CQM test 3|36 Questions with Verified Answers
This group has ultimate responsibility for maintaining the quality and safety of patient care provided by its Healthcare organization - CORRECT ANSWER board of directors
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CQM test 3|36 Questions with Verified Answers
This group has ultimate responsibility for maintaining the quality and safety of patient care provided by its Healthcare organization - CORRECT ANSWER board of directors
the document in which the leadership of a healthcare organization identifies the organization's overall mission, vision, and goals to help set the long-term direction of the organization as a business entity is called - CORRECT ANSWER strategic plan
strategic planning may include a process called SWOT analysis where the leaders complete assessment of what four areas - CORRECT ANSWER strengths, weaknesses, opportunities, threats
the regular presentation of concise, appropriately displayed monitoring data for Hospital board of directors that provides minute-to-minute data and an organized, comparative format that maximizes the use of the board's time and assist its members and accomplishing oversight activities is called - CORRECT ANSWER dashboard
oversight process by like professionals established according to an organization's medical staff bylaws, organizational policy and procedure, or the requirements of state law that allows the candid critique of colleagues without fear of reprisal is called - CORRECT ANSWER peer review
the senior leadership and board of directors are meeting to determine the key priorities for Community Hospital for the year ahead. During this time they also used a SWOT analysis to validate the mission. The resulting document of this session is called a - CORRECT ANSWER strategic plan
the data the organization's collects about its own performance should be analyzed and considered when setting Improvement priorities only if a sentinel event has occurred. true or false? - CORRECT ANSWER false
this organization has been responsible for accrediting Health Care Organization since the mid-1900s and determines whether the healthcare organization is continually monitoring and improving the quality of care it provides - CORRECT ANSWER Joint Commission
this accrediting body has become an alternative option for healthcare organizations because of its facility friendly yet stringent annually occurring accreditation process - CORRECT ANSWER DNV
this type of healthcare organization review is performed to fulfill legal or licensure requirements - CORRECT ANSWER compulsory review
every organization that provides services to Medicare and Medicaid beneficiaries must demonstrate its compliance with this set of standards - CORRECT ANSWER CMS CoP
is certification required or voluntary - CORRECT ANSWER required
is accreditation required or voluntary - CORRECT ANSWER voluntary
is licensure required or voluntary - CORRECT ANSWER required
explain deemed status - CORRECT ANSWER CMS assumes that the organization meets the conditions of participation if it is currently accredited by one of the accreditation organizations with deeming authority
when conducting an on-site survey, the JC uses__ methodology - CORRECT ANSWER tracer
agencies that retrospectively review patient records to ensure that the care provided by practitioners meets the federal standards for medical necessity, level of care, and quality of care for Medicare and Medicaid beneficiaries - CORRECT ANSWER QIO
granting approval for a healthcare organization to provide services to a specific group of beneficiaries - CORRECT ANSWER certification
Act of granting approval to a healthcare organization that has demonstrated satisfactory quality of services - CORRECT ANSWER accreditation
States Act of granting a healthcare organization or an individual health care practitioner permission to provide services of a Define scope in a limited geographical area - CORRECT ANSWER licensure
this type of healthcare organization review is conducted at the request of the healthcare facility seeking accreditation - CORRECT ANSWER voluntary review
this private, not-for-profit organization is committed to developing and maintaining practical, customer-focused standards to help organizations measure and improve the quality, value, and outcomes of Behavioral Health and Medical Rehabilitation programs - CORRECT ANSWER CARF
an accrediting agencies published rules, which serve as the basis for comparative assessment during the review or survey process is called - CORRECT ANSWER standards
before the on-site survey team leaves the healthcare facility they meet with the organization's leadership team and provide a report of their findings. This meeting is called? - CORRECT ANSWER exit conference
as part of the CARF accreditation process, reviewers examine policies and procedures, administrative rules and regulations, administrative records, human resource records, and their case records of patients. This process is called? - CORRECT ANSWER document review
Tucker - CORRECT ANSWER Parsons
Grant - CORRECT ANSWER Petersburg
Pendleton - CORRECT ANSWER Franklin
Randolph - CORRECT ANSWER Elkins
Pocahontas - CORRECT ANSWER Marlinton
Hardy - CORRECT ANSWER Moorefield
Hampshire - CORRECT ANSWER Romney
Mineral - CORRECT ANSWER Keyser
Morgan - CORRECT ANSWER Berkeley Springs
Berkeley - CORRECT ANSWER Martinsburg
Jefferson - CORRECT ANSWER Charles Town
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