CPHQ Exam Q 2. Top Examinable Questions with accurate answers, Graded A+. Verified. The term "performance" as

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CPHQ Exam Q 2. Top Examinable Questions with accurate answers, Graded A+. Verified. The term "performance" as used in healthcare quality improvement activities refers to: A. Interactive series o... f process steps B. Statement of expectation C. Effective execution of functions & processes D. Demonstration during accreditation survey - ✔✔-C A key physician/licensed independent practitioner QM function is: A. Determination of what constitutes a deviation from an accepted standard of care B. Researching criteria options for peer review C. Determination of data collection methodology D. Tabulation of peer review data - ✔✔-A Of the following conclusions concerning a licensed independent practitioners care drawn from org QM/QI activities would most likely be used during: A. Case management B. Re-privileging C. Productivity management D. Initial privileging - ✔✔-B The most effective way to ensure patient safety as a dimension of performance is to: A. Sponsor a hotline B. Focus on processes/minimize blame C. Encourage patients & families to identify risks D. Have leaders who commit to & foster a safe culture - ✔✔-D The responsibility to reduce risks of endemic & epidemic healthcare associated infection is vested in: A. An interdisciplinary team B. A qualified infection control practitioner C. The organization D. A qualified infection control attending physician - ✔✔-C A trend has developed over the past year indicating that an internal medicine physician has significant difficulty treating patients with out of control diabetes. After 10 months of peer case review & meetings what additional actions may be appropriate? A. A letter B. Required consultation for all of the physicians diabetic patients C. Medical education D. Summary suspension of privileges - ✔✔-B In any QM approach how can you best evaluate the effectiveness of action taken? A. Formulate a new special study B. Interview staff C. Do nothing D. Use the same performance measures to remonitor the process - ✔✔-D The Baldrige Healthcare Criteria for Performance Excellence establish standards for: A. An award B. Corporate compliance C. A certification D. An accreditation - ✔✔-A Based on most QI standards, those responsible to prioritize data collection to monitor org wide performance are: A. The Quality Counsel B. The leaders C. The most knowledgeable D. The most experienced - ✔✔-B The phrase intensive analysis as used in QM/QI : A. Applies only to peer review B. Includes all defined sentinel events C. Is an automatic indication of a problem D. Means the trigger is never set at 0% - ✔✔-B Occurrence or event reporting is an example of: A. Generic screening B. Peer review C. Root cause analysis D. Special study - ✔✔-A A surgeon refuses to accept his postop site infection data & high rate for joint cases over the last year. What additional step may be necessary? A. Present data to all surgeons B. Do nothing C. Have peers review all cases D. With the medical director show the surgeon the data compared to peers - ✔✔-D A hospital has decided to add indicators to measure performance for 10 diagnoses not previously assessed. How can QM help them prioritize? A. Provide volume & complication data B. Just say no C. Provide cost per case data D. Provide liability claims data - ✔✔-A In order to resolve scheduling problems in the OR the first task should be to: A. Write a letter B. Form a team of surgeons C. Refer the issue to an interdisciplinary QI team D. Refer the issue to administration - ✔✔-D According to the QI process theory & quality/performance improvement standards it's best to select a QI project that: A. Has the greatest potential to improve patient outcomes B. Is the CEOs ongoing quality or cost concern C. Is limited in scope of time D. Has the greatest potential to save money - ✔✔-A In setting up an outcome oriented study of appendectomies its most important to look at: A. Patient age B. Admitting diagnosis, surgeon, pathology report, condition at discharge C. Admitting physician, H&P, LOS, discharge instructions, PN or nursing notes - ✔✔-B The QM professional aggregates data into quarterly & YTD reports & disseminates to all medical groups & other providers with whom they have contracts. At implementation the indicators measure: A. Structure B. Outcome C. Competency D. Process - ✔✔-D Prospective review may be beneficial unless A. Patient is a member of a managed care org B. Patient is having a total knee replacement C. Patient is admitted through the ED for fractured hip D. Patient is readmitted for bypass surgery following heart cath - ✔✔-C Accreditation credentialing requirements generally include: A. Appointment to appropriate category based on activity B. Current adequate malpractice insurance C. Compliance with P&P D. History of loss of or limitation of privileges to practice - ✔✔-D Risk management in an org is most effective when it is: A. Responsible for sentinel event root cause analysis B. Incorporated into org wide safety management C. Integrated with org wide performance improvement D. The responsibility of the clinical performance improvement - ✔✔-C In managed care the responsibility for ensuring validation of credentials of LIPs rests with the: A. Managed care organization B. Contracted medical group C. Centralized verification organization D. Provider services committee - ✔✔-A In an MCO, an appeal following a denial of care or benefits: A. Is a formal grievance filed by a patient B. Is limited to insurance coverage issues C. May be reviewed by an independent external review process D. May be reviewed by a patient advocacy group process - ✔✔-C Root cause analysis is the most appropriate PI process for: A. Determining cost / benefit B. Evaluating dental care C. Performing peer review D. Analyzing sentinel events - ✔✔-D Concerns arise after a new solo practice urologist receives membership in medical staff of an established practice. In order to avoid conflict of interest issues the best way to handle these concerns would be to : A. Have each urologist sign a confidentiality agreement B. Have a urologist from outside the group conduct the review C. Have each urologist review the cases & issues independently D. Have the urologist/head of group handle the review - ✔✔-B Hospital infection control policies generally require: A. 100% concurrent surveillance for healthcare associated tracking B. Periodic monitoring (cultures) of staff/equipment C. The infection control committee be a medical staff committee D. Coordination of activities in patient care, ancillary & support services - ✔✔-D The appraisal of individual practitioner performance in healthcare beyond minimum standards & criteria is known as: A. Continuous QI B. Peer review C. Intensive analysis D. Perceptive quality - ✔✔-B What of the following is the greate [Show More]

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