CHA Quality Improvement and Performance Management 2

Question 1

The Hospice CAHPS survey primarily measures:

Accepted Answer

Caregiver and family perspectives on the quality of hospice care

Answer

Clinical staff competency scores

Answer

Regulatory compliance outcomes

Answer

Physician referral satisfaction ratings

Question 2

A performance benchmark in quality management is best described as:

Accepted Answer

A reference standard used to compare performance against industry peers or best practices

Answer

A punitive threshold triggering staff disciplinary action

Answer

A minimum regulatory standard set exclusively by state agencies

Answer

A one-time measurement taken at program initiation

Question 3

When conducting a Performance Improvement Project (PIP) in hospice, the FIRST step should be:

Accepted Answer

Defining and clarifying the specific problem or opportunity for improvement

Answer

Implementing the proposed solution immediately

Answer

Evaluating outcomes after testing a change

Answer

Presenting findings to the governing board

Question 4

Which data source is most appropriate for identifying trends in hospice patient symptom management outcomes?

Accepted Answer

Patient clinical assessments documented in the medical record

Answer

Staff employment records

Answer

Vendor invoices and supply orders

Answer

Medicare cost reports

Question 5

What is the purpose of a 'run chart' in hospice quality management?

Accepted Answer

To track a single performance measure over time to identify trends or patterns

Answer

To schedule staff shifts over a planning period

Answer

To compare multiple performance measures simultaneously

Answer

To document regulatory inspection findings

Question 6

Which of the following best represents a 'process measure' in hospice quality improvement?

Accepted Answer

The percentage of patients who received a pain assessment within 48 hours of admission

Answer

The percentage of patients who died completely pain-free

Answer

Family satisfaction score on the CAHPS survey

Answer

The 30-day live discharge rate

Question 7

Under CMS regulations, hospice organizations must submit Hospice Item Set (HIS) data within how many calendar days of a patient's admission or discharge?

Accepted Answer

14 days

Answer

30 days

Answer

60 days

Answer

90 days