HCM 435 CHAPTER 10 KEY TERMS EXAM QUESTIONS AND
ANSWERS VERIFIED
Accreditation
External review process that an organization elects to undergo. it is voluntary and has
fees associated with it.
Accreditation organization
A professional organization that establishes the standards against which healthcare
organizations are measured and conducts periodic assessments of the performance of
individual healthcare organizations
Administrative data
Documentation in a patient's record that is not related to care or treatment provided;
includes demographic, financial, and consent information.
Agency for Healthcare Research and Quality (AHRQ)
a federal agency established to improve the quality, safety, efficiency, and effectiveness
of health care for Americans
Alternative Payment Model (APM)
A Model through which physicians and other healthcare providers accept a measure of
financial risk and are reimbursed based upon prudent resource use and quality of
patients outcomes rather than on ha piecemeal fee-for-service basis. Examples of
APMs include bundled payments for care and accountable care organizations.
American Medical Association (AMA)
, The national professional membership organization for physicians that distributes
scientific information to its members and the public, informs members of legislation
related to health and medicine, and represents the medical profession's interests in
national legislative matters; maintains and publishes the Current Procedural
Terminology (CPT) coding system
Centers for Disease Control and Prevention (CDC)
The primary federal agency that conducts and supports public health activities in the
United States. The CDC is part of the US Department of Health and Human Services.
Centers for Medicare and Medicaid Services (CMS)
Federal agency that runs Medicare, Medicaid, clinical laboratories, and other
government health programs
Certifcation
A formal procedure by an accredited/authorized agency that verifies you have the skills,
attributes and qualifications to perform a job.
Clinical Quality Measures (CQMs)
Measures of processes, experiences, and outcomes of patient care. They encompass
observations or treatments that relate to one or more quality aims for healthcare. CQMs
are updated by CMS every year. Some CQMs were used in the EHR Incentive
Program.
Common Formats
Created by AHRQ, common formats are "common definitions and reporting formats to
help providers uniformly report patient safety events".
Incident
ANSWERS VERIFIED
Accreditation
External review process that an organization elects to undergo. it is voluntary and has
fees associated with it.
Accreditation organization
A professional organization that establishes the standards against which healthcare
organizations are measured and conducts periodic assessments of the performance of
individual healthcare organizations
Administrative data
Documentation in a patient's record that is not related to care or treatment provided;
includes demographic, financial, and consent information.
Agency for Healthcare Research and Quality (AHRQ)
a federal agency established to improve the quality, safety, efficiency, and effectiveness
of health care for Americans
Alternative Payment Model (APM)
A Model through which physicians and other healthcare providers accept a measure of
financial risk and are reimbursed based upon prudent resource use and quality of
patients outcomes rather than on ha piecemeal fee-for-service basis. Examples of
APMs include bundled payments for care and accountable care organizations.
American Medical Association (AMA)
, The national professional membership organization for physicians that distributes
scientific information to its members and the public, informs members of legislation
related to health and medicine, and represents the medical profession's interests in
national legislative matters; maintains and publishes the Current Procedural
Terminology (CPT) coding system
Centers for Disease Control and Prevention (CDC)
The primary federal agency that conducts and supports public health activities in the
United States. The CDC is part of the US Department of Health and Human Services.
Centers for Medicare and Medicaid Services (CMS)
Federal agency that runs Medicare, Medicaid, clinical laboratories, and other
government health programs
Certifcation
A formal procedure by an accredited/authorized agency that verifies you have the skills,
attributes and qualifications to perform a job.
Clinical Quality Measures (CQMs)
Measures of processes, experiences, and outcomes of patient care. They encompass
observations or treatments that relate to one or more quality aims for healthcare. CQMs
are updated by CMS every year. Some CQMs were used in the EHR Incentive
Program.
Common Formats
Created by AHRQ, common formats are "common definitions and reporting formats to
help providers uniformly report patient safety events".
Incident
