HCQM-PATIENT SAFETY 2026/2027
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
Agency that provides statistics on sentinel events gained from
survey/reporting processes by facility type - correct answer-The
Joint Commission
ORYX founded in 1997 - correct answer-The Joint
Commissions performance measurement and improvement
initiative
ORYX non core measures - correct answer-Vendor specific and
not comparable across the board
Original Core Measures in 2002 - correct answer-AMI and HF
Current core measures - correct answer-Substance use,
tobacco treatment, perinatal care, venous thromboembolism,
hospital outpatient department, pneumonia measures, heart
failure, AMI, stroke, surgical care improvement project, hospital
,based inpatient psych services, ER, children's asthma care,
and immunizations
Partnership for Patients - correct answer-Public private sector
stakeholders and federal agencies and the Hospital
Engagement Networks (HENS) aimed at making hospital care
safer (decrease HACS) and improve transitions of care. CMS is
the lead.
Institute for Healthcare Improvement - correct answer-Part of
the National Demonstration Project on Quality Improvement in
Healthcare led by Don Berwick. 2009 offered the web based IHI
map to assess process improvements, help with gap analysis
to address patient care, leadership and support care.
Institute for Healthcare Improvement's 5 mission areas for best
practices - correct answer-1. Patient safety 2. Quality, Cost &
Value 3. Person/Family centered care, 4. Improvement
Capability 5. Triple Aim for Populations
Triple Aim - correct answer-The Institute for Healthcare
Improvement's processes to address the health, experience
and per capita cost of a population and the potential system
redesigns - aimed at helping organizations and communities
, transition from a focus on healthcare to optimizing health for
individuals and populations.
Common Formats - correct answer-Developed by the Agency
for Healthcare Research and Quality for reporting events to
patient safety organizations in a standardized manner so that
data can be analyzed and measured reliably.
Organizations that may not become patient safety
organizations - correct answer-Health insurers, accrediting and
licensing bodies, organizations that maintain systems for
mandatory reporting
Number of patient safety organizations - correct answer-76
Accountability Measures - correct answer-those measures
defined by the Joint Commission as meeting four criteria
designed to identify measures that produce the greatest
positive impact on patient outcomes when hospitals
demonstrate improvement
ACTUAL QUESTIONS WITH VERIFIED
ANSWERS.
Agency that provides statistics on sentinel events gained from
survey/reporting processes by facility type - correct answer-The
Joint Commission
ORYX founded in 1997 - correct answer-The Joint
Commissions performance measurement and improvement
initiative
ORYX non core measures - correct answer-Vendor specific and
not comparable across the board
Original Core Measures in 2002 - correct answer-AMI and HF
Current core measures - correct answer-Substance use,
tobacco treatment, perinatal care, venous thromboembolism,
hospital outpatient department, pneumonia measures, heart
failure, AMI, stroke, surgical care improvement project, hospital
,based inpatient psych services, ER, children's asthma care,
and immunizations
Partnership for Patients - correct answer-Public private sector
stakeholders and federal agencies and the Hospital
Engagement Networks (HENS) aimed at making hospital care
safer (decrease HACS) and improve transitions of care. CMS is
the lead.
Institute for Healthcare Improvement - correct answer-Part of
the National Demonstration Project on Quality Improvement in
Healthcare led by Don Berwick. 2009 offered the web based IHI
map to assess process improvements, help with gap analysis
to address patient care, leadership and support care.
Institute for Healthcare Improvement's 5 mission areas for best
practices - correct answer-1. Patient safety 2. Quality, Cost &
Value 3. Person/Family centered care, 4. Improvement
Capability 5. Triple Aim for Populations
Triple Aim - correct answer-The Institute for Healthcare
Improvement's processes to address the health, experience
and per capita cost of a population and the potential system
redesigns - aimed at helping organizations and communities
, transition from a focus on healthcare to optimizing health for
individuals and populations.
Common Formats - correct answer-Developed by the Agency
for Healthcare Research and Quality for reporting events to
patient safety organizations in a standardized manner so that
data can be analyzed and measured reliably.
Organizations that may not become patient safety
organizations - correct answer-Health insurers, accrediting and
licensing bodies, organizations that maintain systems for
mandatory reporting
Number of patient safety organizations - correct answer-76
Accountability Measures - correct answer-those measures
defined by the Joint Commission as meeting four criteria
designed to identify measures that produce the greatest
positive impact on patient outcomes when hospitals
demonstrate improvement
