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Federal regulations require that states who contract with Medicaid managed care organizations (MCO) or Prepaid Inpatient Health Plans (PIHP) do which of the following?Review credentialing and board certifications for all physicians providing care to Medicaid recipients Analyze inpatient data to evaluate hospital performance Review malpractice claims submitted on the behalf of Medicaid recipients CCoorrrreecctt!!Conduct an external quality review of each entity to ensure it is providing quality care.
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HCA 375 WEEK 5 FINAL EXAM LATEST 2022 -2024 /
HCA375-WEEK 5 FINAL EXAM 2022-2024 | REAL
EXAM QUESTIONS AND ANSWERS ALREADY
GRADED A
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CCoorrrreecctt!!The answer can be found in H1, Introduction, in Principles of
Healthcare Quality Management: Tools and Applications.
teams working together to find solutions system based approach individual based approach reducing medical errors and improve patient safety
The premise of the IOM report To Err Is Human: Building a Safer Health
System is
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Which industry was the first to implement Continuous Quality Improvement?Technological Health Care AAnnsswweerreedd Aviation rect Answer Automobile
The answer can be found in Section 1.3, State Efforts in Principles of Healthcare Quality Management: Tools and Applications. 2 / 4
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Question 4 1 / 1 pts Which organization promoted use of a surgical safety checklist that includes having the patient confirm their identity, as well as the surgery site, procedure to be performed, and give consent prior to surgery?The Joint Commission (TJC) National Committee on Quality Assurance (NCQA) CCoorrrreecctt!! World Health Organization (WHO) National Institute of Health (NIH) The answer can be found in Section 1.3. Global, National, Regional, and State Systems, under Global Efforts in Principles of Healthcare
Quality Management: Tools and Applications.
The organization that is best known for evaluating hospitals and physicians based on clinical outcomes and patient surveys is CCoorrrreecctt!! Healthgrades The Joint Commission The Leapfrog Group
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The answer can be found in Section 1.2, The Patient Safety Movement and Improving Systems in Principles of Healthcare Quality
Management: Tools and Applications. 3 / 4
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CCoorrrreecctt!!The answer can be found in Section 1.2, A New Concept for Health
Care in Principles of Healthcare Quality Management: Tools and
Applications.establish standards of how health care is delivered improve the use of technology in health care educate organizations on improving service and quality of goods sold improve manufacturing in post-World War II Japan Quality improvement did not begin in the health care industry. It came to the forefront as a way to
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National Institute for Health and Care Excellence (NICE) wrote guidelines called “red-flag,” which were prompted by what event(s)?CCoorrrreecctt!! High mortality rates in patients admitted as emergencies Pediatric patient received an “adult dose” of medication resulting in death
National Committee on Quality Assurance The answer can be found in Section 1.2, Reputations and Public Disclosure of Quality Measures in Principles of Healthcare Quality
Management: Tools and Applications.
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