CPHQ Exam Flashcards (2022), Top Exam Questions with accurate answers, 100% Accurate, rated A+

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CPHQ Exam Flashcards (2022), Top Exam Questions with accurate answers, 100% Accurate, rated A+ Which of the following can be defined as, "A set of measures and data that give managers and admin ... istrators a quick yet comprehensive overview of performance? a. Process measurement b. Balanced scorecard c. Dashboard d. Six Sigma - ✔✔-Balanced Scorecard Balanced scorecards are useful because they put strategy and vision at the center of an organization's efforts. They provide a visual display of the entire organization's progress. (Scorecards tell health systems how they're doing overall. They are quick and comprehensive. Dashboards tell systems what's happening now using interactive metrics with drill-down capabilities) Describe quality assurance vs. quality control - ✔✔-Quality Assurance: Focus is on the processes and procedures that improve quality, including any corrective actions needed to optimize post-production quality Quality Control: Focus on the product to find defects that occur after development A patient care team is in disagreement over new admissions procedures. What decision-making model should management use? a. Decision criteria b. Consensus c. Tenure influence - ✔✔-Decision criteria (This model explores all options equally and gives unorthodox or unpopular options a fair chance) How does the World Health Organization Surgical Safety Checklist lead to tight coupling in the operating room? a. It establishes universality for patients b. It compartmentalizes the procedures c. It establishes a clear OR hierarchy d. It closely aligns the various individuals involved in the process - ✔✔-It closely aligns the various individuals involved in the process Define risk management - ✔✔-Taking steps to avoid and control risks within an environment to accomplish a desired outcome Describe internal vs. external customers - ✔✔-Internal customers work within the organizational structure. External customers rely on and/or utilize the healthcare organization and product (patients, family members, medical equipment suppliers) Within the last 4 days, three post-surgical patients have died of pneumonia-related complications at a large hospital. None of the patients presented as symptomatic for pneumonia at the time of surgery. What evaluation tool should be used to help identify and resolve this issue? a. Epidemiological theory b. Performance management measures c. Statistical analysis d. Improvement measures - ✔✔-Epidemiological Theory, which is used to identify the source and cause of an issue or anomaly (The other tools are used to quantify data or examine processes that can contribute to improvement) When Hospital A's neonatal infection rates rise unexpectedly, the quality council establishes a new set of performance measures. They base their measures on internal standards, customer survey data, and employee survey data. What important element are the members disregarding? - ✔✔-External standards, such as national goals and requirements (External data provides a context for the internal data and distinguishes where and how the facility falls compared to national standards) What challenges often occur with the use of aggregated data? - ✔✔-Context is lost and solutions are not identified What elements should be part of an employee performance improvement plan? What elements should NOT be part of a performance improvement plan? - ✔✔-1) A clear statement of the problems to be addressed 2) Specific action steps to be taken as part of the plan 3) A desired outcome or goal behavior and a timeline (It does NOT include any research into the cause of an employee's challenges) Recent HCAHPS data for Hospital A indicate that doctors are not providing adequate explanations to patients. In improving the patient safety culture with regards to this issue, what two elements must be addressed? a. Patient perceptions and clinical quality b. Patient perceptions and physician education c. Physician education and time constraints d. Quality standards and time constraints - ✔✔-Patient perceptions and clinical quality (Patient perception includes the mode of communication, the depth of information, and understandability of the context. Clinical quality includes the doctor's understanding of communication techniques, health literacy, etc.) Which of the following are the primary reasons for developing drug formularies? a. Manage pharmacy costs, promote patient safety b. Reduce medication errors, educate physicians c. Encourage the appropriate use of medications, educate physicians d. Decrease food and drug interactions, promote patient safety - ✔✔-A drug formulary is an approved list of medications, clinical indications, and doses that helps manage pharmacy costs and patient safety Management using quality improvement principles should emphasize the importance of: a. Staff orientation b. Customers' expectations c. Quarterly statistical reports d. Team selection - ✔✔-The basis of quality improvement is knowing what the customer needs and wants (b) The rest are only one component of quality improvement. Quality improvement teams are beneficial because they a. Promote competition and pride among members b. Maximize expertise and perspectives c. Authorize solutions to problems - ✔✔-A diverse team, including members with different experience and backgrounds, provides a broader knowledge base and outcomes Which of the following is an essential component in a performance improvement report? a. Governing body approval b. Data analysis and display c. Individual performance review d. Team composition and attendance - ✔✔-Data and analysis display What is the primary goal of risk management? - ✔✔-To identify and manage risks to promote patient safety The relationship between patient satisfaction and hours per patient day on a medical unit was found to be (r=0.60, p < 0.05). What is the correlation between these two values? a. 0.05 b. 0.36 c. 0.55 d. 0.60 - ✔✔-The correlation coefficient (r) is an index that ranges from -1 to 1 and reflects the extent of a linear relationship between two data sets. The correlation coefficient is 0.60. For a quality improvement team to deal effectively with conflict, it is important to appoint which of the following to its membership? a. Risk manager b. HR representative c. Facilitatior d. Senior leader - ✔✔-A facilitator is an unbiased party that may help groups deal with conflict (c) Which of the following best describes an organizational vision statement? a. It is used as a marketing strategy b. It defines the structure of the institution c. It describes the organization's strategic plan d. It reflects the organization's aspirations - ✔✔-An organization's vision statement reflects its aspirations and goals for the future (Not to be confused with the mission statement, which describes the organization's purpose or reason for existence) The most effective way for a healthcare quality professional to communicate quality improvement activities to the medical staff is by: a. Evaluating physician participation on quality teams b. Inviting medical staff to an in-service on quality tools c. Providing outcome data at medical staff meetings d. Developing professional relationships - ✔✔-Providing outcome data at medical staff meetings (Outcome data communicates objective feedback to medical staff) Quality improvement team progress is best evaluated by which of the following? a. Team leader b. Senior leadership c. PDCA/PDSA process d. Nominal group technique - ✔✔-PDCA/PDSA process (The Plan, Do, Check, Act process is a comprehensive methodology used to conduct performance improvement activities, including the analysis of progress) A team has identified a process for improvement, selected examples of best practice performers, visited those sites, gathered all necessary data, and compiled the results. The most effective next step for the team is to a. Identify the next process to benchmark b. Implement change at the team's site c. Compare results to historical data d. Make the results public for others to use for benchmarking - ✔✔-Implementation (b) is the next step in the performance improvement cycle Which of the following is essential to an effective quality council? a. Involvement of leadership b. Consultation of the legal advisor c. Participation of the strategic planning committee d. Direction from the organization's quality team - ✔✔-Leadership involvement (a) promotes an effective quality council through resource and support allocation to achieve objectives Organizational leaders can best demonstrate commitment to a new quality improvement initiative by a. Reviewing the quality improvement plan b. Offering solutions to identified problems c. Allocating resources for the process - ✔✔-Allocating resources (Potential solutions are best offered by the participants in the process (front line staff)) List the steps of an FMEA - ✔✔-1) Define topic and process to be studied 2) Build interdisciplinary team with content and process experts 3) Develop flow diagram of process and sub-processes 4) List all possible failure modes for each sub-process and determine the severity of each effect 5) Identify an action plan for each failure mode that will be corrected 6) Identify the measures that will be used to analyze and test the redesigned process. Identify the person responsible for completing each action When is an FMEA performed? - ✔✔-The FMEA process is a proactive, systematic method of identifying and preventing incidents before they occur. Used for new systems/processes, redesign of systems/processes in early stages, and existing systems/processes Based on identified issues, a healthcare quality professional examines 100% of one physician's admissions and only 20% of all other physicians' admissions. This is best described as a a. Focused review b. Prospective review c. Retrospective review d. Concurrent review - ✔✔-Focused review (A prospective review is performed prior to care, and a concurrent review is performed at the onset and during care. This case is a retrospective review, but "focused review" is more accurate.) Which of the following are essential functions of an infection control program? a. Risk management and surveillance b. Prevention and education c. Surveillance and prevention d. Patient safety and risk management - ✔✔-Surveillance and prevention (c) What are the responsibilities of an organization's governing body (board of directors)? What is it NOT responsible for? - ✔✔-The governing body is responsible for setting policy, financial and strategic direction, quality of care, and setting goals and objectives It is NOT responsible for implementing strategies and collecting measurements of quality indicators In an organization, who assumes full responsibility for the quality of care provided in an organization? - ✔✔-The governing body An RCA revealed a patient in an acute psychiatric unit committed suicide by hanging himself with his shoelaces. To prevent this from occurring again, the most appropriate action is to institute: a. A buddy system for the patients b. A 24-hour video monitoring system c. A policy allowing only non-laced shoes d. Patient checks every 15 minutes - ✔✔-A policy allowing only non-laced shoes (This policy eliminates the object that was used to commit suicide and creates a safer environment) Patient satisfaction scores for a community hospital demonstrate multiple areas for improvement including a need to improve attractiveness of the facility, responsiveness to patient needs, and physician and nursing communication. Based on these results, which of the following should the healthcare quality professional also expect to find? a. Administration prioritizing and leading units to achieve organizational goals b. Unit managers who openly discuss patient satisfaction scores c. Units operating independently with little communication between units d. Employee satisfaction scores in the 80th percentile compared to other peer organizations - ✔✔-Units operating independently with little communication between units (c) (Responsiveness to patient needs requires effective communication between multiple units as well as staff) A team approach to problem solving is most useful when a. The organization's goals are unclear b. Diverse areas of expertise are required c. Communication challenges exist d. There are ample resources within the organization - ✔✔-Diverse areas of expertise are required (b) (The make-up of a team that varies in perspective and experience provides a variety of skill sets that will help solve problems) A performance improvement training program has been conducted. The healthcare quality professional has determined that improvement has not occurred. What is the most likely cause for the lack of improvement? - ✔✔-System challenges within the organization. There must be a culture that fosters safety as a priority for everyone within the organization A facility has identified a trend of increased falls for patients aged 60 to 85 years. An effective fall prevention program should include a. A fall protocol, restraint criteria, and a family sitter program. b. Restraint criteria, staff education, and a sedation protocol. c. A patient assessment process, a family sitter program, and a sedation protocol. d. A patient assessment process, a fall protocol, and staff education. - ✔✔-A patient assessment process, a fall protocol, and staff education (d) (According to the CMS Conditions of Participation for hospitals and long-term care, patients or residents have the right to be free of restraints of any form (physical or drug) that are not medically necessary) A Quality Council has chartered a performance improvement team to reduce medication errors. The team has been meeting for several months and progress has been very slow. Which of the following is the most important factor for the Quality Council to assess with the team leader? a. Composition of the team b. Number of medication errors since the team was chartered c. Team members' ability to interpret graphs d. Frequency of team meetings - ✔✔-The composition of the team (a) is the most important factor and is often the main cause of team failure. Having the right team in place is essential. A number of specialty and primary care clinicians have participated in several meetings to develop clinical practice guidelines for the management of diabetes. The team leader has moved the team through the actual guideline development, and is now concentrating on the "evaluation of quality-ofcare" phase. Which of the following sequences of steps should the team consider in developing the evaluation phase? a. Identify medical review criteria, identify sampling methods to be used, define objectives of the performance review, pilot test b. Develop data collection form, identify populations covered by the guideline, identify the data sources, conduct the review c. Define objectives of the performance review, identify populations covered by the guideline, develop data collection form, pilot test d. Consider costs of the review, identify clinicians and sites of care, define objectives of the performance review, develop data collection form - ✔✔-Objectives (c) must be defined first, before anything else can be done Evaluating medication administration to reduce medical errors is an example of a. Quality managemen [Show More]

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