Quality Assurance & Standards Flashcards
7 cards from real CCS 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 & Standards flashcards as text
The ACC's National Cardiovascular Data Registry (NCDR) CathPCI Registry benchmarks percutaneous coronary intervention outcomes. Which 'bleeding' complication definition is used in the CathPCI Registry for quality reporting?
Answer: NCDR-defined bleeding requiring transfusion or prolonging hospitalization
The NCDR CathPCI Registry uses its own defined bleeding criteria—events requiring transfusion, causing hemodynamic compromise, or prolonging hospitalization—for benchmarking.
A hospital's heart failure readmission rate exceeds the national benchmark. Under the CMS Hospital Readmissions Reduction Program (HRRP), what financial consequence does the hospital face?
Answer: A reduction in base operating DRG payments for all Medicare discharges, up to a 3% penalty
Under HRRP, hospitals with excess readmissions for heart failure face a reduction in their base operating DRG payments for all Medicare discharges, with a maximum penalty of 3%.
In Lean quality methodology applied to a cardiac catheterization laboratory, which term describes any activity that consumes resources without adding value from the patient's perspective?
Answer: Muda (waste)
Muda is the Lean term for waste—any process step or activity that consumes time, materials, or labor without creating value for the patient.
A nuclear cardiology QA program requires that a dose calibrator be tested for accuracy using a certified reference standard. How frequently must accuracy testing be performed per NRC/Agreement State regulations?
Answer: At installation, after repair, and annually thereafter
NRC regulations (10 CFR 35.60) require dose calibrator accuracy testing at installation, after repair, and at least annually using a certified reference standard.
When performing a Failure Mode and Effects Analysis (FMEA) for a cardiac electrophysiology procedure, the Risk Priority Number (RPN) is calculated as:
Answer: Severity × Occurrence × Detectability
RPN = Severity × Occurrence × Detectability; higher RPNs indicate failure modes that should be prioritized for process improvement.
Which element is REQUIRED in an echocardiography report to meet ASE guidelines for a complete standard transthoracic echo?
Answer: Quantitative left ventricular ejection fraction with measurement method specified
ASE guidelines require that echo reports include quantitative LV ejection fraction with the measurement method (e.g., biplane Simpson's) specified as a standard reporting element.
A cardiovascular service line is implementing a Chest Pain Center accreditation program (Society of Cardiovascular Patient Care). Which operational criterion is mandatory for accreditation?
Answer: A 12-lead ECG obtained and interpreted within 10 minutes of ED arrival for chest pain patients
A mandatory criterion for Chest Pain Center accreditation is obtaining and interpreting a 12-lead ECG within 10 minutes of ED arrival for all chest pain patients.