A new continuous improvement program has a new and radical change in the billing system. For the acceptance of the employees we should

A circuler pattern in a scatter diagram means

A histogram is used to:

A quality manager is determining how many clients still became sick from influenza after receiving flu shots at her facility. Which Dimension of Performance she is evaluating?

The best way to display LOS variation is by:

Training should be delivered to all levels of the organization, training should be

Risk control imposes providing mechanisms for:

Outcomes as used as indicators of quality are defined as any of the following EXCEPT

Over the last few months, the organization has experienced several adverse events concerning trips and falls on the grounds outside, although without serious injury to date. What can the Quality Professional do to best facilitate risk reduction?

Prevention quality indicators are useful in

An organization leader has directed a healthcare quality professional to measure the success of corrective action plans on patient care planning; the organization leader wants to be at least 95% confident of the accuracy of the result. The average daily census at the organization is 1,000 patients. The most accurate and efficient sampling technique for this study would be to:

The first step in conducting an epidemiological study is to:

A healthcare quality professional is teaching staff members to respond to patient complaints. Which of the following is the most effective behavior when dealing with angry patients?

In the following, “reviews” refers to utilization reviews, “FTE” refer to full time equivalent employee, and “#” refers to the number. Consider the following productivity data:

Which of the following is the most appropriate question to ask when reviewing an organizations performance improvement (PI) plan?

A curriculum developed by healthcare organization for staff education in organizational change should include all of the following EXCEPT:

Which of the following best demonstrate use of the plan-do-check-act (PDCA) performance improvement model?

Using the 85/15 rule, 85% of the organization problems are issues related to :

Team building goals for the first meeting should include all of the following EXCEPT:

In continuous quality improvement programs, surveys are essential to determine which of the following?

Which of the following is NOT a function of the facilitator on a quality improvement team?

When developing department specific performance measures and indicators, the quality manger as a consultant should

After brain storming, which of the following should a quality improvement team use to identify items that need immediate attention?

A healthcare quality professional has been asked to provide a report on the rate of cesarean sections performed at a hospital over the past 5 years, which of the following would be the best way to present the data?

The best tool to display stability of nosocomial infection rates over time is a

Organizational leaders can best demonstrate commitment to a new quality improvement initiative by

Conclusions in a statistical study are generalized to the

In order to introduce performance improvement concepts throughout the organization, a healthcare quality professional should consider implementing all of the following steps EXCEPT

The prevalence rate of a disease depends on the

The major drawback of using raw numbers to present the result of quality monitoring is that they

The team approach in quality improvement activities is preferred when

Responsibility of quality improvement teams include all of the following EXCEPT

When introducing continuous quality improvement into organization , the chief executive officer must first

Facilitator’s main focus is on the:

A healthcare organization is seeking accreditation , the first step the healthcare quality professional should take is to:

Which of the following is a value-added activity?

A new drug was found to be very beneficial but with serious side effects. The quality professional and pharmacist were asked to evaluate the appropriateness of using this drug. The best way for them to collect data is:

A Performance Improvement (PI) project found out high needles sticks in the Emergency Department (ED). To whom does the PI team share its findings?

First step in strategic management is

Determining the quality of services in a specific patient practitioner interaction is determined by:

The facilitator in patient focus group should first:

Hoshin planning’s most valuable step is

Which of the following is a key concept of Lean thinking?

A suspicious death after surgery occurred in a prestigious hospital. Initial reports suggested that post-operative nurses might have misread physician orders for intravenous fluids. Senior management had concerns about litigation and adverse publicity. In making rapid decisions, the Chief Executive Officer of the hospital should adopt a leadership style that is

In implementing a care bundle for the management of acute myocardial infarction, the recording of the extent to which smoking cessation counseling is provided is a measure of

A 45 year old patient died in the Surgical Intensive Care Unit overnight after receiving medication intended for another patient. The Crisis Management Team is most effective if it is chaired by the

In an improvement project to reduce the waiting times in an Emergency Room, the time taken to be assessed by a physician is

The senior leaders of a hospital are prioritizing performance improvement initiatives for the coming year. Which of the following tools will be most useful for this purpose?

Pareto rule means that:

The dimension of quality / performance that is addressed by introducing a rapid response team in a hospital is

Which of the following is the first step in implementing lean management effectively in a hospital?

One of the aims in the treatment of severe community-acquired pneumonia is to maintain an oxygen saturation of >94% (or 88 – 92% in patients with chronic obstructive airway disease). Ensuring adequate oxygenation for this condition is a/an

From a quality perspective, which of the following is the BEST way to control costs in healthcare?

The number of hours worked by nursing staff with direct patient care responsibilities per patient day is

Avoiding waste in particular waste of equipment, supplies, ideas, and energy is:

A facility has medical staff consists of 5 internists, 3 neurologists, 2 pediatricians, and 1 dermatologist, who should make the peer review for the dermatologist?

About 85% of the problems are due to

Attempts to align the financial incentives of purchasers, payers and providers with provider performance on clinical process and outcome measures could encourage

Improvement process involving many departments are best carried out by:

Who should inform the patient about risks, benefits and alternatives of surgery?

In profiling length of stay data for benchmarking, it is important that the data be;

Training within the organization should be

If a sphygmomanometer was used to measure the blood pressure of one patient, the blood pressure at the first trial was 110/70; one minute later, the blood pressure of the same patient was measured by the same nurse and the result was 180/120; then this measurement tool can be described as

Which of the following tools could be used to assess the efficiency of lab specimens processing

Which of the following tools should be used first when developing a performance improving plan?

The primary goal of quality / performance improvement is to improve

One fundamental difference between monitoring product quality and service quality is based upon the fact that

All quality improvement approaches or models include the following mechanisms EXCEPT

In six sigma model, the goal is

The primary purpose of the survey is to measure

A process variation that did not affect an outcome, but its recurrence carries the risk of an adverse outcome is a / an:

In any quality management approach, how can you best evaluate the effectiveness of action taken?

A chief quality officer has the responsibility for education and implementation of quality improvement processes. To affect cultural change, chief quality officer must:

Which of the following is the least important in developing standards of practice:

Written structure, process and outcome criteria against which actual patient charts are screened to assess the adequacy of intervention efforts is known as:

The CPHQ evaluates a study of the incidence of strokes (CVA) in women who take birth control pills versus a control group who do not take birth control pills. The best statistical technique for evaluating the study data is

Permanent chronological listings for maintaining Emergency statistics is called:

The medical record manager reports that authentication of verbal orders occurs 25% of the time , as compared to a reported 85% in situations ,which of the following is the initial action for the manager to take ?

A radiology manager wants to track x-ray repeat rate by room. Which of the following presentation strategies would probably offer the BEST presentation of the data for quick interpretation?

Timely intervention is likely possible with which of the following review systems:

Indicators are derived from:

Surgical time out is the time for identifying the patient

In SunRise hospital a quality improvement team was charted to improve food services, what is the order of steps the team will follow?

Communicating the outcome of quality surveys can best be done by:

“To Err is human” and “crossing the Quality chasm” were published by:

The sampling technique that use the available items (for availability) is:

The most common cause of medical errors is:

To align (or decrease the difference) between stakeholders expectations and organization objective:

Analysis of trends, events and customer expectations is the initial phase of

Number of complications was 300 for 10000 patient, after performance improvement project with a target of maximum complication percent of 1.5 it becomes 600 for 36000 patient, this indicates:

The income statement of a hospital stated the following:

Gross revenue (serving 8,000 patient) = 240,000
Varying expenses =120,000
Profit = 120,000

Hiring a new provider increased the expenses by 60,000, how many additional patients must be seen to realize the same profit?

The successful outcome of a performance improvement project is best communicated to staff through

What’s the best impact of continuous quality improvement (CQI) program?

Patient safety goals were designed for:

A scatter diagram is showing a negative relationship between the variables X and Y. This means:

Assessment of effectiveness of training program is by:

The strategic plan’s primary purpose is:

Root cause analysis (RCA) provides all EXCEPT:

Three new patient safety initiatives where published, a CPHQ should first

The main element for the clinical governance committee to be effective and functional is:

Written Performance improvement report should not include

The test that can give the same result every time we do it is:

A nurse received call about critical value result what she should do next:

The responsibility to promote organizational values and commitment among the staff lies within

A hospice agency conducted a satisfaction survey of all 200 patients currently receiving pain management service. When asked if they were satisfied with their pain management, 170 said “Yes” and 30 said “No”. In this case, the healthcare quality professional should:

Which of the following is responsible for patient safety?

When considering the use of an external subject matter expert (SME), which of the following is the characteristic most critical?

A policy for time-out in the operating room (OR) was initiated in the first quarter. In the second quarter the data has 40% compliance with all elements of the process. The first step the quality council should take is to:

Customer suggestions for new service are best used by the organization in developing:

After significant unexpected event, an intensive analysis is performed to:

A credentialing committee has determined that a practitioner has significantly higher rate of complications after surgeries than the practitioners peer. Which of the following the committees do next?

Decision by “consensus” means:

Data gathering method includes all of the following except:

The best tool to begin investigate causes of laboratory labeling errors:

For CQI (continuous quality improvement) to be successful who must be included in the team?

The chief executive officer “CEO” of healthcare organization has requested a recommendation for the most effective method of assessing the organization’s readiness to adopt CQI, which of the following methods should CPHQ recommend:

In a large tertiary hospital, 10.3% of a general surgeon’s cases in the last 3 months were associated with surgical site infections. The average surgical site infection rate for the other general surgeon’s was 4.8%. Working closely with the Chief Medical Officer, the healthcare quality professional should:

To establish evidence based practice guideline, it is best to:

The consensus- building group of diverse stakeholders who reviews and endorses measures for public reporting in the U.S is known as the:

Which of the following steps is most commonly omitted from the quality assessment and improving?

After performance improvement (PI) team finish the program who will submit results to the governing board (GB)?

After in-depth data analysis, there is evidence of over utilization of computerized tomography to diagnose acute appendicitis. A team has been formed to develop a performance improvement plan for emergency department physicians. Which of the following leadership style is most effective to implement best practice guidelines?

Which of the following is the best example of applying cultural diversity principle to patient safety?

Patient safety officer developing safety plan and the following information was provided: – Incident report data , – Performance indicator , – Customer complain data.Which of the following addition data is needed to write the safety plan?

LEAN rapid improvement:

Performance improvement plan (Order or Arrange):
1-Gathering baseline data
2-Evaluate effectiveness & improvement
3-Make commitment
4-Implementation

Healthcare quality professional has written patient safety plan that includes: purpose, goals, objectives (scope & processes). A review of outcomes data has been completed, which of the following additional information should be in the plan:

Which of the following Best enhances the patient safety program?

Generic screening is a type of risk:

Paradigm shift means:

FMEA uses which type of review?

Which of the following should be reported in occurrence report and shouldn’t be included in the medical record of the patient?

What’s the Median of: 1 , 1 , 1 , 1 , 1 , 2 , 5 , 7 , 8 , 9 ?

Where should the surgical “time out” for a total knee replacement occur?

Cohesion will be which stage of team building?

The pharmacy unit reported that the use of an expensive drug has been increased over the last 6 months. As a quality professional, you should review:

The best way to evaluate any team is by: