CHA Quality Improvement and Performance Management 3

Question 1

Which of the following is an 'outcome measure' in hospice quality reporting?

Accepted Answer

Family-reported satisfaction with end-of-life care on the CAHPS survey

Answer

Family-reported satisfaction scores represent an outcome measure because they reflect the overall result and perceived quality of the care experience, rather than whether a specific process step occurred.

Question 2

Which accreditation organization offers hospice-specific accreditation that can fulfill Medicare deemed-status requirements?

Accepted Answer

The Joint Commission (TJC)

Answer

The Joint Commission offers hospice accreditation with deemed status, meaning accredited organizations are considered to have met Medicare Conditions of Participation.

Question 3

A hospice QAPI committee identifies that 40% of patients are not receiving a bereavement follow-up call within 13 months of death. The BEST next step is to:

Accepted Answer

Conduct a root cause analysis to identify barriers to timely bereavement follow-up

Answer

A root cause analysis helps identify the specific barriers causing the gap, ensuring that corrective action addresses the actual problem rather than a symptom.

Question 4

The 'Triple Aim' framework in healthcare quality improvement focuses on improving:

Accepted Answer

Patient experience, population health, and per capita cost reduction

Answer

The Triple Aim, developed by the Institute for Healthcare Improvement (IHI), focuses on improving patient experience, improving the health of populations, and reducing per capita healthcare costs.

Question 5

When a hospice organization's quality data is reported publicly through CMS's Care Compare website, this is an example of:

Accepted Answer

Public transparency and consumer accountability

Answer

Public reporting on Care Compare promotes transparency and consumer accountability by allowing patients and families to compare hospice quality performance before selecting a provider.

CHA - Certified Hospice Administrator Practice Test

CHA - Certified Hospice Administrator Practice Test

CHA Quality Improvement and Performance Management 3