©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:25PM A+
Health Systems Exam 2 Questions And
Answers |Latest 2025 | Guaranteed Pass.
Quality measures associated to healthcare in the US - Answer✔Four categories of healthcare
delivery activities that can be measures include structure, process, outcome, and patient
experience
Differentiate types of quality measure and example applications - Answer✔- Structure:
characteristics of a care setting (facilities, personnel, policies)
- Process: determines if services provided to pts are consistent with routine clinical care
- Outcome: evaluates pt health as a result of the care received
- Patient Experience: provides feedback on the patient's experience of care
3 key ways that quality of health care is reported - Answer✔Accreditation, Report Cards, and
Patient Satisfaction Ratings
Accreditation - Answer✔A set of standards/rules/guidelines that when met certify competency,
authority, and credibility
who accredits hospital pharmacies - Answer✔TJC, mandatory accreditation
who accredits community pharmacies - Answer✔URAC (Utilization Review Accreditation
Commission) and CPPA (Center for Pharmacy Practice); voluntary accreditation
Describe Pay 4 performance and provide examples in pharmacy - Answer✔Healthcare payment
model that rewards providers for meeting quality benchmarks (idea is that aligning incentives
with desired outcomes will improve quality)
Examples: enrolling patients in auto refill, using refill reminders, making refills easy to order,
synchronization, compliance packaging interfaces
PQA and what do they do - Answer✔Pharmacy Quality Alliance- the nation's leading developer
of consensus-based measures for medication safety, adherence and appropriate use
1
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:25PM A+
-develops quality measures
What are PQA quality measures - Answer✔Appropriateness, Adherence, Safety, and Cost
Examples: proportion of days covered (PDC), statin use in persons with diabetes
EQuIPP and who provides the platform - Answer✔- Electronic Quality Improvement Platform
for Plans and Pharmacies- provides a performance score for pharmacies- [pharmacies will
receive bonus payments every 6 months depending in their performance in each measure
- PQS provides the platform - it is basically a private spinoff of PQA (a nonprofit). Basically
health plans and medicare already had the information, but now for the first time community
pharmacies can see it too.
- Basically: EQuiPP allows pharmacies to track their performance
What is CAHPS - Answer✔Consumer Assessment of Healthcare Providers and Systems
(Pharmacy Survey)-
CAHPS surveys are funded and overseen by the Agency for Healthcare Research and Quality
(AHRQ), a government organization. The AHRQ does not administer the surveys. Surveys must
be administered by a qualified vendor. Vendors become certified by Centers for Medicaid and
Medicare Services (CMS)
CMS quality measures associated to pharmacy practice - Answer✔• Safety
• Effectiveness
• Equity
• Efficiency (best care with lowest input)
• Timeliness (Access + System responsiveness)
• Patient-centeredness
Ex- Auto fill, refill reminders, sync, compliance all are important to keep 5 star rating
the consumers' assessment of quality - Answer✔- Staff-patient interactions
- Verbal information about medicine
2
Health Systems Exam 2 Questions And
Answers |Latest 2025 | Guaranteed Pass.
Quality measures associated to healthcare in the US - Answer✔Four categories of healthcare
delivery activities that can be measures include structure, process, outcome, and patient
experience
Differentiate types of quality measure and example applications - Answer✔- Structure:
characteristics of a care setting (facilities, personnel, policies)
- Process: determines if services provided to pts are consistent with routine clinical care
- Outcome: evaluates pt health as a result of the care received
- Patient Experience: provides feedback on the patient's experience of care
3 key ways that quality of health care is reported - Answer✔Accreditation, Report Cards, and
Patient Satisfaction Ratings
Accreditation - Answer✔A set of standards/rules/guidelines that when met certify competency,
authority, and credibility
who accredits hospital pharmacies - Answer✔TJC, mandatory accreditation
who accredits community pharmacies - Answer✔URAC (Utilization Review Accreditation
Commission) and CPPA (Center for Pharmacy Practice); voluntary accreditation
Describe Pay 4 performance and provide examples in pharmacy - Answer✔Healthcare payment
model that rewards providers for meeting quality benchmarks (idea is that aligning incentives
with desired outcomes will improve quality)
Examples: enrolling patients in auto refill, using refill reminders, making refills easy to order,
synchronization, compliance packaging interfaces
PQA and what do they do - Answer✔Pharmacy Quality Alliance- the nation's leading developer
of consensus-based measures for medication safety, adherence and appropriate use
1
, ©FYNDLAY 2024/2025 ALL RIGHTS RESERVED 1:25PM A+
-develops quality measures
What are PQA quality measures - Answer✔Appropriateness, Adherence, Safety, and Cost
Examples: proportion of days covered (PDC), statin use in persons with diabetes
EQuIPP and who provides the platform - Answer✔- Electronic Quality Improvement Platform
for Plans and Pharmacies- provides a performance score for pharmacies- [pharmacies will
receive bonus payments every 6 months depending in their performance in each measure
- PQS provides the platform - it is basically a private spinoff of PQA (a nonprofit). Basically
health plans and medicare already had the information, but now for the first time community
pharmacies can see it too.
- Basically: EQuiPP allows pharmacies to track their performance
What is CAHPS - Answer✔Consumer Assessment of Healthcare Providers and Systems
(Pharmacy Survey)-
CAHPS surveys are funded and overseen by the Agency for Healthcare Research and Quality
(AHRQ), a government organization. The AHRQ does not administer the surveys. Surveys must
be administered by a qualified vendor. Vendors become certified by Centers for Medicaid and
Medicare Services (CMS)
CMS quality measures associated to pharmacy practice - Answer✔• Safety
• Effectiveness
• Equity
• Efficiency (best care with lowest input)
• Timeliness (Access + System responsiveness)
• Patient-centeredness
Ex- Auto fill, refill reminders, sync, compliance all are important to keep 5 star rating
the consumers' assessment of quality - Answer✔- Staff-patient interactions
- Verbal information about medicine
2
