the
significance of medical errors - Answer✔✔-1999
What is the IPFCC - Answer✔✔-Institute for patient family-centered care
What are some of the limitations to the Press Ganey surveys - Answer✔✔-low
return rate, minorities underrepresented
What is a "Likert" scale - Answer✔✔-Ex: Very poor, poor, fair, good, very good
What is the Hospital Consumer Assessment of Healthcare Providers and
Systems (HCAHPS) - Answer✔✔-first national standardized publicly reported
survey of patients perceptions of hospital experience
What are the main functions of the Office of Patient Relations - 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 -
Answer✔✔-Understand service gaps through increased complaint capture
Improve complaint resolution time
What is a level 1 complaint - Answer✔✔-concern addressed immediately by
employee