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HCA 375 Entire Course For more course tutorials visit www.tutorialrank.com You can check the details of All quizzes under individual Products HCA 375 Week 1 DQ 1 CQI Process HCA 375 Week 1 DQ 2 Promoting CQI Efforts HCA 375 Week 1 Quiz (2 Set) HCA 375 Week 2 DQ 1 Comparative Performance HCA 375 Week 2 DQ 2 Managed Care HCA 375 Week 2 Assignment Customer Satisfaction Improvement Plan (2 Papers) HCA 375 Week 2 Quiz (2 Set) HCA 375 Week 3 DQ 1 CQI Models HCA 375 Week 3 DQ 2 Mandates and Cost HCA 375 Week 3 Quiz (2 Set) HCA 375 Week 4 DQ 1 CQI Methodologies HCA 375 Week 4 DQ 2 Joint Commission Standards and Processes HCA 375 Week 4 Assignment Adverse Event Reporting (2 Papers) HCA 375 Week 4 Quiz (2 Set) HCA 375 Week 5 DQ 1 Communication and Teamwork HCA 375 Week 5 Exam (100 Questions) ============================================== HCA 375 Final Exam (100 Question) For more course tutorials visit www.tutorialrank.com


100-question multiple-choice exam HCA 375 Final Exam (100 Question) 1. Federal regulations require that states who contract with Medicaid managed care organizations (MCO) or Prepaid Inpatient Health Plans (PIHP) do which of the following? Question 2. The organization that is best known for evaluating hospitals and physicians based on clinical outcomes and patient surveys is Question 3. The Network for Regional Health Improvement (NRHI) created a network of regional health improvement collaborative made up of four groups. What are the four groups? Question 4. of

Quality improvement is the responsibility

Question 5. The two Institute of Medicine reports that increased awareness on the health care industry quality related issues are Question 6. The organization that assists poverty stricken countries to find solutions to their health and development problems is Question 7. If an organization is analyzing information to determine the success or failure of different interventions, then the organization is likely in which phase of the PDSA cycle? Question 8. Health care organizations began working more intensely on quality improvement projects due to issues


with the health care system. What spurred health care organizations to change? Question 9. What year was the Network for Regional Health Improvement (NRHI) formed? Question 10. Organizations interested in global quality improvement include all of the following EXCEPT Question 11. During the pre-industrial era, what would we mostly likely see? Question 12. Significant improvements occurred during the post-industrial behavior. Which of the following is considered the most significant? Question 13. Which is an example of what occurred during the pre-industrial era of health care? Question 14. CAHPS assesses consumers’ experience with health care. Which organization developed CAHPS? Question 15. National Committee for Quality Assurance monitors the quality of care delivered by Question 16. due to

Hospital spending increased in the 1960S

Question 17. The reimbursement method under Accountable Care Organizations is based on the premise that providers Question 18. The agency that is responsible for the nation’s health by educating citizens to prevent and control health threats is called


============================================== HCA 375 Week 1 DQ 1 CQI Process For more course tutorials visit www.tutorialrank.com CQI Process. Review the illustration of the Plan-Do-Study-Act (PDSA) model on the Institute for Health Care Improvement website. Identify an issue at your work, home, or community that could use improvement. After reviewing the information about the Plan-Do-Study-Act (PDSA) model, list your answers to the top three questions and list the personnel to include on a team that would develop the action plan for improvement. · What are we trying to accomplish? · How will we know that a change is an improvement? · What changes can we make that will result in improvement? ============================================== HCA 375 Week 1 DQ 2 Promoting CQI Efforts For more course tutorials visit www.tutorialrank.com Promoting CQI Efforts. The Institute of Medicine (IOM) developed six specific aims to ensure the delivery and improvement of health care. Choose two from the six aims: Safe, effective, patient- centered, timely, efficient and equitable (Institute of Medicine, 2001). Of the two aims you chose, discuss


the effects on the delivery of quality care. Give an example of how a hospital or physician practice can meet these aims. ============================================== HCA 375 Week 1 Quiz (2 Set) For more course tutorials visit www.tutorialrank.com HCA 375 Week 1 Quiz (2 Set)

Grade Details - All Questions Question 1. Which expanded health insurance coverage to a large number of uninsured in the United States? Question 2. If an organization is analyzing information to determine the success or failure of different interventions, then the organization is likely in which phase of the PDSA cycle? Question 3. Quality improvement did not begin in the health care industry. It came to the forefront as a way to Question 4. of

Quality improvement is the responsibility

Question 5. A third-party organization contracted by Medicare to review care received by Medicare beneficiaries and to investigate complaints is called


Question 6. Dr. William Edwards Deming is considered the father of quality improvement. Which CQI model did he create? Question 7. National Institute for Health and Care Excellence (NICE) wrote guidelines called “red-flag,� which were prompted by what event(s)? Question 8. The most common quality improvement methodologies are all EXCEPT Question 9.

HEDIS stands for

Question 10. Which is not one of the three-measure framework of assessing quality care? Question 11. Services created

The Department of Health and Human

Question 12.

An example of quantitative methods is

Question 13.

One category HEDIS measures is

Question 14. One of the first organizations established to monitor quality assurance was Question 15.

The Joint Commission is

Grade Details - All Questions Question 1. Assurance is

The National Committee of Quality


Question 2. The premise of the IOM report To Err Is Human: Building a Safer Health System is Question 3.

The Leapfrog Group

Question 4. Consumers can find information on a physician’s delivery of care through health plans. These reports are called Question 5.

One category HEDIS measures is

Question 6. Services created

The Department of Health and Human

Question 7. are

Healthgrades.com and Vitals.com

Question 8. The organization that assists poverty stricken countries to find solutions to their health and development problems is Question 9. Which industry was the first to implement Continuous Quality Improvement? Question 10. Which is not one of the three-measure framework of assessing quality care? Question 11. The six aims of quality care created by the Institute of Medicine are safe, effective, patient-centered, timely, efficient, and equitable, which are similar to what? Question 12. The most common quality improvement methodologies are all EXCEPT


Question 13.

Which is an example of Process?

Question 14. An example of the six aims created by the Institute of Medicine’s efficient care is Question 15. EXCEPT

The characteristics of quality are all

============================================== HCA 375 Week 2 Assignment Customer Satisfaction Improvement Plan (2 Papers) For more course tutorials visit www.tutorialrank.com This Tutorial contains 2 Papers Paper 1: Emergency Department Paper 2: Car Repairs Customer Satisfaction Improvement Plan. Most people have experienced frustration when talking with customer service at least once. Often, organizations provide satisfaction surveys to customers in order to evaluate their experience. In the health care field, accrediting agencies require providers to measure patient satisfaction through surveys. You will be using the Customer Satisfaction Improvement Plan templatedocument to enter all of your information. Note: If you have responded substantively to each of the content items within the template of the assignment, the template document should be between three and four pages.


1. Choose one of the customer experience scenario options below: · Customer contacted a Health Plan Customer Service department but could not understand the representative. · Customer scheduled an appointment with a primary care physician for an acute illness and there were no appointments available. · Customer had an appointment for lab testing or a diagnostic test (MRI, CT scan, etc.) and the facility environment was disorderly and unclean. · Customer visited the Emergency Department (ED), also known as Emergency Room, but the wait time was extensive (over three hours). · Customer’s car repairs estimate was $200.00, however, the actual bill was $900.00 when repairs were completed. · Customer contacted a cable company to have an installation of internet and cable for their home. Installer arrived and did not know how to do internet installations. 2. Respond to the questions listed in the Customer Satisfaction Improvement Plan template document. Once you have responded to all of the questions in the template, your document should be between three and four pages. 3. Describe the patient satisfaction scenario chosen. Include enough detail on what occurred to ensure the reader has a full understanding of what occurred. 4. Describe a minimum of three data elements you would gather to fully assess the situation and assist you with improving the customer satisfaction scenario you chose. 5. Outline the CQI methods you would utilize to develop your improvement plan. Then, explain your plan for improvement. Provide a statement from a scholarly source that supports your plan. 6. Identify three stakeholders on your team and discuss how the communication method differs for each (e.g., physician, administration/management, and health care staff). Include


information on the barriers that may be encountered in communicating effectively within the team and when implementing the plan. 7. Analyze how cost and quality are linked based on your chosen scenario. Include information on the potential impact to the organization if the issue is not resolved. 8. Describe how you will be evaluating the success or failure of the plan. Discuss the process. Provide a minimum of one statement from a scholarly source that supports your evaluation plan. ============================================== HCA 375 Week 2 DQ 1 Comparative Performance For more course tutorials visit www.tutorialrank.com

Comparative Performance. Visit the Quality Check page of The Joint Commission website, enter the name and state of a health care organization within 100 miles of your home, and select search. Take the following steps to find two health care organizations: · Under the column organization name or number, type the healthcare organization name and state (e.g., Hospital – Hurley Medical Center, Michigan). · Once the chosen organization appears, click the View Accreditation Quality Report link. Once the summary of the report appears, click on the Accreditation National Safety goals link in the left navigation bar. You will be able to view the patient safety goals that were measured for the organization as it is compared to the national average. You will be able to view information that is more specific by clicking the See Detail link for each patient safety goal measured.


Identify two health care organizations that show a need for improvement in one specific area. After reviewing your findings, state the National Safety Goals and National Quality Improvement Goals where the facilities needed to improve. Compare and contrast the differences between the two facilities. In addition, list two recommendations that you feel would improve that particular area. Note that you may find a hospital that has achieved a high score. However, there is always room for improvement. ============================================== HCA 375 Week 2 DQ 2 Managed Care For more course tutorials visit www.tutorialrank.com Managed Care. After reading Chapters 3 and 4, you should be familiar with the many stakeholders involved in the health care system. In the early 70’s legislation was created for the establishment of Health Maintenance Organizations (HMOs) in an attempt to reduce health care costs due to the excessive spending of the fee-for-service health plans. Considering the reason for their creation, discuss your opinion regarding why managed care organizations did or did not have the intended effect. List two examples that prove your point. ============================================== HCA 375 Week 2 Quiz (2 Set) For more course tutorials visit www.tutorialrank.com HCA 375 Week 2 Quiz (2 Set)


Grade Details - All Questions Question 1.

An integrated delivery system

Question 2. The largest accrediting agency of health care organizations in the United States is Question 3. Organization?

Which of the following is an Accreditation

Question 4. This act promises the delivery of quality care through incentive programs and changes in reimbursement methods. What is it called? Question 5. organizations are

Two types of health maintenance

Question 6. is that PPOs plans

The difference between HMOs and PPOs

Question 7. Capitation is a reimbursement method utilized my health maintenance organizations. Which describes capitation? Question 8. Which is the name of the accrediting body for medical colleges during the post-industrial era? Question 9. care?

What is meant by globalization in health

Question 10. One of the reasons why the U.S. health care system is considered fragmented is because


Question 11.

Operational decisions and guidelines

Question 12. The act that made it possible for organizations to put pressure on health care providers to decrease costs is called Question 13. Significant improvements occurred during the post-industrial behavior. Which of the following is considered the most significant? Question 14. The country that spends more on health care per capita than any other is Question 15. Three organizations besides The Joint Commission can offer accreditation to health care organizations. Which is NOT one of the three?

Grade Details - All Questions Question 1. This act limited the use of pre-existing medical conditions to prevent an employee from obtaining health insurance coverage and mandated health care providers to protect electronic personal health information. What is it called? Question 2. National Committee for Quality Assurance monitors the quality of care delivered by Question 3. Department of Health and Human Services chose this organization to be an accrediting entity for qualified health plans participating in the Health Insurance Exchange Marketplaces.


Question 4. Three organizations besides The Joint Commission can offer accreditation to health care organizations. Which is NOT one of the three? Question 5. The agency that is responsible for the nation’s health by educating citizens to prevent and control health threats is called Question 6.

Certification is awarded

Question 7.

An integrated delivery system

Question 8.

Health policies is synonymous with

Question 9. CAHPS assesses consumers’ experience with health care. Which organization developed CAHPS? Question 10. What is the name of the facilities that were utilized to quarantine contagious patients? Question 11. Which is the name of the accrediting body for medical colleges during the post-industrial era? Question 12.

Best practice refers to

Question 13. CMS requires states to obtain the services of these entities if the state contracts with an MCO for their Medicaid population. What are the entities called? Question 14. The name of the reimbursement method where the physician is paid more when they provide more services is


Question 15. The largest group of health care providers is ============================================== HCA 375 Week 3 DQ 1 CQI Models For more course tutorials visit www.tutorialrank.com CQI Models. After reading Chapter 1 through 4, you should be familiar with quality improvement initiatives including NCQA’s HEDIS® measures. Health plans and physicians must ensure they are meeting standards set by the accreditation agencies, such as NCQA. As a physician practice manager for Dr. Jones, you have just conducted a mock survey of the patient chart data. The data shows that your physician practice is not meeting standards for two HEDIS® measures. · Choose two HEDIS® measures (from the list below either a, b, c, d, e or f) that must be implemented in a physician practice to improve patient outcomes. · Describe the sources of data needed to conduct the two measures. · Using one of the quality improvement models (Lean, PDSA, or Six Sigma), explain how you would use the model to implement the two chosen HEDIS® Measures. ============================================== HCA 375 Week 3 DQ 2 Mandates and Cost For more course tutorials visit www.tutorialrank.com


Mandates and Cost. The Department of Health and Human Services has oversight of several agencies (i.e., FDA, CDC, AHRQ, NIH, CMS) that regulate health care in the United States. Regulation encompasses insurance plans, cost, research, safety, all in the name of delivering quality care in a cost effective manner. These agencies are responsible for monitoring compliance and enforcing legislative mandates. However, the debate continues on government regulation and its effect on ensuring quality care. After completing this week’s reading, review the following articles listed below, which were published 11 years apart. Analyze the cost- quality paradigm noted in the articles. Considering the many governmental mandates and regulations to reduce costs and ensure the delivery of quality care that have been implemented over the years, discuss your opinion regarding why costs have continued to rise without improving quality. List two examples that illustrate your point. · DHHS Article related to Cost and Quality (2002) · Institute of Medicine article (2013) ============================================== HCA 375 Week 3 Quiz (2 Set) For more course tutorials visit www.tutorialrank.com HCA 375 Week 3 Quiz (2 Set)

Grade Details - All Questions Question 1. Donabedian’s model of care is categorized into 3 groups. What are the three groups?

HCA 375 Competitive Success--tutorialrank.com  

For more course tutorials visit www.tutorialrank.com You can check the details of All quizzes under individual Products   HCA 375 Week 1...

HCA 375 Competitive Success--tutorialrank.com  

For more course tutorials visit www.tutorialrank.com You can check the details of All quizzes under individual Products   HCA 375 Week 1...

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