Quality Improvement and Performance Management Flashcards
7 cards from real CHA 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 Improvement and Performance Management flashcards as text
What is the primary purpose of a Quality Assessment and Performance Improvement (QAPI) program in a hospice organization?
Answer: To systematically identify and address opportunities for improving care and organizational performance
QAPI programs exist to systematically identify problems and opportunities and implement measurable improvements in care quality and patient outcomes.
Under Medicare Conditions of Participation, how often must hospice organizations conduct QAPI activities?
Answer: On an ongoing and continuous basis
Medicare CoPs require QAPI to be ongoing and continuous, not periodic, to ensure consistent monitoring and improvement of care quality.
Which tool is most commonly used in hospice quality improvement to identify root causes of adverse events?
Answer: Fishbone (Ishikawa) diagram
The Fishbone (Ishikawa) diagram is a root cause analysis tool that helps teams visually map multiple contributing factors to a problem.
The PDSA cycle used in hospice quality improvement stands for:
Answer: Plan, Do, Study, Act
PDSA (Plan, Do, Study, Act) is a widely used improvement methodology that guides teams through iterative testing and refinement of process changes.
Which quality measure is specifically tracked in hospice care as part of the Hospice Item Set (HIS)?
Answer: Pain screening and assessment completion rate
Pain screening and assessment rate is a core HIS measure used to evaluate whether hospice organizations consistently assess patient comfort and symptom burden.
In hospice quality management, a 'sentinel event' is best defined as:
Answer: An unexpected occurrence involving death or serious physical or psychological harm
A sentinel event is an unexpected, serious adverse event that prompts immediate investigation and root cause analysis to prevent recurrence.
Which federal agency oversees collection of hospice quality data through the Hospice Item Set (HIS)?
Answer: Centers for Medicare & Medicaid Services (CMS)
CMS oversees the Hospice Item Set (HIS) data collection system as part of its quality reporting program for Medicare-certified hospice providers.