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Pre-Assessment: Healthcare Quality Improvement and Risk Management E4xam 100% Accurate!!

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A. To deny reimbursement to the facility - ANSWER-A hospital officer reports the presence of multiple incidences of skin breakdown among the Medicare/Medicaid eligible patients who were admitted to the hospital. Admission assessment supports that the skin breakdown was not present at the time of ad...

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  • August 11, 2024
  • 22
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Pre-Assessment:
  • Pre-Assessment:
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papersmaster01
Pre-Assessment: Healthcare Quality
Improvement and Risk Management E4xam
100% Accurate!!

A. To deny reimbursement to the facility - ANSWER-A hospital officer reports the presence of
multiple incidences of skin breakdown among the Medicare/Medicaid eligible patients who were
admitted to the hospital. Admission assessment supports that the skin breakdown was not present
at the time of admission. What is the initial role of the Centers for Medicare and Medicaid in
providing oversight for this issue?



A. To deny reimbursement to the facility

B. To notify the state hospital association

C. To ensure the hospital opens a wound care clinic

D. To alert The Joint Commission to review the facility



D. To promote safety by investigating the incidents - ANSWER-A hospital officer reports that there
were multiple incidences in which toxic chemicals were incorrectly labeled that led to severe injuries
of two lab employees. The regulatory department that oversees this area of workplace accidents is
the Occupational Safety and Health Administration (OSHA).What is the role of OSHA in providing
oversight for this issue?



A. To discipline the staff involved in the event

B. To remove the hospital's accreditation status

C. To implement a quality improvement strategy

D. To promote safety by investigating the incidents




D. Institute a policy to identify patients most likely to fall and procedures to assist in ambulating -
ANSWER-A home health agency has audited occurrences of falls over the last 12 months. The
organization was cited by The Joint Commission for having insufficient fall prevention measures.
What should the home health agency do to resolve this issue?



A. Provide at-risk patients with 24-hour care

,B. Educate patients on actions to take after a fall

C. Report patient falls for the next two months and take action if falls continue to increase

D. Institute a policy to identify patients most likely to fall and procedures to assist in ambulating



B. Reduce the number of patients scheduled per time slot - ANSWER-A doctor's office recently
received results from a National Committee for Quality Assurance survey, which indicated that 75%
of patients at this office are dissatisfied with long wait times in the waiting room. What should the
doctor's office do to increase patient satisfaction?



A. Schedule patients with serious illnesses in the morning

B. Reduce the number of patients scheduled per time slot

C. Extend the daily office hours until later into the evenings

D. Decrease the amount of time spent treating each patient



B. Increase staff awareness on patient pain control techniques - ANSWER-A hospital recently
reviewed its data report for patient satisfaction and found that pain management is falling below the
hospital's 80% performance expectations. How can the hospital reach this performance expectation?



A. Increase the use of narcotics for patient pain control

B. Increase staff awareness on patient pain control techniques

C. Encourage patients to contact the primary care provider about pain

D. Encourage patients to understand pain is part of the healing process



D. Have departments in violation submit their action plans to senior management - ANSWER-Per the
workers compensation policy, a quarterly employee injury report was submitted to a hospital's safety
committee. The committee noted low compliance with the requirement that managers complete an
investigation within 24 hours of an employee injury. The hospital risk manager has requested action
plans from those departments with low compliance. Which action will bring the facility back into
compliance with this requirement?



A. Revise the hospital's policy to remove the investigation requirement

B. Send an e-mail to managers asking them to complete the investigations

C. Request the injured employee complete the investigation within 24 hours

D. Have departments in violation submit their action plans to senior management

, B. Identify the cause of variances from evidence-based interventions - ANSWER-An improvement
team at a nursing care center has been charged with reducing resident falls within the facility. Which
task should the team complete first?



A. Revise protocols and procedures for keeping residents safe

B. Identify the cause of variances from evidence-based interventions

C. Obtain benchmark data from other nursing care centers in the area

D. Analyze grievances and liability claims for residents who have been injured



A. Gather baseline data - ANSWER-A hospital improvement project is focused on reducing the time
between a patient discharge order and the patient's actual discharge. What should be the first step
of the project?



A. Gather baseline data

B. Define the sub-processes

C. Identify non-value added steps

D. Implement a discharge checklist



A. Because the food temperature is satisfactory - ANSWER-Residents in a nursing care center report
that food is cold when served. The center has developed an improvement plan that involves
monitoring the temperature of food when it leaves the kitchen and again when it is served. After
implementing the temperature log, the residents reported improvement. Why is this continuous
improvement practice successful?



A. Because the food temperature is satisfactory

B. Because the temperatures are now taken twice

C. Because the residents have timely meal delivery

D. Because the delivery is delayed by logging times

D. Business process re-engineering - ANSWER-An administrator wants to improve patient relations in
a clinic and starts by implementing a new survey to track patient satisfaction in key areas. Which
methodology should the administrator use to integrate the survey into current patient flow?



A. Advanced ISO 9001

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