Strictly from a quality standpoint, which of the following organizations was a forerunner of the evaluation of medical care?
A. Joint Commission on Accreditation of Health care Organizations (Joint Commission)
B. Peer Review Organizations (PRO)
C. Professional Standards Review Organization (PSRO)
D. Health Care Financing Administration (HCFA)
The Joint Commission recently surveyed an acute care hospital. The hospital just received the survey report and the accreditation decision. Which of the following categories should the hospital leaders address first?
A. Requirements for Improvement
B. Grid Elements
C. Written Progress Reports
D. Triennial Exception Rules
What feature is a trademark of an effective PI program?
A. a one-time cure-all for a facility's problems
B. an unmanageable project that is too expensive
C. a cost-containment effort
D. a continuous cycle of improvement projects over time
The Utilization Review Coordinator reviews inpatient records at regular intervals to justify necessity and appropriateness of care'to warrant further hospitalization. Which of the following utilization review activities is being performed?
A. admission review
B. pre-admission
C. retrospective review
D. continued stay review
The medical malpractice crisis of the 197Os prompted development of what type of programs in health care facilities?
A. utilization management
B. financial analysis programs
C. quality improvement programs
D. risk management
The best protection against injuries and ensuing financial liability is
A. risk reporting.
B. risk settlement.
C. occurrence screening.
D. risk prevention.
The effective coordination of utilization review, quality assessment functions, and risk management activities can help eliminate
A. antitrust violations.
B. occurrence screening.
C. duplicate record review.
D. incident reporting.
The policy and procedure manual no longer reflects current practices. This situation is a risk management issue because
A. supervisory time and effort will be wasted to correct the manual.
B. training of new personnel will not be standardized.
C. broad and permissive policy statements cannot commit the organization to a course of action.
D. the manual represents the normal course of business.
What feature distinguishes the Nominal Group Technique (NAT) from brainstorming?
A. NGT can be accomplished by mail.
B. NGT uses a visual device like a flip chart to keep track of responses.
C. NGT draws responses from a large group of people.
D. NGT determines the importance of responses through a rating system.
What criterion is critical in selecting performance indicators for a medical record department?
A. The indicators must include the most important aspects of performance.
B. Indicators must correlate with Deming's 14 points.
C. Identify at least 25 indicators that are reflective of all department functions.
D. Select only indicators that reflect positively on the department.
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