HCAHPS
HIPAA
Infection Control
Quality
Leadership/Mgmt
100

HCAHPS stands for ???

What is Hospital Consumer Assessment of Healthcare Providers and Systems?

100

This is the legislation that provides data privacy and security provisions for safeguarding medical information.

What is HIPAA?

100

CAUTI is the acronym for . . . 

What is Catheter Associated Urinary Tract Infections?

100

The acronym CQI stands for . . . 

What is Continuous Quality Improvement?


100

Who is the CEO of Iredell Health System?

John Green, as of June 1, 2019

200

These organizations developed HCAHPS.

What are CMS and AHRQ?

200

Individuals who request access, inspection, or a copy of protected health information must complete this form.

What is the Authorization to Release Medical Information?

200

CLABSI is the acronym for . . . 

What is Central Line-Associated Blood Stream Infections?

200

Name the 2 quality objectives on the Incentive Bonus Goals for this current year.

What is reduce patient falls with injury and reduce the hospital-acquired C-Diff rate?

200

Doing it right vs. doing the right thing

What is the difference between management and leadership?

300

This is the comparison ranking compared to all other hospitals.

What are percentile rankings?

300

This is the term given to health data created, received, stored, or transmitted by HIPAA-covered entities in relation to the provision of healthcare services.

What is Protected Health Information?


300

This refers to a variety of barriers and respirators used alone or in combination to protect mucous membranes, airways, skin, and clothing from contact with infectious agents.

What is Personal Protective Equipment (PPE)?

300

Name 3 ongoing audits conducted by the Quality department.

What are blood transfusions, critical values, and PRN med reassessment?

300

The act of getting people to do something they wouldn't typically do

What is persuasion?

400

This is the response rating used to determine your ranking result in each composite.

What is Top Box Rating?

400

HIPAA is the acronym for . . . 

What is Health Insurance Portability and Accountability Act?

400
This is considered the single most important strategy for preventing healthcare associated infections.

What is Hand Hygiene?


400

The target to meet the reducing patient falls with injury goal for the incentive bonus.

What is 6.1 per month?

400

Taking responsibility for shaping the people you work with

What is a key characteristic of leaders?

500

The target to meet the incentive bonus goal of improving the overall rating for this year.

What is 74.1%?

500

The acquisition, access, use, or disclosure of protected health information in a manner not permitted which compromises the security or privacy of the protected health information.

What is a HIPAA breach or violation?

500

MRSA, VRE, VRSA, CRE, and ESBL are all examples of this.

What is multi-drug resistant infection organisms?

500

The target to meet the hospital-acquired C-Diff rate goal for the incentive bonus.

What is 0.903?

500

Telling people to do what you tell them to do "because I said so"

What is something that leaders probably shouldn't do?

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