NAHQ CPHQ TEST GUIDE- LATEST CORRECTLY ANSWERED GUIDE.
NAHQ CPHQ TEST GUIDE- LATEST CORRECTLY ANSWERED GUIDE.
The governing body is responsible for
... [Show More] setting policy, financial and strategic direction, quality of care, and setting goals and objectives
A. True
B. False
The governing body is responsible for implementing strategies and collecting measurements of quality indicators.
A. True
B. False
According to TJC (2012), how many serious medical errors involved miscommunication between caregivers when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
Observation and documentation of interpersonal and communication skills is an example of an FPPE.
A. True
B. False
An example of criteria that might be tracked for OPPE is morbidity and mortality data
A. True
B. False
Examples of data for physician profiles include data representing major service lines, patient safety issues, and outpatient information
A. True
B. False
A CQO has the responsibility for education and implementation of a quality improvement process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
When a healthcare org is contracting with an outside provider for services, the subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
c. Have an active risk management program
d. Have a competitively priced service
A healthcare quality professional is developing a policy regarding access to physician quality files. In addition to the date and name of the person requesting the information, which of the following should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
Physician profiles should be reviewed at the time of reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval
Which of the following is the first step in the strategic planning process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
If someone in your organization is resisting and not willing to make the change, what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback, reward and recognize positive efforts
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
If someone in your organization is resisting and not able to perform change, what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
have clear focus and goal for change and expectations
If someone in your organization is resisting change and lack knowledge about what is required, what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
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. Facilitator
d. Senior leader
Which of the following is essential to effective Quality Councils?
a. Involvement of leadership
b. Consultation of legal advisor
c. Participation of the strategic planning committee
d. Direction from the organization's quality department
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 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 team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings
Two surveys were completed in a healthcare facility that showed conflicting results concerning patient satisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should first:
a. Set up a quality improvement team to improve food service
b. Redistribute the surveys to obtain a larger sample size.
c. Design, distribute, and analyze a new survey instrument
d. Meet with the departments to review the survey processes
Which of the following steps occurs first in the facilitating change in an organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan
NAHQ CPHQ TEST GUIDE- LATEST CORRECTLY ANSWERED GUIDE
The governing body is responsible for setting policy, financial and strategic direction, quality of care, and setting goals and objectives
A. True
B. False
The governing body is responsible for implementing strategies and collecting measurements of quality indicators.
A. True
B. False
According to TJC (2012), how many serious medical errors involved miscommunication between caregivers when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
Observation and documentation of interpersonal and communication skills is an example of an FPPE.
A. True
B. False
An example of criteria that might be tracked for OPPE is morbidity and mortality data
A. True
B. False
Examples of data for physician profiles include data representing major service lines, patient safety issues, and outpatient information
A. True
B. False
A CQO has the responsibility for education and implementation of a quality improvement process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
When a healthcare org is contracting with an outside provider for services, the subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
c. Have an active risk management program
d. Have a competitively priced service
A healthcare quality professional is developing a policy regarding access to physician quality files. In addition to the date and name of the person requesting the information, which of the following should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
Physician profiles should be reviewed at the time of reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval
Which of the following is the first step in the strategic planning process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
If someone in your organization is resisting and not willing to make the change, what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback, reward and recognize positive efforts
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
If someone in your organization is resisting and not able to perform change, what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
have clear focus and goal for change and expectations
If someone in your organization is resisting change and lack knowledge about what is required, what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
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. Facilitator
d. Senior leader
Which of the following is essential to effective Quality Councils?
a. Involvement of leadership
b. Consultation of legal advisor
c. Participation of the strategic planning committee
d. Direction from the organization's quality department
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 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 team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings
Two surveys were completed in a healthcare facility that showed conflicting results concerning patient satisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should first:
a. Set up a quality improvement team to improve food service
b. Redistribute the surveys to obtain a larger sample size.
c. Design, distribute, and analyze a new survey instrument
d. Meet with the departments to review the survey processes
Which of the following steps occurs first in the facilitating change in an organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan
The separate services of pharmacy and nursing are having difficulty developing an action plan for med errors. Pharmacy services states that nursing services causes the majority of the problems related to errors, while nursing services states the opposite. What is the quality professional's role in resolving this problem?
a. Provide them with directives on how to solve the problem
b. Facilitate discussion between the groups to enable them to assume ownership of their portions of the problem
c. Assign the task to an uninvolved manager
d. Refer the problem to the facility-wide quality council
Which of the following best demonstrates the use of the PDCA performance improvement model?
a. Prioritize opportunities for improvement, pilot the improvement, compare pre- and post-implementation data, and rollout to the entire organization
b. Review current practice, form a multidisciplinary committee, schedule a meeting to develop a plan, and determine actions to be taken
c. Identify a problem, implement change, educate staff about the change, and rewrite policies and procedures to augment the change
d. Collect baseline data, form a committee to develop the plan, validate audit data, and formalize the change
Which of the following is the best way to determine if a quality improvement initiative is successful?
a. Conduct a retrospective review
b. Survey patients and customers
c. Present findings to the Quality Council
d. Compare outcomes with pre-established goals
Team building goals for a first meeting should include all of the following EXCEPT:
a. Getting to know one another
b. Learning to work as a team
c. Setting meeting ground rules
d. Evaluating the project
An organization's data demonstrate an increase in the number of patient falls. A healthcare quality professional should recommend:
a. Revising the fall-risk assessment tool
b. Convening a focus group of medical staff to discuss fall risks
c. Increasing staff on weekends and nights
d. Sharing the data with the staff to provide feedback
The best way to facilitate change in healthcare organization is to:
a. Communicate through group meetings
b. Involve individuals directly affected by the change
c. Arrange presentations by senior leaders
d. Communicate through a group email
In evaluating long wait times, a quality professional can best demonstrate components related to staffing, methods, measures, materials, and equipment by using:
a. Ishikawa diagram
b. Pie chart
c. Run chart
d. Histogram
Which of the following demonstrates a true statistical increase in a run chart?
a. 6 consecutive ascending data points
b. Data points close to the mean line
c. 7 descending data points
d. A zigzag pattern of data points
The relationship between patient satisfaction and hours per 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 most effective way for a healthcare quality professional to communicate quality improvement activities to the medical staff is by:
a. Inviting medical staff to an in-service on quality tools
b. Evaluating physician participation on quality teams
c. Developing professional relationships
d. Providing outcome data at medical staff meetings
Which of the following is an essential component in a performance improvement report?
a. Team composition and attendance
b. Data analysis and display
c. Individual performance review
d. Governing body approval
The primary reason healthcare orgs use benchmarking is to:
a. Provide risk adjustment
b. Decrease risk to the org
c. Improve performance
d. Comply with accreditation
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