Healthcare Analytics Performance Measurement & Reporting Flashcards
7 cards from real HAC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Healthcare Analytics Performance Measurement & Reporting flashcards as text
Which CMS value-based care program adjusts Medicare payments to hospitals based on performance in safety, clinical outcomes, efficiency, and patient experience domains?
Answer: Hospital Value-Based Purchasing (HVBP) Program
The Hospital VBP Program adjusts Medicare inpatient payments based on hospital performance across four quality and efficiency domains.
When building a predictive model to identify patients at high risk for hospital admission, which evaluation metric BEST captures performance when the outcome is rare (e.g., <5% of the population)?
Answer: Area under the ROC curve (AUC-ROC)
AUC-ROC evaluates the model's ability to discriminate between positive and negative cases across all thresholds, making it appropriate for imbalanced outcomes.
A quality analyst is creating a Pareto chart of reasons for patient discharge delays. The PRIMARY purpose of this chart is to:
Answer: Identify the few factors that account for most of the delays
A Pareto chart applies the 80/20 principle to visually identify the vital few causes that drive the majority of a problem.
Which data governance principle ensures that a single authoritative source exists for key healthcare data elements such as patient identifiers or diagnosis codes?
Answer: Master data management (MDM)
Master data management establishes a single, authoritative source of truth for critical reference and entity data across an organization.
Under the Triple Aim framework, reducing unnecessary emergency department visits by high-utilizing patients primarily addresses which aim?
Answer: Reducing per capita cost of healthcare
Reducing avoidable high-cost utilization like ED visits directly lowers the per capita cost component of the Triple Aim.
A hospital analyst is using ICD-10-CM Present on Admission (POA) indicators to support quality measurement. What is the PRIMARY use of POA indicators?
Answer: To distinguish conditions that developed during hospitalization from those present at admission
POA indicators allow payers and quality programs to exclude pre-existing conditions when attributing hospital-acquired complications.
Which approach is MOST appropriate when a healthcare organization wants to assess performance on a measure where no established national benchmark exists?
Answer: Compare current performance to the organization's own historical trend
When external benchmarks are unavailable, internal trend analysis allows organizations to track improvement direction and magnitude over time.