CPXP Exam Study Guide|226 Questions with 100% Correct Answers | Updated & Verified|33 Pages
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CPXP
How did the report of quality measures to CMS begin? - ️️Hospitals could voluntarily report quality measures starting in 2001- adapting to current state from there
What is HCAHPS - ️️Hospital Consumer Assessment of Healthcare Providers and System
What are some metrics for outcome of c...
How did the report of quality measures to CMS begin? - ✔ ✔ Hospitals could voluntarily report quality measures starting in 2001 - adapting to current state from there Wha t is HCAHPS - ✔ ✔ Hospital Consumer Assessment of Healthcare Providers and System What are some metrics for outcome of care? - ✔ ✔ mortality, readmission, complications, hospital associated infections Describe "Pay for performance" - ✔ ✔ provide financia l incentives to hospitals, physicians, and other providers to carry out improvement and achieve optimal outcomes for patients What are some reasons patients may not voice their complaints? - ✔ ✔ Don't know where to complain, afraid of retribution, not wor th the trouble What are the IOM six aims of for quality (established in 2001) - ✔ ✔ Safe, time, effective, efficient, equitable, patient -centered (STEEEP) What is the IHI triple aim? - ✔ ✔ improve patient experience, improve health of populations, reduce per capita cost Describe health literacy - ✔ ✔ capacity to obtain, process and understand basic health information needed to make appropriate health decisions What percentage of adults are estimated to have a proficient health literacy - ✔ ✔ 12 % Which year was the American Society for Hospital Risk Management formed? - ✔ ✔ 1980 What was the original name for the CMS - ✔ ✔ Health Care Financing Administration What is the definition of Culture (Irwin Press) - ✔ ✔ Culture exists when its members share v alues and behaviors that they take for granted What is empathy - ✔ ✔ the ability to understand and share the feelings of another What percentage of CMS reimbursement is dependent on patient satisfaction scores - ✔ ✔ 1% What are the 4 basic needs that should be met to create an ideal patient experience - ✔ ✔ confidence, integrity, pride, passion In which year did hospitals establish patient advocates and representatives? - ✔ ✔ 1965 In which year did the American hospita l association develop patients bill of rights - ✔ ✔ 1973 What is the RATER scale and when was it developed - ✔ ✔ Reliability, Assurance, Tangibles, Empathy, Responsiveness (early 80s) What are some of the key concepts of the Planetree model - ✔ ✔ Importa nce of social support, patient/resident education, healing environment (design - iron curtain) In which year were Diagnostic Related Groups (DRG) introduced? - ✔ ✔ 1983 What is the Emergency Medical Treatment and Labor Act (EMTALA) and when was it establi shed - ✔ ✔ requires hospitals to stabilize any patient who shows up in the ER regardless of ability to pay (1986) When was the Health Insurance Portability and Patient Protection Act (HIPPA) created? - ✔ ✔ 1996 In which year did the IOM publish the repor t "To Err is Human" regarding the significance of medical errors - ✔ ✔ 1999 What is the IPFCC - ✔ ✔ Institute for patient family -centered care What are some of the limitations to the Press Ganey surveys - ✔ ✔ low return rate, minorities underrepresented What is a "Likert" scale - ✔ ✔ Ex: Very poor, poor, fair, good, very good What is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) - ✔ ✔ first national standardized publicly reported survey of patients perceptions of hospital experience What are the main functions of the Office of Patient Relations - ✔ ✔ Provide a centralized mechanism for addressing patient concerns, liaison between patients and medical providers What are the main goals of the Office of Patient Relations at Rush - ✔ ✔ Understand service gaps through increased complaint capture Improve complaint resolution time What is a level 1 complaint - ✔ ✔ concern addressed immediately by employee What is a level 2 complaint - ✔ ✔ addressed at employee or escalated to management with additional tools (coupons, parking, flowers) What is a le vel 3 complaint - ✔ ✔ employee escalates to manager refers patient/family or concern to patient relations What are the characteristics of hospitals that did well with value based purchasing? - ✔ ✔ smaller, didn't train residents, more affluent patient mix , for profit What are the characteristics of hospitals that did NOT do well with value based purchasing? - ✔ ✔ bigger, teaching hospitals, poor patients, govt owned What is the goal of Partnership for Patients - ✔ ✔ decrease preventable hospital -acquired conditions, decrease preventable complications during care center transition When did Medicare Physician Pay for Performance begin? - ✔ ✔ started in 2015 for some physicians and physician groups - projected to be for all physicians by 2017 What does the RUSH way stand for? - ✔ ✔ systematic approach to process improvement (Ready, understand, solve, hold) Time frame that AHA establishes membership group: National society for patient representation and consumer affairs - ✔ ✔ early 70's Which year did AHA d evelop and adopts patients bill of rights? - ✔ ✔ 1973 What was the Karen Quinian case? - ✔ ✔ Young women slipped into coma after drug interaction with alcohol (ethics of euthanasia)
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