Part 14 Flashcards

1
Q

The 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.

A. Utilization and documentation committee
B. Pharmacy and therapeutics committee
C. Infection committee
D. Ethics committee

A

Ethics committee

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2
Q

The senior leaderhip and board of directors are meeting to determine the key priorities for Community Hospital for the year ahead. During this time, they also use a SWOT analysis to validate the mission. The resulting document of this session is called an

A. operational plan
B. organizational plan
C. safety plan
D. strategic plan

A

strategic plan

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3
Q

Findings from ________ are. aggregated and reported to the executive committee of the medical staff as well as placed in clinician’s professional files for consideration in the re-credentialing process.

A. Process review
B. Credentialing
C. Peer review
D. Compulsory review

A

Peer review

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4
Q

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

A. balance sheet
B. dashboard
C. strategic plan
D. flowchart

A

dashboard

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5
Q

In which of the following are outcomes of clinical and nonclinical services examined for continued focus and relevance, results of PI team work are reported in regard to goals that were met, and problems remain unresolved from prior evaluation periods which have not shown significant improvement are assessed?

A. PI program review
B. Strategic planning
C. compulsory review
D. PI program planning

A

PI program review

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6
Q

Western States Medical center has developed a document that describes the structure and approach that they use to systemically review and advance their ability to provide high levels of patient care. what is this. document called?

A. Dashboard
B. PI plan
C. PI minutes
D. Strategic plan

A

PI plan

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7
Q

The HIM department completed their strategic plan for the next fiscal year. During this process, they identified the following: dedicated employees, support from upper management, and a new workspace for the department to be in one location. The items listed in the HIM strategic planning session represent which component of the SWOT analysis.

A. Strengths
B. Weaknesses
C. Threats
D. Opportunities

A

Strengths

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8
Q

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:

A. accreditation
B. licensure
C. approval
D. none of the above

A

licensure

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9
Q

The act of granting approval for a healthcare organization to provide services to a specific group of beneficiaries is called:

a. accreditation
b. licensure
c. certification
d. approval

A

certification

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10
Q

This type of healthcare organization review is conducted at the request of the healthcare facility seeking accreditation __________.

a. Compulsory review
b. Vocational review
c. Voluntary review
d. Complimentary review

A

Voluntary review

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