EXAMINATION TEST PRACTICE
PACK PRACTICE QUESTIONS
AND SOLUTIONS
◉ BBA-balanced budget Act. Answer: 1997-comprehensive
revision of federal statutes governing Medicaid
Revised 1999. Uses QISMC to set quality assurance provisions.
◉ QIO-quality improvement Org. Answer: 2002-defined how
quality measurement and performance improvement should be
applied to M/M
-improve quality of care to beneficiary
-protect integrity of Medicare Trust Fund
Medicare contracts c 1 QIO in each state
not-for profit, staffed by professional
◉ PQRI-physician quality reporting Initiative. Answer: 2006-
The Tax Relief and health Care Act 2006 authorized
implementation of a physician reporting system, Financial
incentive.
◉ APSF- anesthesia patient safety foundation. Answer: First
org to develop just to improve pt safety
Dr. Pierce "40 y behind the mask" 1982
The Deep Sleep-6000 will dies was on 20/20 1982
◉ IHI- institute for Healthcare improvement. Answer: 1988-
founded by Berwick and Batalden
-focus on all aspects of quality, esp safety
◉ Adverse Events- stats:. Answer: 1991-in 3.7% of
hospitalization
27.6% due to negligence
70.5% of adverse events gave disability of >6m,
, 2.6% permanent
13.6% death
◉ Dr, Lucian Leape. Answer: "Error in Medicine"
Promoter of pt safety
Culture change that to error is inevitable.
◉ JC-joint commision. Answer: 1990- only accrediting body
for hosp and other health care org in US
◉ NPSF-national pt safety foundation. Answer: 1997-indep
nonprofit org to support change in pt safety
modeled after APSF
◉ IOM-Institute of Medicine. Answer: 1998-effforts to assess
and improve the quality of medicine
"to Err is Human: Building a safer health system" consider to be
required reading anyone interested in pt safety.
-claimed 44k-98K Americans die each year d/t error
◉ Active Error. Answer: whose effects are felt immediately
-sharp end
◉ Latent error. Answer: -lie dormant within the system,
combines c other factors to breach systems defenses.
-blunt end
-to discover and neutralize a latent error will have greater impact
on pt safety
◉ Swiss Cheese Model. Answer: Certain risk that will fall
through multiple defenses to reach the pt cause harm
-minimize error, make multiple defenses make the harm
potential low
◉ John Williamson. Answer: best means to assess quality of
care is through measuarable outcomes