Question

The NQF provides a model for advancement of healthcare quality that could be used in healthcare organizations. The use of this model by the Centers for Medicare & Medicaid Services specifically affects the interaction between adverse events and:

A) Patient satisfaction
B) Reimbursement
C) Staff training
D) Facility accreditation

Answer 1

The NQF model used by the Centers for Medicare & Medicaid Services directly affects the interaction between adverse events and reimbursement, linking the quality of care to financial incentives.

Step-by-step explanation:

The National Quality Forum (NQF) provides a model for the advancement of healthcare quality that could be used in healthcare organizations. Specifically, the Centers for Medicare & Medicaid Services (CMS) make use of this model to link the quality of care to reimbursement. When it comes to the impact of adverse events on the interaction by CMS, it is reimbursement that is directly affected. In a fee-for-service system, providers are reimbursed for the cost of services delivered, while Health Maintenance Organizations (HMOs) reimburse according to the number of patients managed, which puts the onus on providers to allocate resources effectively. Furthermore, CMS has moved toward value-based purchasing, wherein reimbursement is directly tied to the quality of care, including how well healthcare providers manage adverse events.