ACMPE ACMPE Quality Improvement and Compliance

Question 1

Which quality improvement methodology uses the Plan-Do-Study-Act cycle to drive continuous improvement in a medical practice?

Accepted Answer

PDSA cycle

Answer

The PDSA (Plan-Do-Study-Act) cycle is a scientific method for iterative testing and improvement of healthcare processes.

Question 2

Which federal program penalizes hospitals and practices for excessive rates of preventable readmissions within 30 days?

Accepted Answer

Hospital Readmissions Reduction Program (HRRP)

Answer

The HRRP reduces Medicare payments to hospitals with excess readmissions for specific conditions, incentivizing care coordination and follow-up.

Question 3

In healthcare quality measurement, what does the acronym HEDIS stand for?

Accepted Answer

Healthcare Effectiveness Data and Information Set

Answer

HEDIS is a set of standardized performance measures developed by NCQA used by health plans to assess quality of care and services.

Question 4

Which accreditation organization reviews medical group practices against national standards for quality and safety in the United States?

Accepted Answer

Accreditation Association for Ambulatory Health Care (AAAHC)

Answer

AAAHC is the primary accrediting body specifically for ambulatory healthcare organizations, including medical group practices.

Question 5

A medical practice implementing Lean methodology would primarily focus on eliminating which type of waste?

Accepted Answer

Non-value-added activities (muda)

Answer

Lean identifies and eliminates 'muda' (waste)—activities that consume resources without adding value from the patient's perspective.

ACMPE - American College of Medical Practice Executives Practice Test