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HCA 600 Final Exam Questions and Answers 100%
Pass
Medical Errors - ANSWER ✔✔-251, 454 deaths stem from medical errors which translates into 9.5% of all
deaths
Father of QA in health care - ANSWER ✔✔-Avedis Donabedian
Structure - ANSWER ✔✔-includes all of the factors that affect the context in which care is delivered. This
includes physical facility, equipment, and human resources as well as organizational characteristics such
as staff training and payment methods. These factors control how providers and patients in a healthcare
system act and are measure the average quality of care within a facility or system. Structure is often easy
to observe and measure and it may be the upstream cause of problems identified in progress.
Process - ANSWER ✔✔-is the sum of all actions that make up healthcare. These commonly include
diagnosis, treatment, preventive care, and patient education but may be expanded to include actions
taken by the patient or their families. Processes can be further classified as technical processes, how care
is delivered, or interpersonal processes, which all encompass the manner in which care is delivered.
According to Donabedian, the measurement of process is nearly equivalent to the measurement of quality
care because process contains all acts of healthcare delivery. Information about process can be obtained
from medical records, interviews with patients and practitioners or patients, or direct observation of
healthcare visits.
Outcome - ANSWER ✔✔-Contains all the effects of healthcare on patients or populations, including
changes to health status, behavior or knowledge as well as a patient satisfaction and health related
quality of life. Outcomes are sometimes seen as the most important indicators of quality because
improving patient health status is the primary goal of healthcare. However, accurately measuring
Created by Grace Amelia © 2025, All Rights Reserved.
, 2|Page
outcomes that can be attributed exclusively to healthcare is very difficult. Drawing connections between
process and outcomes often requires large sample populations, adjustments by case mix, and long term
follow ups as outcomes may take considerable time to be observable.
Lean Programs - ANSWER ✔✔-focus on value and removes waste
P4P and PQRS - ANSWER ✔✔-improve transparency and accountability
Pay For Performance - ANSWER ✔✔-value based purchasing offer financial incentives to physicians and
hospitals to meet performance measures
Physician Quality Reporting System - ANSWER ✔✔-a healthcare quality improvement incentive
program initiated by the Centers for Medicare and Medicaid services. It is an example of pay for
performance program which rewards providers financially for reporting healthcare quality data to CMS
Pay for results - ANSWER ✔✔-initiative to reduce ER wait times
Never events? - ANSWER ✔✔-CMS announced they are investigating ways that Medicare can help
reduce or eliminate the occurrence of "never events" - serious and costly errors in the provision of health
care services that should never happen
Like the surgery on the wrong body part of mismatched blood transfusions, cause serious injury or death
to beneficiaries and results in increased costs to Medicare program to treat the consequences of the error
Joint Commission on Accreditation of Healthcare Organization - ANSWER ✔✔-since 1951, hospitals, long
term care facilities, home care and hospice agencies. Required to be a Medicare provider. Typically
awards 3 years. Certifies more than 21,000 health care organizations
National Committee for Quality Assurance - ANSWER ✔✔-Private, non-profit health care organization
since 1991. Accredit health care plans, individual physicians and medical groups. CAHPS scores
Created by Grace Amelia © 2025, All Rights Reserved.
HCA 600 Final Exam Questions and Answers 100%
Pass
Medical Errors - ANSWER ✔✔-251, 454 deaths stem from medical errors which translates into 9.5% of all
deaths
Father of QA in health care - ANSWER ✔✔-Avedis Donabedian
Structure - ANSWER ✔✔-includes all of the factors that affect the context in which care is delivered. This
includes physical facility, equipment, and human resources as well as organizational characteristics such
as staff training and payment methods. These factors control how providers and patients in a healthcare
system act and are measure the average quality of care within a facility or system. Structure is often easy
to observe and measure and it may be the upstream cause of problems identified in progress.
Process - ANSWER ✔✔-is the sum of all actions that make up healthcare. These commonly include
diagnosis, treatment, preventive care, and patient education but may be expanded to include actions
taken by the patient or their families. Processes can be further classified as technical processes, how care
is delivered, or interpersonal processes, which all encompass the manner in which care is delivered.
According to Donabedian, the measurement of process is nearly equivalent to the measurement of quality
care because process contains all acts of healthcare delivery. Information about process can be obtained
from medical records, interviews with patients and practitioners or patients, or direct observation of
healthcare visits.
Outcome - ANSWER ✔✔-Contains all the effects of healthcare on patients or populations, including
changes to health status, behavior or knowledge as well as a patient satisfaction and health related
quality of life. Outcomes are sometimes seen as the most important indicators of quality because
improving patient health status is the primary goal of healthcare. However, accurately measuring
Created by Grace Amelia © 2025, All Rights Reserved.
, 2|Page
outcomes that can be attributed exclusively to healthcare is very difficult. Drawing connections between
process and outcomes often requires large sample populations, adjustments by case mix, and long term
follow ups as outcomes may take considerable time to be observable.
Lean Programs - ANSWER ✔✔-focus on value and removes waste
P4P and PQRS - ANSWER ✔✔-improve transparency and accountability
Pay For Performance - ANSWER ✔✔-value based purchasing offer financial incentives to physicians and
hospitals to meet performance measures
Physician Quality Reporting System - ANSWER ✔✔-a healthcare quality improvement incentive
program initiated by the Centers for Medicare and Medicaid services. It is an example of pay for
performance program which rewards providers financially for reporting healthcare quality data to CMS
Pay for results - ANSWER ✔✔-initiative to reduce ER wait times
Never events? - ANSWER ✔✔-CMS announced they are investigating ways that Medicare can help
reduce or eliminate the occurrence of "never events" - serious and costly errors in the provision of health
care services that should never happen
Like the surgery on the wrong body part of mismatched blood transfusions, cause serious injury or death
to beneficiaries and results in increased costs to Medicare program to treat the consequences of the error
Joint Commission on Accreditation of Healthcare Organization - ANSWER ✔✔-since 1951, hospitals, long
term care facilities, home care and hospice agencies. Required to be a Medicare provider. Typically
awards 3 years. Certifies more than 21,000 health care organizations
National Committee for Quality Assurance - ANSWER ✔✔-Private, non-profit health care organization
since 1991. Accredit health care plans, individual physicians and medical groups. CAHPS scores
Created by Grace Amelia © 2025, All Rights Reserved.
