Chapter 26. Starting a Practice and
Practice Management
1. An APRN wishes to become familiar with all of the reporting measures or
metrics required by his or her specific practice. Which of the following
would be the best resource for this information?
a. National Institutes of Health
b. The Joint Commission
c. National Qualit y Forum
d. Medicaid Adult Health Care Qualit y Measures Program
ANS: C
The National Qualit y Forum (NQF) Communit y Tool to Align
Measurement provides a resource and hyperlinks to qualit y me asures
and the information they collect.
2. Many reporting requirements of APRNs require data that are patient,
provider, or facilit y specific and reported to CMS directl y from the
organization. Which of the following aggregates the subjective patient
experience information regarding the care received?
a. MACRA
b. CAHPS
c. NQF
d. HIPAA
ANS: C
The Consumer Assessment of Health Care Providers (CAHPS) is a
format for surveying patients to collect their patient experiences. They
, include those on providers (CAHPS), hos pitals, home health agencies,
and hospice care (HCAHPS), among others. CAHPS is not a measure of
patient satisfaction but a measure for patient experience that is made
available to the public.
3. Which of the following legislation will change Medicare payme nts
beginning January 1, 2019, away from the existing fee -for-service system
to one that is based on as well asrewards qualit y in care?
a. CAHPS
b. Values-Based Modifier
c. MACRA
d. Meaningful use
ANS: C
The Medicare Access and CHIP Reauthorization Act took effect on
January 1, 2017, with final implementation on January 1, 2019. This
combines three existing programs: the Physician Qualit y Reporting
System (PQRS), the Value -Based Payment Modifier, and meani ngful
use into one system that provides both financial incentives and
penalties based on qualit y of care, outcomes, and efficiencies. The
initial 2 years are intended to collect and anal yze data and for hospital
s ystems and providers to see the future impa ct to their reimbursement.
4. In an effort to further link care, such as that provided by an APRN to
patient outcomes and reporting measures, which of the following
additional requirements was included in MACRA?
a. Individual billing by each provider
b. Limiting the number of specialists for each area of care per patient
c. Assigning patient -provider relationship identifiers
d. Estimating percentages of time care was given by each provider
, ANS: C
MACRA mandated the assignment reporting the relationships of
patients to providers’ NPI numbers to CMS for the purpose of
individualizing care reports.
5. What is the purpose of the TIGER Competencies as applicable for an
APRN?
a. Identify new qualit y outcomes metrics specific for APRNs
b. Increase awareness for health literac y in technology-challenged
geographic areas
c. Improve nursing practice, education, and delivery of patient care
through the use of HIT
d. Implement standardization for EHR documentation for APRNs
ANS: C
The Technology Informatics Guiding Education Reform ( TIGER)
initiative was formed in 2004 to bring together nursing stakeholders to
collaborate to improve nursing practice, education, and delivery of
patient care through the use of HIT. This involves recommendations for
basic computer competencies, informati on literacy, and information
management.
6. The practice of designing measurement process, collecting and anal yzing
data, and presenting the data back to stakeholders in a timel y and
understandable manner is known as which of the following?
a. Information tec hnology
b. Scientific theory
c. Scientific method
d. Data anal ytics
, ANS: D
Data anal ytics is the process of designing processes, collecting and
anal yzing data, and then presenting the same data in an understandable
manner. It specifically focuses on the identification of metrics and
anal ysis of those metrics to be formed into reports.
7. An APRN is reviewing his or her CAHPS scores for his or her facilit y a nd
personal provider number. The patient experience information is displayed
as a list of monthl y percentage of hospital readmissions. This is best
described as:
a. Statistical process control
b. Predictive anal ytics
c. Descriptive anal ytics
d. Prescriptive anal yt ics
ANS: C
Descriptive anal ytics describes a retrospective trend or outcome. They
are simpl y values based on data that are displayed as a means to
identify positive or negative deviation above or below a target,
typicall y in percentages, rates, means, a nd ratios. Descriptive anal ytics
answers the question: “What has happened?” Descriptive analytics that
are displayed in a graphic format over time is an example of a
statistical process control anal ysis.
8. An APRN is reviewing outcomes measures regarding t he number of falls
at the facilit y where he or she is employed. The APRN utilizes several
tools to identify possible interventions for improvement. Which of the
following would best be used for indicating possible changes in falls in
the future?
a. rescriptive anal ytics
b. Data mining
Practice Management
1. An APRN wishes to become familiar with all of the reporting measures or
metrics required by his or her specific practice. Which of the following
would be the best resource for this information?
a. National Institutes of Health
b. The Joint Commission
c. National Qualit y Forum
d. Medicaid Adult Health Care Qualit y Measures Program
ANS: C
The National Qualit y Forum (NQF) Communit y Tool to Align
Measurement provides a resource and hyperlinks to qualit y me asures
and the information they collect.
2. Many reporting requirements of APRNs require data that are patient,
provider, or facilit y specific and reported to CMS directl y from the
organization. Which of the following aggregates the subjective patient
experience information regarding the care received?
a. MACRA
b. CAHPS
c. NQF
d. HIPAA
ANS: C
The Consumer Assessment of Health Care Providers (CAHPS) is a
format for surveying patients to collect their patient experiences. They
, include those on providers (CAHPS), hos pitals, home health agencies,
and hospice care (HCAHPS), among others. CAHPS is not a measure of
patient satisfaction but a measure for patient experience that is made
available to the public.
3. Which of the following legislation will change Medicare payme nts
beginning January 1, 2019, away from the existing fee -for-service system
to one that is based on as well asrewards qualit y in care?
a. CAHPS
b. Values-Based Modifier
c. MACRA
d. Meaningful use
ANS: C
The Medicare Access and CHIP Reauthorization Act took effect on
January 1, 2017, with final implementation on January 1, 2019. This
combines three existing programs: the Physician Qualit y Reporting
System (PQRS), the Value -Based Payment Modifier, and meani ngful
use into one system that provides both financial incentives and
penalties based on qualit y of care, outcomes, and efficiencies. The
initial 2 years are intended to collect and anal yze data and for hospital
s ystems and providers to see the future impa ct to their reimbursement.
4. In an effort to further link care, such as that provided by an APRN to
patient outcomes and reporting measures, which of the following
additional requirements was included in MACRA?
a. Individual billing by each provider
b. Limiting the number of specialists for each area of care per patient
c. Assigning patient -provider relationship identifiers
d. Estimating percentages of time care was given by each provider
, ANS: C
MACRA mandated the assignment reporting the relationships of
patients to providers’ NPI numbers to CMS for the purpose of
individualizing care reports.
5. What is the purpose of the TIGER Competencies as applicable for an
APRN?
a. Identify new qualit y outcomes metrics specific for APRNs
b. Increase awareness for health literac y in technology-challenged
geographic areas
c. Improve nursing practice, education, and delivery of patient care
through the use of HIT
d. Implement standardization for EHR documentation for APRNs
ANS: C
The Technology Informatics Guiding Education Reform ( TIGER)
initiative was formed in 2004 to bring together nursing stakeholders to
collaborate to improve nursing practice, education, and delivery of
patient care through the use of HIT. This involves recommendations for
basic computer competencies, informati on literacy, and information
management.
6. The practice of designing measurement process, collecting and anal yzing
data, and presenting the data back to stakeholders in a timel y and
understandable manner is known as which of the following?
a. Information tec hnology
b. Scientific theory
c. Scientific method
d. Data anal ytics
, ANS: D
Data anal ytics is the process of designing processes, collecting and
anal yzing data, and then presenting the same data in an understandable
manner. It specifically focuses on the identification of metrics and
anal ysis of those metrics to be formed into reports.
7. An APRN is reviewing his or her CAHPS scores for his or her facilit y a nd
personal provider number. The patient experience information is displayed
as a list of monthl y percentage of hospital readmissions. This is best
described as:
a. Statistical process control
b. Predictive anal ytics
c. Descriptive anal ytics
d. Prescriptive anal yt ics
ANS: C
Descriptive anal ytics describes a retrospective trend or outcome. They
are simpl y values based on data that are displayed as a means to
identify positive or negative deviation above or below a target,
typicall y in percentages, rates, means, a nd ratios. Descriptive anal ytics
answers the question: “What has happened?” Descriptive analytics that
are displayed in a graphic format over time is an example of a
statistical process control anal ysis.
8. An APRN is reviewing outcomes measures regarding t he number of falls
at the facilit y where he or she is employed. The APRN utilizes several
tools to identify possible interventions for improvement. Which of the
following would best be used for indicating possible changes in falls in
the future?
a. rescriptive anal ytics
b. Data mining
