HCAD 710 PRACTICE EXAM
QUESTIONS AND DETAILED
SOLUTIONS 2026
▶ Physician performance is: Answer: being scrutinized more fully and by
more and different stakeholders than in the past
▶ As more physicians become employees of larger physician groups,
hospitals and insurers: Answer: These appraisals will come in more
diverse forms and have a greater impact on physician earnings
▶ Patient satisfaction surveys: Answer: Are just the tip of the iceberg for
consumers (traditionally, "consumers" meant patients, but more and more,
those who employ physicians are also "consumers" of physician services.
These neo-consumers are linking performance metrics with physician
salary and bonuses)
▶ The federal government authorized formation of: Answer: the Agency for
Healthcare Research and Quality (AHRQ) to catalog Quality Measures to
help the public and others rate - and ultimately reimburse as well as
sanction - physicians and other providers
▶ Researchers have found that: Answer: consumers are interested in
quality measures that convey information about a physician's technical care
as well as interpersonal skill.
▶ Typically technical quality is measured using: Answer: clinical
information found in administrative databases, electronic health records, or
medical charts, whereas interpersonal quality is measured using patient
surveys.
▶ The findings suggest that: Answer: sponsors of physician report cards
should include measures of both technical and interpersonal quality to
create report cards that are most useful to patients.
, ▶ Patient Safety Measures: Answer: Screening, risk-assessment, and plan
of care to prevent future falls in older adults.
Screening for osteoporosis for women 65-85 years of age
Avoidance of antibiotic treatment in adults with acute bronchitis
▶ Effectiveness Measures: Answer: Percentage of patients receiving
recommended care or treatment for various conditions, including
respiratory disease, bone and joint conditions, diabetes, heart disease,
mental health, substance abuse
Percentage of patients receiving recommended preventive care and
screening services for health concerns, such as a cancer, obesity, and
smoking cessation
▶ Patient-Centeredness Measures: Answer: Patients' reports on the care
and service they received from their physicians
Education and counseling for patients with certain conditions (e.g.,
hepatitis, heart failure)
▶ Timeliness Measures: Answer: Patients' reports on the timeliness of
care and service they received from their physicians
Percentage of surgical patients who received certain medications (e.g.,
antibiotics, beta blockers) within a certain time period prior to surgery
▶ Efficiency Measures: Answer: Appropriate use of imaging studies for low
back pain
Appropriate use of DXA scans in women under 65 years who do not meet
the risk factor profile for osteoporotic fracture
Percentage of all cardiac stress imaging performed for initial detection and
risk assessment in patients who are asymptomatic and at low risk for
coronary heart disease
▶ Descriptive Measures: Answer: While not associated with any particular
IOM domain, descriptive measures can convey the physician's capacity for
providing quality of care and service.
▶ Examples of descriptive measures: Answer: The use of electronic
patient medical records, personal health records, or prescription ordering
systems
QUESTIONS AND DETAILED
SOLUTIONS 2026
▶ Physician performance is: Answer: being scrutinized more fully and by
more and different stakeholders than in the past
▶ As more physicians become employees of larger physician groups,
hospitals and insurers: Answer: These appraisals will come in more
diverse forms and have a greater impact on physician earnings
▶ Patient satisfaction surveys: Answer: Are just the tip of the iceberg for
consumers (traditionally, "consumers" meant patients, but more and more,
those who employ physicians are also "consumers" of physician services.
These neo-consumers are linking performance metrics with physician
salary and bonuses)
▶ The federal government authorized formation of: Answer: the Agency for
Healthcare Research and Quality (AHRQ) to catalog Quality Measures to
help the public and others rate - and ultimately reimburse as well as
sanction - physicians and other providers
▶ Researchers have found that: Answer: consumers are interested in
quality measures that convey information about a physician's technical care
as well as interpersonal skill.
▶ Typically technical quality is measured using: Answer: clinical
information found in administrative databases, electronic health records, or
medical charts, whereas interpersonal quality is measured using patient
surveys.
▶ The findings suggest that: Answer: sponsors of physician report cards
should include measures of both technical and interpersonal quality to
create report cards that are most useful to patients.
, ▶ Patient Safety Measures: Answer: Screening, risk-assessment, and plan
of care to prevent future falls in older adults.
Screening for osteoporosis for women 65-85 years of age
Avoidance of antibiotic treatment in adults with acute bronchitis
▶ Effectiveness Measures: Answer: Percentage of patients receiving
recommended care or treatment for various conditions, including
respiratory disease, bone and joint conditions, diabetes, heart disease,
mental health, substance abuse
Percentage of patients receiving recommended preventive care and
screening services for health concerns, such as a cancer, obesity, and
smoking cessation
▶ Patient-Centeredness Measures: Answer: Patients' reports on the care
and service they received from their physicians
Education and counseling for patients with certain conditions (e.g.,
hepatitis, heart failure)
▶ Timeliness Measures: Answer: Patients' reports on the timeliness of
care and service they received from their physicians
Percentage of surgical patients who received certain medications (e.g.,
antibiotics, beta blockers) within a certain time period prior to surgery
▶ Efficiency Measures: Answer: Appropriate use of imaging studies for low
back pain
Appropriate use of DXA scans in women under 65 years who do not meet
the risk factor profile for osteoporotic fracture
Percentage of all cardiac stress imaging performed for initial detection and
risk assessment in patients who are asymptomatic and at low risk for
coronary heart disease
▶ Descriptive Measures: Answer: While not associated with any particular
IOM domain, descriptive measures can convey the physician's capacity for
providing quality of care and service.
▶ Examples of descriptive measures: Answer: The use of electronic
patient medical records, personal health records, or prescription ordering
systems
