CPXP Exam Study Guide (in progress) Questions with Complete Solutions 2023/2024 How did the report of quality measures to CMS begin? - Correct Answer Hospitals could voluntarily report quality measures starting in 2001- adapting to current state from there What is HCAHPS - Correct Answer Hospital Consumer Assessment of Healthcare Providers and System What are some metrics for outcome of care? - Correct Answer mortality, readmission, complications, hospital associated infections Describe "Pay for performance" - Correct Answer provide financial 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? - Correct Answer Don't know where to complain, afraid of retribution, not worth the trouble What are the IOM six aims of for quality (established in 2001) - Correct Answer Safe, time, effective, efficient, equitable, patient-centered (STEEEP) What is the IHI triple aim? - Correct Answer improve patient experience, improve health of populations, reduce per capita cost Describe health literacy - Correct Answer 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 - Correct Answer 12 % Which year was the American Society for Hospital Risk Management formed? - Correct Answer 1980 What was the original name for the CMS - Correct Answer Health Care Financing Administration 1 / 3
What is the definition of Culture (Irwin Press) - Correct Answer Culture exists when its members share values and behaviors that they take for granted What is empathy - Correct Answer the ability to understand and share the feelings of another What percentage of CMS reimbursement is dependent on patient satisfaction scores - Correct Answer 1% What are the 4 basic needs that should be met to create an ideal patient experience - Correct Answer confidence, integrity, pride, passion In which year did hospitals establish patient advocates and representatives? - Correct Answer 1965 In which year did the American hospital association develop patients bill of rights - Correct Answer 1973 What is the RATER scale and when was it developed - Correct Answer Reliability, Assurance, Tangibles, Empathy, Responsiveness (early 80s) What are some of the key concepts of the Planetree model - Correct Answer Importance of social support, patient/resident education, healing environment (design- iron curtain) In which year were Diagnostic Related Groups (DRG) introduced? - Correct Answer 1983 What is the Emergency Medical Treatment and Labor Act (EMTALA) and when was it established - Correct Answer 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? - Correct Answer 1996 In which year did the IOM publish the report "To Err is Human" regarding the significance of medical errors - Correct Answer 1999 2 / 3
What is the IPFCC - Correct Answer Institute for patient family-centered care What are some of the limitations to the Press Ganey surveys - Correct Answer low return rate, minorities underrepresented What is a "Likert" scale - Correct Answer Ex: Very poor, poor, fair, good, very good What is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) - Correct Answer first national standardized publicly reported survey of patients perceptions of hospital experience What are the main functions of the Office of Patient Relations - Correct Answer 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 - Correct Answer Understand service gaps through increased complaint capture Improve complaint resolution time What is a level 1 complaint - Correct Answer concern addressed immediately by employee What is a level 2 complaint - Correct Answer addressed at employee or escalated to management with additional tools (coupons, parking, flowers) What is a level 3 complaint - Correct Answer 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? - Correct Answer smaller, didn't train residents, more affluent patient mix, for profit
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