HAC Healthcare Analytics Performance Measurement & Reporting 4

Question 1

Which CMS value-based care program adjusts Medicare payments to hospitals based on performance in safety, clinical outcomes, efficiency, and patient experience domains?

Accepted Answer

Hospital Value-Based Purchasing (HVBP) Program

Answer

The Hospital VBP Program adjusts Medicare inpatient payments based on hospital performance across four quality and efficiency domains.

Question 2

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)?

Accepted Answer

Area under the ROC curve (AUC-ROC)

Answer

AUC-ROC evaluates the model's ability to discriminate between positive and negative cases across all thresholds, making it appropriate for imbalanced outcomes.

Question 3

A quality analyst is creating a Pareto chart of reasons for patient discharge delays. The PRIMARY purpose of this chart is to:

Accepted Answer

Identify the few factors that account for most of the delays

Answer

A Pareto chart applies the 80/20 principle to visually identify the vital few causes that drive the majority of a problem.

Question 4

Which data governance principle ensures that a single authoritative source exists for key healthcare data elements such as patient identifiers or diagnosis codes?

Accepted Answer

Master data management (MDM)

Answer

Master data management establishes a single, authoritative source of truth for critical reference and entity data across an organization.

Question 5

Under the Triple Aim framework, reducing unnecessary emergency department visits by high-utilizing patients primarily addresses which aim?

Accepted Answer

Reducing per capita cost of healthcare

Answer

Reducing avoidable high-cost utilization like ED visits directly lowers the per capita cost component of the Triple Aim.

(HAC) Healthcare Analytics Certification Practice Test

(HAC) Healthcare Analytics Certification Practice Test

HAC Healthcare Analytics Performance Measurement & Reporting 4