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ACMPE Quality Improvement and Compliance Flashcards

6 cards from real ACMPE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 ACMPE Quality Improvement and Compliance flashcards as text

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

    Answer: PDSA cycle

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

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

    Answer: Hospital Readmissions Reduction Program (HRRP)

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

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

    Answer: Healthcare Effectiveness Data and Information Set

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

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

    Answer: Accreditation Association for Ambulatory Health Care (AAAHC)

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

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

    Answer: Non-value-added activities (muda)

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

  6. Which compliance program element requires medical practices to establish a mechanism for employees to report suspected violations anonymously?

    Answer: Hotline or reporting system

    An anonymous reporting mechanism (hotline) is one of the seven core elements of an effective compliance program per OIG guidelines.

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