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NAHQ.CPHQ.v2025-03-07.q337 Dumps

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Question 171

A continuous survey readiness program requires which ofthe following?

A.the use of checklists by department managers to prioritize accreditation tasks
B.targeted training for staffinthe months leading up to the accreditation survey
C.a commitment from leadership to Improvement and compliance
D.work plans to Identify key activities needed for accreditation compliance

Correct Answer: C

A continuous survey readiness program is a systematic approach to ensure that an organization is always prepared for an accreditation survey. It involves a commitment from leadership to improvement and compliance12. This commitment is crucial as it sets the tone for the entire organization and ensures that all staff members understand the importance of maintaining compliance with accreditation standards. The leadership's commitment to improvement and compliance is reflected in their support for continuous training, the establishment of an effective quality assurance and performance improvement (QA/QAPI) program, and the implementation of effective customer service and grievance programs3.

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Question 172

The following diagram shows:

A.Quality improvement
B.Baldrige criteria for improvement
C.None of these
D.API Improvement model

Correct Answer: D

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Question 173

Which of the following is an example of collaboration for optimal care transitions?

A.Involving a multidisciplinary team in the patient's daily inpatient care meeting
B.Using a case manager to coordinate post-discharge care needs with patients and families
C.Conducting regular support groups for patients with multiple chronic conditions
D.Discharging patients with printed lists of all of their medications

Correct Answer: B

Detailed Explanation:
Case managers coordinating post-discharge care directly support smooth transitions by managing follow-up care needs, especially important in avoiding readmissions.
Option B: Using a case manager to coordinate post-discharge care needs with patients and families This method ensures continuity of care and communication across settings.
References:
Case management for care transitions is a best practice highlighted in CPHQ resources to enhance patient outcomes post-discharge.

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Question 174

Managed care outcomes related to HEDIS measures are most commonly obtained through

A.claims data.
B.satisfaction survey results.
C.grievances.
D.medical records.

Correct Answer: A

The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry12. It is used by more than 90 percent of health plans to measure performance on important dimensions of care and service1. Just as important, it is absolutely crucial for meeting the information needs of health plans1. HEDIS measures are typically obtained through claims data12. Claims data are used because they are readily available, reliable, and can be used to track a health plan's ability to manage health outcomes2.
References: 12.

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Question 175

Which of the following quality initiatives impacts an organization's reimbursement?

A.Decreasing lab result turn-around-time
B.Improving medication barcode scanning compliance
C.Increasing five-year survival rate in cancer patients
D.Reducing hospital-acquired infections

Correct Answer: D

Hospital-acquired infections (HAIs) are infections that patients acquire during the course of receiving treatment for other conditions within a healthcare setting. Reducing HAIs is a critical quality initiative that directly impacts an organization's reimbursement.
Many healthcare payers, including Medicare and Medicaid in the United States, have implemented policies that reduce or deny reimbursement for certain conditions deemed preventable, including specific HAIs. This approach incentivizes healthcare organizations to implement effective infection control practices to improve patient safety and avoid financial penalties.
While the other initiatives listed are important for overall healthcare quality, they do not have as direct an impact on reimbursement:
* Decreasing lab result turn-around-time (Option A): Improving the speed of lab results enhances patient care efficiency but is not typically linked to reimbursement policies.
* Improving medication barcode scanning compliance (Option B): Enhancing barcode scanning can reduce medication errors, contributing to patient safety, but it does not directly affect reimbursement.
* Increasing five-year survival rate in cancer patients (Option C): While this reflects improved long-term patient outcomes, it is influenced by various factors and is not directly tied to reimbursement structures.
Therefore, reducing hospital-acquired infections is the quality initiative among the options provided that most directly impacts an organization's reimbursement.

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