Quality Assessment

Question 1

Two aspects of quality assurance are:

Answer 1

Outcome Assessment
Retrospective Audit

Question 2

Change in the health of an individual that is attributable an intervention or a series of an intervention

Answer 2

Outcome

Question 3

Assessment treatment effectiveness

Answer 3

Outcome Assessment

Question 4

It is a process used by health care professionals to assess, evaluate and systematically improve care.

Answer 4

Audit

Question 5

It takes place before the claim of submission of services and focuses on revealing specific and targeted cases

Answer 5

Prospective Audit

Question 6

Assessing the result of care

Answer 6

Retrospective Audit

Question 7

Why is measuring health care important?

Answer 7

1. Improve the patient experience of care
2. Improve the health of populations
3. Reduce the per capita cost of healthcare
4. Reduce clinician and staff burnout

Question 8

Quality PT started during the?

Answer 8

1970

Question 9

The regulatory effort by the government

Answer 9

Professional Standards Review Organizations

Question 10

Considered non-hospital institutional care

Answer 10

Physical Therapy

Question 11

Assessment of organization staffing and staff qualifications, rules and policies governing professional work, records equipment, and physical facilities

Answer 11

Structure

Question 12

It is based on the degree or extent to which the physical therapist conforms to accepted professional practices in providing services

Answer 12

Process

Question 13

An assessment is based on the condition of the patient after care about the goals of treatment assessment of outcomes

Answer 13

Outcome

Question 14

Proposed a system of collecting hospitals statistics in 1863

Answer 14

Florence Nightingale

Question 15

Father of outcome patient care audit systems

Answer 15

Ernest Codman

Question 16

Qualified health professionals
will=__________

Answer 16

Good care

Question 17

What organization happened in 1952?

Answer 17

Joint Commission on Accreditation (JACAH)

Question 18

What happened in 1965?

Answer 18

utilization review for Medicare funding

Question 19

What happened in 1972?

Answer 19

Bennett Amendment of social security act (PSROs)
- Review of PT service

Question 20

2 MAJOR FORCES INFLUENCING
QUALITY ASSURANCE
DEVELOPMENT IN US (United States)

Answer 20

1. JCAH
2. PSROs

Question 21

performance evaluation procedure (PEP)

Answer 21

JCAH

Question 22

The standard for PT services and standards for PT practitionerprofession statement of conditions and performances which are essential for quality
physical therapy services and
patient care

Answer 22

APTA

Question 23

QUALITY ASSURANCE STANDARDS WHERE IS ESTABLISHED BECAUSE OF:

Answer 23

1. Reluctance of health
   professionals to objectively
   evaluate the quality services they
   provide
2. An informed public
3. Spiraling cost of health care

Question 24

SOCIAL SECURITY ACT OF 1972 (THREE OBLIGATIONS)

Answer 24

1. Order or Furnish
2. Furnish
3. Provide

Question 25

Only care is medically necessary

Answer 25

Order or Furnish

Question 26

Meet professionally recognized standards of quality

Answer 26

Furnish

Question 27

_______ documentation of the medical necessity and quality of care provided ass the PSRO may reasonably require

Answer 27

Provide

Question 28

Quality assurance system focuses on:

Answer 28

1. monitoring the results of care 2. assessing the results of care 3. Improving the results of care

Question 29

A process in which criteria or standards are used to review actual practice to identify those areas requiring in-depth study or to determine the results of corrective action.

Answer 29

Monitoring

Question 30

This is done through retrospective patient care audits. The area of concern becomes the audit topic.

Answer 30

Assessing the results of care

Question 31

The corrective action that must be implemented

Answer 31

Improving the results of care

Question 32

The audit has four distinct steps:

Answer 32

1. development of screening criteria 2. Data Retrieved 3. Data Display 4. Data Analysis

Question 33

The criteria should be designed to screen out records most likely representing acceptable patient care from a direct physical therapist

Answer 33

Development of screening criteria

Question 34

This information indicates whether the record/data gathered satisfied the element

Answer 34

Data Retrieved

Question 35

Summarizes the medical data analyst review of all records

Answer 35

Data Display

Question 36

It records that did not satisfy screening criteria to determine the quality of care

Answer 36

Data Analysis

Question 37

Patient care responsibilities of managers:

Answer 37

1. Managing Professionals 2. Utilization Management 3. Case Management 4. Quality Care 5. Patient Satisfaction 6. Patient rights and responsibilities

Question 38

- do not have direct responsibility for individual patients - direct patient care responsibility belongs to each physical therapist - assist with nonclinical problems; provide performance feedback; and reaffirm the Vision, mission, and goals of their organizations - heavy workloads, interprofessional role conflicts or ambiguity, scarce resources, understaffing, physical strain, emotional labor - interpreting the big picture of healthcare policy, reimbursement, and organizational goals

Answer 38

Managing professionals

Question 39

-Responding to the efforts of third-party payers to manage their costs and the quality of the care -conditions that are the costliest, most utilized, or result in questionable outcomes receive the greatest scrutiny - determine whether patient care is efficient, effective, medically necessary and appropriate - quantity of services, the timetable for delivery, and appropriate sources of evaluation and treatment - received a level of care that was efficient, effective, and consistent

Answer 39

Utilization Management

Question 40

- meet a person's needs through available resources - duties of case managers may include: - Screening to identify appropriate patients - Planning and coordinating the delivery of care - Evaluating the outcomes of care for each patient - Checking benefits available and coordinating with other benefits

Answer 40

Case Management

Question 41

defined as the degree to which a healthcare organization increases the likelihood of desired health outcomes, consistent with current evidence about the scientific, interpersonal and organizational components of healthcare

Answer 41

Quality Care

Question 42

Healthcare quality with six dimensions of patient care:

Answer 42

* Safe * Effective: * Efficient: * Timely: * Patient-centered: * Equitable:

Question 43

Quality defects can be classified as:

Answer 43

1. Underuse 2. Overuse 3. Misuse

Question 44

Failure to employ many scientifically sound practices as often as they should be

Answer 44

Underuse

Question 45

Failure to eliminate diagnostic tests and interventions when they are not indicated

Answer 45

Overuse

Question 46

Failure to appropriately execute the proper clinical care process

Answer 46

Misuse

Question 47

Two critical aspects of patient satisfaction

Answer 47

1. Content of quality 2. Service-delivery quality

Question 48

It depends on performance evaluations, staff development, compliance with evolving guidelines and standards

Answer 48

Content of quality

Question 49

It depends on managers having processes that meet patient expectations for convenience and timeliness

Answer 49

Service-delivery quality

Question 50

A list of guarantees while receiving medical care, which may be a voluntary declaration developed by an organization for its own members or goals

Answer 50

A bill of rights