Test / analytical methods of healthcare leaders wgu d514
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Incidence and prevalence of diseases, survival statistics, high-risk
populations, trends over time. Data gathered from medical records,
surveys, interviews. NCHS has responsibility for these databases.
ANSWERS: Public Health Databases
This database is queried as part of the physician credentialing
process when applying for medical staff privileges and every two
years afterward. It
contains data on medical malpractice, adverse licensure actions,
suspensions, certain professional review actions, such as denial of
medical staff privileges.
ANSWERS: National Practitioner Data Bank (NPDB)
, Acute care and skilled nursing facility claims data. Demographics on
patient, information on provider, on Medicare coverage for the claim,
total charges, charges broken down, codes and diagnostic related
group (DRG) data.
Only contains data on Medicare patients.
ANSWERS: Medicare Provider Analysis and Review (MEDPAR)
Medical screening and medical ______ are two fundamental strategies
for optimizing employee health. Medical screening is only one
component of a comprehensive medical program. The
fundamental purpose
of screening is early diagnosis and treatment of the individual and
thus has a clinical focus.
ANSWERS:
Surveillance records
A part of the U.S. Department of Health and Human Services, is the
nation's medical research agency — making important discoveries
that improve
health and save lives.
ANSWERS: National Center for Health Statistics (NCHS)
Is a set of large-scale surveys of families and individuals, their
medical providers, and employers across the United States.
ANSWERS: The Medical Expenditure Panel Survey (MEPS)
,Data mined from billing/ coding departments, many organizations
use software or services to facilitate their process.
ANSWERS: Health Payment Systems Data
Is an agency of the U.S. Department of Health and Human Services.
It is the primary Federal agency for improving health care to
people who are
geographically isolated, or economically or medically vulnerable.
ANSWERS: Health Resources and Services Administration (HRSA)
Financial health is critical to any organization. Managing
financial data ensures adequate resources for long and short
term goals, and sound financial planning.
ANSWERS: Accounts Receivable and cost data
Catheter associated urinary tract infection is an infection involving
any part of the urinary system, including urethra, bladder, ureters,
and kidney
ANSWERS: CAUTI
Medical complications due to infection impact patient recovery, often
resulting in thousands of dollars in additional cost; data also
beneficial for improvement in infection control processes.
ANSWERS: Post-op infection rate
, Central Line Associated Blood Stream Infection
ANSWERS: CLABSI
Hospital Consumer Assessment of Healthcare Providers and Systems
ANSWERS: HCAHPS
The Affordable Care Act (ACA) added a section to the Social
Security Act establishing the Hospital Program. It requires CMS to
reduce payments to hospitals with excessive ________________. This
was implemented back in 2012.
ANSWERS: Readmissions
Used as an indicator for measuring the quality in health care. Affects
clinical outcomes, patient retention, and medical malpractice
claims.
ANSWERS: Patient Satisfaction Surveys
Division of Department of Health and Human Services (DHHS). Is
responsible for developing healthcare policy in the U.S., and
administering Medicare program and federal portion of Medicaid
program.
ANSWERS: Centers for Medicare and Medicaid Services (CMS)