CPHQ test bank. Study Guide Questions & Answers. 100% Approved. Rated A+

CPHQ test bank. Study Guide Questions & Answers. 100% Approved. Rated A+ The process chain in a laboratory is particularly subject to: variability, delay, disorganization, conflict - ✔✔-variability Confronted by exce ...

CPHQ test bank. Study Guide Questions & Answers. 100% Approved. Rated A+ The process chain in a laboratory is particularly subject to: variability, delay, disorganization, conflict - ✔✔-variability Confronted by excessive WIP Levels, many laboratories take the unhelpful step of: decreasing # of test runs, hiring more employees, acquiring a longer, installing new technology - ✔✔-installing new technology According to Institute of Medicine, which of the following is NOT one of the domains of quality care? government regulation, customization, safety, interventions consistent with the latest medical findings - ✔✔-government regulation In a successful lean healthcare facility, the largest costs related to quality will be increased by: preventive efforts, internal failures, assessment programs, external failures - ✔✔-preventive efforts Whenever possible, medication orders should be by: weight, volume, dose, strength - ✔✔-dose A delay in discharging patients is likely to cause recurrent bottlenecks in: admissions from ER, filling of prescriptions, admissions from surgical wards, all of the above - ✔✔-all of the above A doctor fails to administer an indicated test and patients condition determines to the point that he must be admitted to an inpatient facility. This is an example of: preventive error, treatment error, diagnostic error, communication error - ✔✔-diagnostic error When is the best time for chairing during a meeting? one hour beforehand, at the beginning, in the middle, at the end - ✔✔-at the beginning In the perfect lean enterprise, delivery to the customer is: instantaneous, rapid, customizable, optional - ✔✔-instantaneous A healthcare quality management professional ahs all of the following responsibilities toward improving patient safety EXCEPT: appointing a supervisor for a patient safety program, helping to develop a patient safety program, incorporating new technology into a patient safety program, setting and reviewing goals for patient safety program - ✔✔-appointing a supervisor for a patient safety program Which of the following types of charts is best for determining cause & effect? run, control, fishbone, pareto - ✔✔-fishbone A hospital needs to decide whether or not to incorporate a new feature into its current services, and as a result has commissioned qualitative research that will provide detailed feedback. Specifically, the hospital would like to collect opinions from patients and other hospital customers with a wide range of experience and backgrounds. Which of the following types of assessment is MOST likely to be of use to the hospital? case study, team analysis, survey, focus group - ✔✔-focus group The process of risk management for the healthcare quality management professional includes all of the following EXCEPT? identification of risk, reporting of incidents, analysis of effects, prevention of risk - ✔✔-reporting of incidents A hospital has found that the performance of one of its departments is consistently below the expected standards. The hospital administration wants to locate the source of the problems and see improvement in the department within six months. What is the healthcare quality management professional's role in this? a. recommend that the hospital replace the current administration of the individual department, b. research the problems and develop a program that applies current standards to the department, c. advise that a performance improvement team be assembled to review and address the failings, d. review the expected standards and submit these to the department for immediate application - ✔✔- c.advise that a performance improvement team be assembled to review and address the failings The administration of a hospital has discovered that a lack of communication among different hospital departments has led overspending and unnecessary errors in patient care. The administration has asked the healthcare quality management professional to assemble a team that can improve department communication and address the problems. What type of team would be most useful for this task? quality circle, work group, cross functional, self-directed - ✔✔-cross functional All of the following represent federally mandated patient rights in the US EXCEPT: rights to obtain a copy of medical records, right to informed consent for medical treatment, right to maintain the privacy of medical records, right to receive healthcare services - ✔✔-right to receive healthcare services One of the largest departments within a hospital has been running over budget for some time. The increasing expenditure has become problematic, and therefore the department has been asked to maintain a budget. What is the healthcare quality management professional's role in this? a.follow the hospital administration's guidelines in setting a budget for the department, b.provide the department with software tools to enable it to set a manageable budget, c.appoint a financial advisor to support the department in developing a compliant budget, d.assist the department in developing a manageable budget and reviewing it for compliance - ✔✔- d.assist the department in developing a manageable budget and reviewing it for compliance A hospital has recently conducted extensive updates on its website and wants to make sure that the new site is ready to be made available to the public. What is the healthcare quality management professional's role in this? a.compile a list of required information for the website and report this to the hospital, b.review the website to ensure that the reported information is accurate and complete, c.evaluate the changes that have been made in the website and recommend improvements, d.compare the website to other hospital sites to ensure that the new compares favorably - ✔✔-b.review the website to ensure that the reported information is accurate and complete A disagreement has arisen between the hospital administration and the members of one of its departments. The disagreement is in connection with the authority of the different parties involved and whether or not the administration can require the department to perform a certain task. What is the healthcare quality management professional's role in this? a. advise the department to respect the authority of the hospital and to follow its expectations for department professional, b. review the rules establishing authority and inform the parties about how these rules apply to the department and the administration, c. consider the statement from both sides and participate in finding a solution that meets the expectations of both parties, d. create a review board to act as a mediator between the hospital administration and the department to find an agreeable solution - ✔✔-b. review the rules establishing authority and inform the parties about how these rules apply to the department and the administration To cut down on costs, a clinic has been hiring outside consultants to perform many of its tasks, but there are concerns that the performance of many of these consultants does not meet the state's standards for the clinic's operation. What is the healthcare quality management professional's role in this? a. develop educational programs to assist the consultants and ensure that the standards are met, b. supply the consultants with the information about state standards and ensure full compliance, c. review the activities of the consultants and report the results to the clinic administration, d. create simulated activities to test the consultants and see if they are meeting the standards - ✔✔-c. review the activities of the consultants and report the results to the clinic administration which of the following performance improvement models would be the BEST recommendation for a clinic that wants to discover the source of problems in patient care, eliminate these problems, and achieve consistently high quality results in patient care? PDCA, Six Sigma, FOCUS, LEAN - ✔✔-Six Sigma What are the 3 basic closely interrelated activities that quality management employ? - ✔✔-quality planning, control, improvement Which of the following is the first step in preparing for an initial accreditation or certification survey of an organization? a. staff knowledge and plan staff training, b. hire a consultant and conduct a mock survey, c. appoint a survey coordinator and prepare a survey agenda d. review the standards and determine readiness - ✔✔-d. review the standards and determine readiness For health information technology to be MOST effective in reducing harm, the technology needs to be: a. numeric and easy to use, b. integrated with clinical workflow, c. able to correct claims date, d. flexible and accessible - ✔✔-b. integrated with clinical workflow A strategy used in brainstorming is that ideas are: a. prioritized as they occur, b. all recorded, c. discussed when they are mentioned, d. progressively eliminated - ✔✔-b. all recorded Which of the following should a Quality Council provide to best ensure success of performance improvement teams? a. empowerment and training, b. indicators and a data analyst, c. standards and procedures, d. facilitator and recorder - ✔✔-a. empowerment and training Failure modes can be prioritized by calculating the criticality index. Which of the following three categories are normally used to calculate a criticality index? a. frequency/severity/ease of detection, b. probability/likelihood/criticality, c. response/evidence/outcome, d. effectiveness/risk/priority - ✔✔-a. frequency/severity/ease of detection Which of the following charts would most likely be used first in a root cause analysis? a. Pareto, b. control, c. flow, d. gantt - ✔✔-c. flow A summary of antibiotic usage for the fourth quarter showed that an internal medicine department did not meet pre-established criteria in 82% of the patients reviewed. following review, the pharmacy and therapeutics committee should recommend that the results be shared first with the: a. utilization committee, b. Quality Council, c. governing body, d. chief of the department - ✔✔-d. chief of the department When considering the use of an external subject matter expert (SME), which of the following characteristics is MOST critical? a. references of the SME, b. cost of the SME's services, c. geographic location of the SME, d. leadership's personal preference - ✔✔-a. references of the SME Timeliness and compliance of documentation were discussed at a multidisciplinary team meeting. To evaluate the effectiveness of the team's action plan, which of the following would provide the most useful information? a. number of complaints, b. physician attendance, c. medical record review, d. frequency of meetings - ✔✔-c. medical record review For a continuous quality improvement team to be successful, who must be included on the team? a. department supervisor b. person performing the process, c. quality management representative, d. administrator - ✔✔-b. person performing the process Deemed status refers to: a. surveyors who work for both an accrediting body and a healthcare organization, b. physicians who have been reported to the National Practitioner Database, c. accreditation equivalency with a Census for Medicare & Medicaid Services (CMS) survey, d. a healthcare organization that passes a Centers for Medicare & Medicaid services (CMS) survey - ✔✔- accreditation equivalency with a Census for Medicare & Medicaid Services (CMS) survey Random screening of newborns by the neonatology department has confirmed a high incidence of glucose insufficiency (G6PD) in the local population. Management believes that the cost of testing all newborns would be too high. which of the following should the healthcare quality professional suggest? a. review literature to determine best practices, b. continue to conduct random testing, c.conduct an analysis to confirm management's beliefs d.test only newborns with a family history of G6PD - ✔✔-d. test only newborns with a family history of G6PD Frequency distribution can best be displayed through use of: a. interrelationship diagram, b. force field analysis, c. flow chart, d. histogram - ✔✔-d. histogram A clinical pathway on the management of hip fractures has been developed by a multi-disciplinary team and implemented in a large teaching hospital. After monitoring for 6 months, the length of stay continues to exceed the guidelines. Which of the following should be the next step? a. correlate the pathway with staffing levels, b. re-educate the staff on the purpose of the pathway, c. evaluate compliance with the pathway, d. continue to monitor and collect additional data - ✔✔-c. evaluate compliance with the pathway Which of the following is an example of information that should be included in an incident report, but should not be recorded in a patient's medical record? a. the date/time/dose/name of a medication administered to a patient in error b. the patient found on the floor next to the bed with the patients right leg appearing to be rotated c. the patient's right knee replaced after consenting to replacement of the left knee d. details concerning a medication preparation error discovered and corrected prior to administration - ✔✔-d. details concerning a medication preparation error discovered and corrected prior to administration Comparing healthcare organizations by using medical error rates: a. provides the best method for benchmarking patient safety b. must include a minimum of 10 different facilities c. may present bias due to differences in reporting practices d. cannot be performed by facilities with less than 100 beds - ✔✔-provides the best method for benchmarking patient safety An outpatient clinic is attempting to measure the quality of a newly developed diabetes disease management program. To accomplish this, laboratory results will be measured overtime. The best way to display the data is to use a: a. gantt chart, b. pareto chart, c. flow chart, d. control chart - ✔✔-d. control chart What is the best explanation for the relatively slow introduction of lean practices into medical laboratories? a. the variability and complexity of the samples in a laboratory is much bigger than a manufacturing environment b. scientists are less receptive to the core principles of lean c. medical laboratories function differently than factories d. medical research is mostly funded by the government - ✔✔-scientists are less receptive to the core principles of lean Which of the following conditions should a quality assessment program NOT examine? a. condition that is thought to be treatable, b. condition for which the treatment is susceptible to significant influence by health care providers, c. condition that has cost effective treatments, d. rare condition that has a small effect on mortality or morbidity - ✔✔-a rare condition that has a small effect on mortality or morbidity A doctor fails to administer an indicated test, and the patients condition deteriorates to the point that he must be admitted to an inpatient facility. This is an example of: preventive error, treatment error, diagnostic error, communication error - ✔✔-diagnostic error In managed care, the most widely used performance measure are: Agency for Healthcare and Quality (AHRQ), Healthcare Effectiveness Data for Information Set (HEDIS), National Quality Forum (NQF), Uniform Hospital Discharge Data Set (UHDDS) - ✔✔-Healthcare Effectiveness Data for Information Set (HEDIS) A serious event has occurred related to the timely notification of critical test results. The root cause was traced to nursing difficulty with following the organizational policy. To prevent a similar event from repeating. Which if the following should be done next? a. continue to collect data as one event is insufficient to take action b. refer the involved nurse to nursing peer review c. review the policy with nursing representatives to identify ambiguities d.educate nursing staff on the importance of timely notification of critical test results - ✔✔-c. review the policy with nursing representatives to identify ambiguities Medication reconciliation is a process intended to: a. improve efficiency of medication administration b. investigate formulary discrepancies c. identify and resolve discrepancies d. increase use of electronic medication administration - ✔✔-c. identify and resolve discrepancies When conducting a sentinel event review, a root cause analysis: a. proactively identifies causes and effects, b. identifies gaps in patient care processes, c. provides judgment of staff behaviors, d. requires team consensus - ✔✔-b. identifies gaps in patient care processes Informed consent for hip surgery was obtained and documented for an elderly patient. In the recovery room, a nurse discovered the wrong hip had been replaced. A healthcare quality professional should: a. perform a root cause analysis, b. review the practitioner's qualifications and licensure c. initiate the disciplinary action process, d. conduct a failure mode and effects analysis (FMEA) - ✔✔-a. perform a root cause analysis Which of the following is the major responsibility of senior management regarding continuous quality improvement? a. communicate the organizational mission and values b. develop organizational wide training sessions c. participate in Quality Council activities d. conduct periodic reviews of the program - ✔✔-conduct periodic reviews of the program Which of the following actions would have the greatest impact in reducing harm? a. increasing data collection frequency, b. forming a performance improvement team, c. improving interdisciplinary communication, d. revising the patient safety evaluation tool - ✔✔-c. improving interdisciplinary communication A federally certified electronic health record (EHR) with the capacity for e-prescribing, electronic exchange of health information, and submission of healthcare quality measure meets: health privacy requirements, barcode technology specifications, meaningful use requirements, computer-based monitoring specifications - ✔✔-meaningful use requirements When developing a strategic plan that integrates patient safety, which of the following factors is MOST critical? cost-benefit of patient safety programs, culture of performance improvement, patient to staff ration, resources for advanced technology - ✔✔-culture of performance improvement Minimizing the chances of an adverse event reoccurring includes determining the primary contributing factor by using: a. root cause analysis, b. clinical pathways, c. failure mode and effects analysis (FMEA) - ✔✔-a. root cause analysis The clinical competency of a physician is determined by: a. committee of peers, b. hospital governing body, c. quality management committee, d. chief executive officer - ✔✔-a. committee of peers When using cost-benefit analysis in decision making, it is important to remember that: a. qualitative and quantitative data should be used b. implementation costs are more important than return on investment c. return on investment should be at least 10 to 1, d. consideration of the benefit is more important than cost - ✔✔-d. consideration of the benefit is more important than cost A hospital has recently moved to a paperless system, it is noted that some data is missing from the obstetrics delivery record. A healthcare quality professional should recommend: a. providing a paper trail, b. evaluating the computerized data entry process c. designating one data entry person per shift, d. assessing the need for additional education - ✔✔-b. evaluating the computerized data entry process The perception of how an organization operates, including how employees relate to internal and external customers, is the organizational: a. mission b. vision c. structure d. culture - ✔✔-d. culture An operating room circulating nurse reported that the instrument count indicated a missing clamp. X-ray findings were negative, and the patient showed no adverse effects. This occurrence is an example of which of the following? a. malpractice b. potentially compensable event c. clinical incompetency d. claims management - ✔✔-b. potentially compensable event Balances scorecards are useful because they: a. concentrate on the performance of individual units b. focus on the most significant strategic initiative c. evaluate the pros and cons of the governing body's priorities d. put strategy and vision at the center of an organization's efforts - ✔✔-d. put strategy and vision at the center of an organization's efforts When a team evaluating the use of restraints starts to discuss a liability claim related to a patient, the facilitator should: a. consult the risk manager, b. redirect the team, c. review team ground rules, d. request the medical record - ✔✔-review team ground rules The best way to evaluate the effectiveness of performance improvement training is through: a. observed behavioral changes, b. participants feedback, c. post-test results, d. self assessments - ✔✔-a. observed behavioral changes Which of the following elements must be present in order to evaluate the effectiveness of a healthcare organization's quality improvement program? a. integrated data collection, b. quantifiable objectives, c. support from the medical staff, d. well-defined organizational structure - ✔✔-b. quantifiable objectives In providing length-of-stay data for benchmarking, it is important that date be: a. raw numbers, b. severity adjusted, c. equal numbers, d. reported monthly - ✔✔-b. severity adjusted A healthcare quality professional is attempting to refine the differences between an organization's objectives and the stakeholder needs. Which of the following tools is most appropriate? a. gap analysis, b. gantt chart, c. kanban method, d. ishikawa diagram - ✔✔-a. gap analysis which of the following is the best example of use of human factors engineering? a. implementing a Kaizen process to reduce inventory b.eliminating waste through reduction in motion c. using PDCA to improve compliance with hand hygiene d. designing products to prevent tubing misconnections - ✔✔-eliminating waster through reduction in motion A valid data collection tool should incorporate: a reliable graphic presentation, the definition of data elements, allowance for variance of interpretation, a minimum of 20 data elements - ✔✔-the definition of data elements Leaders enhance employee commitment to organizational values by fostering which of the following types of communication? clear/written/top-down, timely/open/two-way, formal/electronic/need to know, face-to-face/oral/scheduled - ✔✔-timely/open/two-way A healthcare quality professional wants to develop a continuous survey readiness model, the initial step should be: selecting the standards to be taught, establishing leadership accountability, appointing a steering group, planning education for the entire team - ✔✔-planning education for the entire team When errors are discovered, staff and supervisors best demonstrate a culture of safety by: planning which details of the error to disclose to senior leadership, studying the process to understand the error, performing a root cause analysis to determine which individuals were involved, developing a plan for just-in-time training - ✔✔-studying the process to understand the error After a significant unexpected event, an intense analysis is performed to : collect risk management data, prepare the facility for a lawsuit, understand the cause, identify who made the error - ✔✔-understand the cause Which of the following is the best example of an outcome measure? laboratory turnaround, average length of stay, medication dispensing error, mortality rate - ✔✔-mortality rate Underuse is evidence by the fact that many scientifically sound practices are not used as often they should be. For example, biannual mammography screening in woman ages 40-69 has been proven beneficial and yet is performed less than 75 percent of the time. This is the categorization of: Defects, la of Professionalism in Medical Field, Healthcare practice - ✔✔-Defects What is a term applied when the proper clinical car process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug? underuse, overuse, misuse, illegal use - ✔✔-misuse Crossing the Quality Chasm provided a blueprint for the future that classified and unified the components of quality through six aims for improvement, chain of effects, and simple rules for redesign of healthcare. The six aims for improvement, viewed also six dimensions of quality. which of the following is NOT out of those dimensions? safe, care centered, efficient, effective - ✔✔-care centered Quality and technical performance refers to how current scientific medical knowledge and technology are applied in a given situation. It is usually assessed in terms of? a.timeliness and accuracy of the diagnosis, b.appropriateness of therapy and other medical interventions are performed, c.the quality of interpersonal relationships, d.both A & B - ✔✔-both A &B timeliness and accuracy of the diagnosis, appropriateness of therapy and other medical interventions are performed Today's patients perception of the quality of our healthcare system is not favorable. In healthcare, quality is household word that evokes great emotion, including? a. frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who observe the care of their loved ones b. anxiety over the ever-increasing costs and complexities of care, c. patient centered measures, d. both A & B - ✔✔-both A & B frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who observe the care of their loved ones and anxiety over the ever-increasing costs and complexities of care According to the IOM, what are the 3 domains of quality? - ✔✔-1. Customization, 2. Safety 3. Interventions consistent with the latest medical findings. Which of group is least likely to report errors? a. nurses b. doctors c. independent contractor d. support staff - ✔✔-Independent contractors What are the types of quality problems identified by the IOM Roundtable on Healthcare Quality? - ✔✔- Misuse, Overuse and Underuse When is the best time to discuss the results of a meeting exit survey? - ✔✔-At the beginning of the next meeting, so you can apply the results of the survey immediatel