HCA 375 WEEK 5 FINAL EXAM LATEST EDITION
2023 / HCA375-WEEK 5 FINAL EXAM 2023 | REAL
EXAM QUESTIONS AND ANSWERS – EXPERT
FEEDBACK
1
, Question 1 pts
Federal regulations require that states who contract with Medicaid managed
care organizations (MCO) or Prepaid Inpatient Health Plans (PIHP) do which
of the following?
Review credentialing and board certifications for all physicians providing care
to Medicaid recipients
Analyze inpatient data to evaluate hospital performance
Review malpractice claims submitted on the behalf of Medicaid recipients
Correct!
Conduct an external quality review of each entity to ensure it is providing
quality care.
The answer can be found in Section 1.3, State Efforts in Principles of
Healthcare Quality Management: Tools and Applications.
2
, Question 2 pts
The premise of the IOM report To Err Is Human: Building a Safer Health
System is
Correct! reducing medical errors and improve patient safety
individual based approach
system based approach
teams working together to find solutions
The answer can be found in H1, Introduction, in Principles of
Healthcare Quality Management: Tools and Applications.
Question 3 pts
Which industry was the first to implement Continuous Quality Improvement?
Technological
Health Care
Answered Aviation
rect Answe r Automobile
3
, The answer can be found in Section 1.2, The Patient Safety
Movement and Improving Systems in Principles of Healthcare Quality
Management: Tools and Applications.
Question 4 pts
Which organization promoted use of a surgical safety checklist that includes
having the patient confirm their identity, as well as the surgery site, procedure
to be performed, and give consent prior to surgery?
The Joint Commission (TJC)
National Committee on Quality Assurance (NCQA)
Correct! World Health Organization (WHO)
National Institute of Health (NIH)
The answer can be found in Section 1.3. Global, National, Regional,
and State Systems, under Global Efforts in Principles of Healthcare
Quality Management: Tools and Applications.
4
2023 / HCA375-WEEK 5 FINAL EXAM 2023 | REAL
EXAM QUESTIONS AND ANSWERS – EXPERT
FEEDBACK
1
, Question 1 pts
Federal regulations require that states who contract with Medicaid managed
care organizations (MCO) or Prepaid Inpatient Health Plans (PIHP) do which
of the following?
Review credentialing and board certifications for all physicians providing care
to Medicaid recipients
Analyze inpatient data to evaluate hospital performance
Review malpractice claims submitted on the behalf of Medicaid recipients
Correct!
Conduct an external quality review of each entity to ensure it is providing
quality care.
The answer can be found in Section 1.3, State Efforts in Principles of
Healthcare Quality Management: Tools and Applications.
2
, Question 2 pts
The premise of the IOM report To Err Is Human: Building a Safer Health
System is
Correct! reducing medical errors and improve patient safety
individual based approach
system based approach
teams working together to find solutions
The answer can be found in H1, Introduction, in Principles of
Healthcare Quality Management: Tools and Applications.
Question 3 pts
Which industry was the first to implement Continuous Quality Improvement?
Technological
Health Care
Answered Aviation
rect Answe r Automobile
3
, The answer can be found in Section 1.2, The Patient Safety
Movement and Improving Systems in Principles of Healthcare Quality
Management: Tools and Applications.
Question 4 pts
Which organization promoted use of a surgical safety checklist that includes
having the patient confirm their identity, as well as the surgery site, procedure
to be performed, and give consent prior to surgery?
The Joint Commission (TJC)
National Committee on Quality Assurance (NCQA)
Correct! World Health Organization (WHO)
National Institute of Health (NIH)
The answer can be found in Section 1.3. Global, National, Regional,
and State Systems, under Global Efforts in Principles of Healthcare
Quality Management: Tools and Applications.
4
