RHIT Performance Improvement and Quality Management 3

Question 1

Which organization is responsible for the Healthcare Effectiveness Data and Information Set (HEDIS), used to measure health plan performance?

Accepted Answer

NCQA

Answer

HEDIS is developed and maintained by the National Committee for Quality Assurance (NCQA) and is used by more than 90% of U.S. health plans to measure performance on key dimensions of care.

Question 2

In performance improvement, what does a 'tracer methodology' involve?

Accepted Answer

Following a patient's care experience across departments to evaluate systems

Answer

The Joint Commission's tracer methodology evaluates the care, treatment, and services delivered to individual patients by tracing their experience through the organization's processes and systems.

Question 3

A HIM department notices that the average discharge record completion time increased from 14 days to 22 days over six months. The FIRST step in a formal performance improvement process would be to:

Accepted Answer

Define and measure the problem clearly

Answer

In the PDCA or DMAIC framework, the first step is to define and measure the problem before analyzing root causes or implementing solutions.

Question 4

Which quality measure is used to evaluate the proportion of patients who develop a complication that was not present on admission?

Accepted Answer

Hospital-acquired condition (HAC) rate

Answer

Hospital-acquired condition (HAC) rates measure complications or conditions that develop during a hospital stay and were not present on admission, serving as a key patient safety quality indicator.

Question 5

The goal of a 'case mix index' (CMI) in a quality and performance context is to:

Accepted Answer

Reflect the relative complexity and resource intensity of patients treated

Answer

The case mix index (CMI) is a measure of the relative clinical complexity and resource consumption of a hospital's patient population, calculated from DRG weights.

RHIT - Registered Health Information Technician Practice Test

RHIT - Registered Health Information Technician Practice Test

RHIT Performance Improvement and Quality Management 3