ABQAURP(HCQM) EXAM STUDY GUIDE
WITH QUESTIONS AND ANSWERS
RATED A.
ACA- Affordable Care Act
✔✔March 2010- 10 Titles
1-mandate health care coverage
3-test new ways to deliver care to pts-better care, lower cost
PPS-Prospective Payment System
✔✔decreased Medicare and Medicaid payments to hosp c higher than
expected readmission rates
MI, CHF, pneumonia
Transition of Care
✔✔action to ensure coordination and continuity of health care. Assist in
change of care ie to palliative
4 week program
annual intervention 196$ per pt
TCN- transition Care Nurse
esp c pt c chronic conditions and complex care needs
savings 1,362/pt
Project RED-project reengineered D/C
✔✔From BU, r. Jack a more efficient d/c system
,-educate about dc dx
-discuss test
-reconcile meds
-coordinate appts
-expedite d/c summary to PCP
-give written d/c DEMONSTRTED 30% lower 30d readm rate
Project BOOST-better outcomes for older adults through Safe transitions
✔✔goal to reduce 30d readm rates, inprove pt satisfaction, improve flow
of info, identify high risk pts
STAAR-state action on avoidable hospitalization initiative
✔✔launched by IHI(institute for healthcare improvement)
-focus on readm rates
H2H-hospital to home
✔✔developed by ACA to reduce cardiovascular readm rates.
-competent c meds
-fu scheduled
-know s/s of needing medical attention.
Dr. Codman, Boston Surgeon
✔✔started standards and accreditations in early 20th century
AAAHC accreditation assoc for ambulatory health care
✔✔accredits over 5k ambulatory health care orgs.
, AAASF-American ass for accreditation of ambulatory surg facilities
✔✔- improve the quality of medical and surgical care in ambulatory surg
facilities
ACR-American college of radiology
✔✔-medical imaging
Malcolm bridge national quality program
✔✔given by President of USA to business or health care org that judged
to be outstanding in 7 area, leadership, planning, customer focus, HR
focus, process mgt.
CAP-college of pathologists
✔✔laboratories
CARF-commission of accreditation of Rehab facilities
✔✔disability, addiction and substance abuse facility
CHAP-community health accreditation prog
✔✔not for profit accrediting body for health hospice and DME
HFEP=healthcare facilities accreditation program
✔✔hopst, ambulatory care, ,mental health and rehab
IAC-Intersocietal accreditation comm
✔✔accreditation for vascular services, echo, nuclear and carotid stents
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