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Ch 8 quiz

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Statute
What is a piece of legislation written and approved by a state or federal legislature and then signed into law by the state's governor or the president?

Municipal code
Statute
Regulation
Judicial decision
Deemed status
What is it called when accrediting bodies such as the Joint Commission or AOA can survey facilities for compliance with the Medicare Conditions of Participation for Hospitals instead of the government?
Municipal code
What is a rule established by a local government called?
Judicial decision
Which of the following is a ruling handed down by a court to settle a legal dispute?

Municipal code
Statute
Deemed status
Judicial decision
Policies
General written guidelines that dictate behavior and/or direct and constrain decision making within the organization are known as what?
Certified courier
Which of the following would be an acceptable medium for reporting an individual's positive HIV test results to a state department of health?

Certified e-mail
Certified courier
Telephone
Facsimile
Tracer methodology
Which Joint Commission survey methodology involves an evaluation that follows the hospital experiences of past or current patients?

Priority focus review
Periodic performance review
Tracer methodology
Performance improvement
Hospital discharge
What type of data were the first to be subject to data standardization efforts?
Insufficient compliance, partial compliance, satisfactory compliance, not applicable
The Joint Commission uses a set of standard performance ratings. What are they?
Health informatics standards
Which type of standards describe the accepted methods for collecting, sharing, and/or analyzing healthcare data among computer systems?
Priority focus process
Which Joint Commission accreditation activity focuses survey activities on the organization-specific issues that are most relevant to safety and quality of care?
Periodic performance review
Presurvey review
Tracer process
Priority focus process
Conditional accreditation
Which of the following accreditation categories would the Joint Commission assign to a hospital that is not in substantial compliance with applicable standards and must remedy identified problem areas through preparation and submission of ESC and subsequently undergo on on-site, follow-up survey

Provisional accreditation
Preliminary accreditation
Accredited
Conditional accreditation
Sentinel events
What does the Joint Commission call unexpected occurrences that result in death or serious physical or psychological injury or the risk of death or serious injury?
State licensure agencies
What type of organization works under contract with the CMS to conduct Medicare/Medicaid certification surveys for hospitals?
Procedures
Written instructions that describe how functions and processes must be carried out are what kind of documents?
Joint Commission Hospital Accreditation Program
What does the Joint Commission call its accreditation and survey process?
Vocabulary standard
What type of standard establishes uniform definitions for clinical terms?

Identifier standard
Vocabulary standard
Transaction and messaging standard
Structure and content standard
Structure and content standard
What type of standard establishes clear descriptions of the data elements to be collected?

Vocabulary standard
Transaction and messaging standard
Structure and content standard
Security standard
Security standard
What type of standard ensures the confidentiality of patient-identifiable health information and protects it from unauthorized disclosure, alternation, and destruction?

Identifier standard
Vocabulary standard
Structure and content standard
Security standard
Identifier standard
What type of standard establishes methods for creating unique designations for individual patients, healthcare professionals, healthcare provider organizations, and healthcare vendors and suppliers?

Vocabulary standard
Identifier standard
Structure and content standard
Security standard
As a sentinel event
According to the Joint Commission, how should the unanticipated death of a full-term infant be reported?