51 Questions
Which organization is described as the country's largest health care accrediting organization?
The Joint Commission
What type of research provides evidence for quality assessment?
Clinical outcomes research
Which organization is highlighted as one of the largest payers of health care services in the country?
CMS
Who funds clinical outcomes research to provide evidence for quality assessment?
Federal and state agencies
Which organizations are mentioned as playing a role in improving the quality of health care?
All of the above
Which organization is described as having a profound joint influence on health care quality?
Accreditation organizations
Which agency is the primary source of funding for medical and behavioral research?
NIH
Which organization influences healthcare quality by setting and monitoring standards?
CMS
Which agency is the primary agency for disease prevention and control?
CDC
Which agency offers free continuing education events focusing on comparative effectiveness, quality/safety, and prevention/care management?
AHRQ
Which organization provides infection control advice and guidelines to the CDC?
HICPAC
Which agency developed the Systematic Review Data Repository?
AHRQ
Which agency safeguards patients and healthcare personnel against healthcare-associated infections?
CDC
Which organization requires health care organizations to meet Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) for quality and patient safety?
CMS
Which agency collaborates with partners like specialty societies and health systems for the creation of tools and materials?
AHRQ
Which agency disseminates time-sensitive information on health care events, outbreaks, and publications through a rapid notification system?
CDC
Which agency aims to improve quality and protect Medicare and Medicaid beneficiaries through their set conditions?
CMS
What is the main focus of the Centers for Medicare and Medicaid Services (CMS)?
Improving the quality of health care delivery
Which department does the Centers for Medicare and Medicaid Services (CMS) belong to?
Department of Health and Human Services
How many beneficiaries does the Centers for Medicare and Medicaid Services (CMS) have?
Over 100 million
What are the main components of CMS's quality improvement goals as outlined in the CMS Quality Strategy?
Enhancing care coordination, patient and population health, and health care delivery
When were the quality improvement initiatives (QIs) launched nationally by CMS?
2002
What types of health care facilities are covered by CMS's quality improvement initiatives?
Nursing homes, home health, hospitals, doctors' offices, and kidney dialysis facilities
What does CMS use quality measures for?
To evaluate and improve the quality of health care services for Medicare and Medicaid recipients
What is included in the CMS Quality Measures Inventory?
Measures used by CMS in various programs listed by program, reporting specifications, and endorsement status
'Acute Care Hospitalization: Unplanned Hospitalization during First 60 days of Home Health' measure reports what?
'Percentage of home health stays in which patients were admitted to an acute care hospital during the first 60 days following the start of the home health stay'
What is the primary purpose of CMS's Quality Measures Inventory?
To evaluate and improve the quality of health care services for Medicare and Medicaid recipients
What are some of the key areas outlined in the CMS Quality Strategy for quality improvement?
Improving patient safety, enhancing care coordination, and increasing focus on patient and population health
What is the main purpose of the Medicare Health Outcomes Survey (HOS)?
To improve health outcomes, pay for performance, and public reporting
Which agency is responsible for leading the National Quality Strategy and producing the National Healthcare Quality Report?
Agency for Healthcare Research and Quality (AHRQ)
What is the primary role of the Center for Clinical Standards and Quality (CCSQ)?
Monitoring program quality
What distinguishes home health stays that are excluded from the denominator in Quality Measures (QMs)?
They are for patients with discontinuous fee-for-service Medicare enrollment
What is the main focus of the Center for Medicare Innovation (CMI)?
Testing innovative payment models
Which data system is managed by the Agency for Healthcare Research and Quality (AHRQ) to assess consumers' experiences with health care services?
Consumer Assessment of Healthcare Providers and Systems (CAHPS)
What is the primary aim of the Agency for Healthcare Research and Quality (AHRQ)?
Improving the safety and quality of US healthcare through research
What does the National Quality Forum (NQF) aim to achieve?
Building consensus on national priorities and goals for performance improvement
Which organizations focused on developing standard measures of hospital quality and disseminating information in the late 1990s?
The National Quality Forum, the Leapfrog Group, and the Institute for Healthcare Improvement
What is the role of the National Quality Forum (NQF) in health care quality improvement?
Building consensus on national priorities and goals
Which organizations are recognized by the Office of Management and Budget (OMB) for their standardized performance measures?
The National Quality Forum and The Compliance Team
What is one of the distinct roles played by the National Quality Forum (NQF)?
Building consensus among public and private health care leaders
Who can demand compliance with the National Quality Forum (NQF) standards?
Payers of hospital services, such as insurance companies and the Medicare program
What is an example of an organization that develops performance measures endorsed by NQF?
The American Medical Association/Physician Consortium for Performance Improvement (PCP)
Which private, nonprofit organizations provide health care performance information to consumers and purchasers?
The Accreditation Association for Ambulatory Health Care, the American Association for Accreditation of Ambulatory Surgery Facilities, and the Community Health Accreditation Partner
What do both consumers and purchasers have a vital interest in?
Transparency through publicly available reports about hospital performance
What is a focus area for organizations related to health care quality?
Building consensus on national priorities and goals for performance improvement
What is the main focus of the Joint Commission (JC)?
Patient and staff safety, quality care, infection control, and error reduction
What is the purpose of JC's ORYX initiative?
To integrate performance measurement data into accreditation process, improving healthcare delivery and quality
What is the primary function of the National Committee for Quality Assurance (NCQA)?
Accrediting health plans and measuring their performance using HEDIS
What does HEDIS measure performance across?
Six domains: effectiveness, access, experience, utilization, health plan descriptive information, and electronic clinical data systems
Which organization accredits health plans using HEDIS and aims to improve health care quality?
National Committee for Quality Assurance (NCQA)
Which accrediting body focuses on patient and staff safety in healthcare organizations?
Joint Commission (JC)
Study Notes
- The Joint Commission (JC) is the oldest and largest health care accrediting organization in the US, with nearly 21,000 accredited organizations, including hospitals, nursing homes, and laboratories.
- Governed by a 21-member board, JC focuses on patient and staff safety, quality care, infection control, and error reduction.
- JC's state-of-the-art standards are developed with input from healthcare professionals, providers, consumers, and government agencies.
- JC's ORYX initiative integrates performance measurement data into accreditation process, improving healthcare delivery and quality.
- National Committee for Quality Assurance (NCQA), founded in 1990, accredits health plans and measures their performance using the Healthcare Effectiveness Data and Information Set (HEDIS).
- NCQA's mission is to improve health care quality, and its rigorous assessment includes structure, process, clinical quality, and patient satisfaction.
- HEDIS measures performance across six domains: effectiveness, access, experience, utilization, health plan descriptive information, and electronic clinical data systems.
- Other CMS-approved accrediting bodies for hospitals include the American Osteopathic Association's Healthcare Facilities Accreditation Program (HFAP), the Center for Improvement in Healthcare Quality (CIHQ), and DNV GL.
Learn about the AHRQ's efforts to improve health care decision making and service quality through research and data repositories, such as the Systematic Review Data Repository.
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