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COPE health scholars exam questions and answers
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COPE health scholars exam questions and answers
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COPE health scholars exam questionsand answers
Define accreditation / health care accreditation - Answer -validation is dependent on
meeting pre-determined criteria established by an accrediting agency
an objective evaluation that helps measure, assess, and improve organizational
performance
a requirement to receive reimbursement from Medicare and Medicaid programs
What are the big 3 health care accrediting agencies - Answer -The Joint Commission
(TJC)
DNV GL
Healthcare Facilities Accrediting Program (HFAP)
A goal of patient safety was established with the dawn of new ways to identify patients.
The requirement to use at least 2 patient identifiers was established by what? - Answer
-the National Patient Safety Goals, by the TJC accrediting agency
What were the 2018 National Patient Safety Goals? (7) - Answer -- identify patients
correctly
-improve staff communication
- identify patient safety risks
-use alarms safely
-prevent infection
-use medicines safely
-prevent mistakes in surgery
What is the profile of the TJC? - Answer --acredits and certifies over 21000 health care
organizations and programs
-on site survey every 3 years
-standards for accreditation: national patient safety goals and other leading practices
What does DNV GL stand for - Answer -Det Norske Veritas Germanischer Lloyd SE
DNV GL profile - Answer -accredits and certifies over 500 health care organizations
on site surveying every year
, Standards: NIAHO program- ISO 9001 & CMS' CoPs
What does NIAHO stand for, what is it comprised of, and what does it do - Answer -
National Integrated Accreditation for Health Care Organization
Comprised of
-CMS' CoPs
-ISO 9001 Quality Management Program
Requires that hospital establish a reasonable means to comply with the conditions that
can be documented and monitored
What does ISO stand for - Answer -International Organization for Standardization
-develops international standards
-ISO90001 is a standard that sets requirements for quality management system
A quality management system defines ___________ - Answer -how to meet
requirements of customers - each organization then defines their own objectives and
pursues continual improvement (helps organizations with efficiency, customer
satisfaction, continual improvement)
What does HFAP stand for - Answer -Healthcare Facilities Accreditation Program
What is the HFAP profile - Answer --accredits and certifies nearly 200 hospitals
-on site survey every 3 years
-standards for accredation: CMS' CoPs and other quality and patient safety standards.
What are the compenents (5) of the US healthcare system - Answer -providers,
consumers, community/social determinants of health, regulation and compliance
agencies, health insurance plans
What makes up the stakeholders of health services - Answer -Consumers (top of
pyramid)
Regulators (left)
community SDOH (back)
Providers (front)
Payers (right)
Who makes up the Payers subsection of the Health Services Delivery? - Answer -
Government (medicare and medicaid)
Private (HMO, PPO)
Un-insured (47million Americans who have no insurance and must pay out of pocket)
Who makes up the regulators in the Health Services triangle? - Answer -Policy
(Government agencies (CMS), Volunteer Organizations (AMA))
Compliance (Accrediting agencies, Government Agencies (NCQA)
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