Information Retention Assessment #3

15 Questions | Total Attempts: 141

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Information Retention Assessment #3

Economic Journal Club WebEx - January 6, 2014


Questions and Answers
  • 1. 
    In the Kassin study which were the 3 most common reasons for readmission postoperatively?
    • A. 

      Wound complication/UTI/Vascular complication

    • B. 

      GI complication/pulmonary problem/Surgical Infection

    • C. 

      GI complication/pain/Surgical Infection

    • D. 

      Surgical Infection/GI complication/Failure to thrive-malnutrition

  • 2. 
    Which study does not look at mortality rates?
    • A. 

      Kassin

    • B. 

      Ghaferi

    • C. 

      Boltz

  • 3. 
    In the Kassin study a patient that had ≥1 complication postoperatively was more than ___ times more likely to be readmitted?
    • A. 

      2

    • B. 

      3

    • C. 

      4

    • D. 

      7

  • 4. 
    In the Boltz study what was the approximate increased hospital costs associated with a patient who has one or more complications versus a patient with no complications?
    • A. 

      $3,000

    • B. 

      $6,000

    • C. 

      $12,000

    • D. 

      $18,000

  • 5. 
    Which study(studies) showed that an increase in complication rates lead to increase in LOS?
    • A. 

      Kassin

    • B. 

      Boltz

    • C. 

      Ghaferi

    • D. 

      Kassin & Boltz

    • E. 

      Boltz & Ghaferi

    • F. 

      All of the Above

  • 6. 
    NSQIP – National Surgical Quality Improvement Program is the leading nationally validated, risk adjusted, outcomes-based program to measure and improve the quality of surgical care in the private sector.  What are the potential limitations?
    • A. 

      Enhances a hospitals ability to zero in on potential complications

    • B. 

      Tracks patient data for 30 days

    • C. 

      Gathers data from patient’s medical chart not insurance claims

    • D. 

      Does not collect information on all possible complications

  • 7. 
    What agency has determined it will no longer cover the extra costs associated with treating preventable errors, injuries, or infections that occur in the hospital setting? 
    • A. 

      CDC – Center for Disease Control

    • B. 

      ACMQ – American College of Medical Quality

    • C. 

      CMS – Centers for Medicare and Medicaid Services

  • 8. 
    In the Ghaferi study, what % of patients who underwent general or vascular surgery had a surgical complication?
    • A. 

      10

    • B. 

      12

    • C. 

      15

    • D. 

      25

  • 9. 
    In the Ghaferi study, high mortality hospitals had:
    • A. 

      Double the rates of post-op complications

    • B. 

      Triple the rates of post-op complications

    • C. 

      Similar rates of post-op complications

    • D. 

      Lower rates of post-op complications

  • 10. 
    Section 3025 of the Affordable Care Act; the Hospital Readmissions Reduction Program, aims to reduce hospital readmissions. Under this provision, hospitals with a high rate of readmissions for Acute Myocardial Infarction, Chronic Heart Failure, and Pneumonia will be penalized with decreased Medicare payments. In addition, CMS has already confirmed that they will begin monitoring which patient population as well in 2015?
    • A. 

      Colorectal surgery procedures

    • B. 

      Vascular surgery procedures

    • C. 

      Cardiac surgery procedures

    • D. 

      Urinary tract infections

  • 11. 
    Which of these is NOT a CMS payment and delivery reform?
    • A. 

      Value-based purchasing

    • B. 

      ACOs, medical homes

    • C. 

      Bundled payments

    • D. 

      Direct link between payment and Fee For Service (FFS)

    • E. 

      Greater care coordination and primary care focus

  • 12. 
    Approximately how many years before a payment and delivery reform start date does hospital performance begin to impact its future payments?
    • A. 

      1 Year

    • B. 

      2 Year

    • C. 

      3 Year

    • D. 

      4 Year

    • E. 

      5 Year

  • 13. 
    Which of these conditions will be measured under the Hospital Readmissions Reduction Program in 2015 in addition to the conditions being measured starting in 2013?
    • A. 

      Acute Myocardial Infarction

    • B. 

      Heart Failure

    • C. 

      Pneumonia

    • D. 

      Total Hip Arthroplasty

    • E. 

      Total Knee Arthroplasty

    • F. 

      Acute Myocardial Infarction; Heart Failure; Pneumonia

    • G. 

      Total Hip Arthroplasty; Total Knee Arthroplasty

    • H. 

      All of the Above

  • 14. 
    Which of the following is an evaluation criteria used to create a total performance score (TPS) for hospital performance on the value based purchasing program?
    • A. 

      Process of care

    • B. 

      Patient experience

    • C. 

      Patient outcomes

    • D. 

      Process of care; Patient experience

    • E. 

      Process of care; Patient experience; Patient outcomes

  • 15. 
    Which of these payment programs serves as the basis for which measures are proposed for the Hospital VBP Program?
    • A. 

      IQR

    • B. 

      HRRP

    • C. 

      PQRS

    • D. 

      MSSP

    • E. 

      HAC

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