Quality Assurance and Improvement Flashcards
7 cards from real ABFM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance and Improvement flashcards as text
The Donabedian model evaluates healthcare quality using three dimensions. Which correctly lists all three?
Answer: Structure, process, outcome
Avedis Donabedian described quality assessment using structure (resources/settings), process (what is done), and outcomes (results of care).
A family medicine practice participates in a regional collaborative and compares its hypertension control rates against peer practices. This process is best described as:
Answer: Benchmarking
Benchmarking involves comparing performance metrics against external standards or peer organizations to identify gaps and best practices.
Under the ACA's Hospital Readmissions Reduction Program, which family medicine action most directly reduces CMS financial penalties for a partnering hospital?
Answer: Ensuring timely post-discharge follow-up and medication reconciliation
Timely post-discharge follow-up and medication reconciliation are evidence-based outpatient strategies that reduce 30-day readmissions.
Which HEDIS measure is most relevant for assessing comprehensive diabetes care in a primary care quality report?
Answer: Comprehensive Diabetes Care (CDC) — including HbA1c, nephropathy screening, eye exam
The HEDIS Comprehensive Diabetes Care (CDC) measure bundle tracks multiple evidence-based diabetes care processes including HbA1c, kidney disease monitoring, and retinal screening.
A physician reviews her own prescribing data compared to peers and evidence-based guidelines as part of a quality activity. This is an example of:
Answer: Audit and feedback
Audit and feedback involves collecting provider performance data and sharing it with the provider to promote behavior change toward evidence-based practice.
In population health management within primary care, which approach best exemplifies proactive panel management?
Answer: Using registry data to identify and reach out to patients overdue for care
Proactive panel management uses registries to identify care gaps and reach out to patients before problems occur, rather than waiting for patients to present.
Which metric is a key component of the CMS Merit-based Incentive Payment System (MIPS) quality performance category?
Answer: Performance on evidence-based quality measures relevant to the clinician's specialty
MIPS Quality requires clinicians to report on a set of evidence-based quality measures and is scored on performance against benchmarks.