HCMT 2022 Chapter 14-20 Final
questions well answered 2025/2026
An accrediting agency's published rules, which serve as the basis for comparative assessment
during the review or survey process is called _____. - correct answer ✔✔Accreditation
standards
During a recent strategic planning session, the board of directors listed the following items on
the board: poor signage and limited parking for the clinics. The items listed by the board of
directors represent which component of the SWOT analysis. - correct answer ✔✔Weaknesses
The regular presentation of concise, appropriately displayed monitoring data for hospital board
of directors that provides minute to minute data in an organized, comparative format that
maximizes the use of the board's time and assists its members in accomplishing oversight
activities is called _____. - correct answer ✔✔Dashboard
The act of granting approval for a healthcare organization to provide services to a specific group
of beneficiaries is called ______. - correct answer ✔✔Certification
Which of the following organizations accredits managed care organization, managed behavioral
health organizations, and credentials verification for physician organizations? - correct answer
✔✔National Committee for Quality Assurance
This medical staff standing committee is responsible for serving as a resource regarding medical
and ethical issues that surface for patients, their families, and the organization's clinical care
providers. - correct answer ✔✔Ethics committee
, As part of the CARF accreditation process, reviewers examine policies and procedures,
administrative rules and regulations, administrative records, human resource records, and the
case records of patients. This process is called _____. - correct answer ✔✔Document review
Which of the following is the process of meeting a prescribed set of standards or regulations to
maintain active accreditation, licensure, or certification status? - correct answer ✔✔Compliance
The act of granting a healthcare organization or an individual healthcare practitioner permission
to provide services of a defined scope in a limited geographical area is called _____. - correct
answer ✔✔Licensure
This medical staff standing committee is responsible for the review of findings from the
monitoring activities on patient-specific data and information. - correct answer ✔✔Utilization
and documentation committee
Before the on-site survey team leaves the healthcare facility they meet with the organization's
leadership team and provide a report of their findings. This meeting is called a(n) ______. -
correct answer ✔✔Exit conference
How are performance improvement and patient safety activities communicated throughout the
organization? - correct answer ✔✔Performance improvement and patient safety activities are
communicated throughout the organization by PI education such as new hire orientation that is
repeated annually for all staff. This can be in the form of emails, pamphlets, meetings, posters,
signage, etc.
Describe how health organizations develop their processes in order to meet multiple regulations
and standards. - correct answer ✔✔Health organizations develop their processes in order to
meet multiple regulations and standards by reviewing preset accreditation standards and state
licensure requirements. They must make sure they are in compliance and can also use voluntary
review to monitor their standards.
questions well answered 2025/2026
An accrediting agency's published rules, which serve as the basis for comparative assessment
during the review or survey process is called _____. - correct answer ✔✔Accreditation
standards
During a recent strategic planning session, the board of directors listed the following items on
the board: poor signage and limited parking for the clinics. The items listed by the board of
directors represent which component of the SWOT analysis. - correct answer ✔✔Weaknesses
The regular presentation of concise, appropriately displayed monitoring data for hospital board
of directors that provides minute to minute data in an organized, comparative format that
maximizes the use of the board's time and assists its members in accomplishing oversight
activities is called _____. - correct answer ✔✔Dashboard
The act of granting approval for a healthcare organization to provide services to a specific group
of beneficiaries is called ______. - correct answer ✔✔Certification
Which of the following organizations accredits managed care organization, managed behavioral
health organizations, and credentials verification for physician organizations? - correct answer
✔✔National Committee for Quality Assurance
This medical staff standing committee is responsible for serving as a resource regarding medical
and ethical issues that surface for patients, their families, and the organization's clinical care
providers. - correct answer ✔✔Ethics committee
, As part of the CARF accreditation process, reviewers examine policies and procedures,
administrative rules and regulations, administrative records, human resource records, and the
case records of patients. This process is called _____. - correct answer ✔✔Document review
Which of the following is the process of meeting a prescribed set of standards or regulations to
maintain active accreditation, licensure, or certification status? - correct answer ✔✔Compliance
The act of granting a healthcare organization or an individual healthcare practitioner permission
to provide services of a defined scope in a limited geographical area is called _____. - correct
answer ✔✔Licensure
This medical staff standing committee is responsible for the review of findings from the
monitoring activities on patient-specific data and information. - correct answer ✔✔Utilization
and documentation committee
Before the on-site survey team leaves the healthcare facility they meet with the organization's
leadership team and provide a report of their findings. This meeting is called a(n) ______. -
correct answer ✔✔Exit conference
How are performance improvement and patient safety activities communicated throughout the
organization? - correct answer ✔✔Performance improvement and patient safety activities are
communicated throughout the organization by PI education such as new hire orientation that is
repeated annually for all staff. This can be in the form of emails, pamphlets, meetings, posters,
signage, etc.
Describe how health organizations develop their processes in order to meet multiple regulations
and standards. - correct answer ✔✔Health organizations develop their processes in order to
meet multiple regulations and standards by reviewing preset accreditation standards and state
licensure requirements. They must make sure they are in compliance and can also use voluntary
review to monitor their standards.
