Health care quality Flashcards

1
Q

Stakeholders in quality?

A

Providers
Payers
Patients
Employers

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2
Q

Value in Healthcare measured by

A

outcomes achieved.

not volume

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3
Q

What are methods of cost reduction

A

payment cuts

move away from fee-for-service

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4
Q

Value=

A

quality/cost

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5
Q

Includes clinical outcomes and patient experience

A

quality

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6
Q

spending money doesn’t mean

A

better health care

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7
Q

Report on dimensions where US HC system functions lower than it should

A

IMO crossing the quality chasm

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8
Q

What is STEEEP

A
safe
timely
effective
efficient
equitable
Patient centered.
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9
Q

Why are there quality problems?

A

fragmentation of system
Lack of coordination with professionals
Payment quality neutral.

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10
Q

What is the Triple Aim?

A

improve experience of care
improve health population
reduce per capita cost

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11
Q

Barriers to Triple Aim?

A

supply driven demand
new technology
physician-centric care
no competition

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12
Q

effort to improve quality of health and healthcare in US, guided by triple aim

A

National Quality Strategy

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13
Q

Priorities of National Quality Strategy

A
safer care
include patient and fa
communication
prevention treatment
affordable.
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14
Q

NQS guided by what?

A

better care
Healthy ppl
affordable care

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15
Q

medicare access and CHIP reauthorization act

A

MACRA

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16
Q

What does MACRA do?

A

repeal rate formula to determine medicare payment
Reward clinician for value
Meritbased incentive payment system

17
Q

move to outcome-based payment, quality reporting with provider performance using 4 categories

A

Merit based incentive program

MIPS

18
Q

MIPS 4 categories

A

quality
advancing care info
clinical practice improvement activities
cost/resource use.