Page 1 of 10 Loading... 1. Which of the following is a nominal variable?Occupational prestige.Age.Blood pressure.Religion. Loading... 2. If you were comparing two treatments for which it is easy to arrive at evaluations of both their costs and consequences in monetary terms. Which method of economic evaluation would be best for comparing them?Cost-effectiveness analysis.Cost-benefit.Cost-minimisation analysis.Cost-utility analysis. Loading... 3. Dental department's monthly case review revealed 240 records meeting criteria and 150 records did not meet the criteria. In calculating the incidence rate, the denominator is:15039090240 Loading... 4. The dimension of quality performance that is dependent upon evaluation by the recipients and/or observes of care issafety.respeect and caring.continuity.availability. Loading... 5. Goals of public reporting on healthcare quality does not includestimulating quality improvement.providing consumers with information to make decisions.supporting pay-for-performance initiatives.providing a detailed tool kit for quality improvement projects. Loading... 6. (FOCUS) performance improvement model isusually performed after PDCA.used to identify a problem, rather than a means to find the solution.a complete process.more suited to solve organization-wide problems. Loading... 7. Performance improvement activities should not considerThe needs and expectations of stakeholders.Substantial costs increments that may customers pay.Current literature.The organization strategic priorities. Loading... 8. A Quality Council has decided that a Patient Safety Committee needs to be established to oversee the patient safety program. The Quality Council has asked this committee to prepare a patient Safety Plan that would guide the program. A key factor that needs to be considered for the long-term success of the patient safety program is todetermine which patient safety goals need to be monitored.involve the entire organization in the program.research how technology can be used to prevent errors.review incident reports to identify where the errors are occurring. Loading... 9. A quality council has apponted 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?number of medication errors since team was chartered.team members' ability to interpret graphs.frequency of team meetings.composition of the team. Loading... 10. The overall coordinator responsible for the strategic planning process isThe Board of Directors.Chief Financial Officer.Chief Executive Officer.The Medical Staff. Loading... 11. The practice of setting operating targets for a particular function by selecting the top performance levels, either within or outside an organization is known asQuality.Monitoring.Benchmarking.Linkage. Loading... 12. An insurance company has contracts with two hospitals. Hospital A is a 240-bed community facility and Hospital B is a 920-bed tertiary care center. It was noted that costs were less at the tertiary care center. From a financial standpoint, the best option for the private insurer is tomonitor the expenses of both institutions for the next year.recommend that Hospital B acquire Hospital A.negotiate an exclusive arrangement with Hospital B.maintain both contracts with no further action. Loading... 13. The concept of "medical home" in managed care ismedical care delivered to, or in, the home setting.a building that houses all patient health records.an ongoing source of primary care coordinating participant health services.an ongoing source of specialty medical services coordinating participant health services. Loading... 14. Next to implementing a new plan, a healthcare quality officer is recommended to constantly evaluate results.perform a needs assessment.notify the quality council.educate concerned staff. Loading... 15. Baldrige Award's guidelines are not used toAssess customer satisfaction.Help define and design total quality systems.Assess leadership outcomes related to carrying out straregic plans.Help improve the computer based information system. Loading... 16. What sampling technique involves selecting the medical record of every fifth patient undergoing Percutaneous Coronary Intervention (PCI) ?Stratified.Convenience.Simple.Systematic. Loading... 17. Summary statistical reports of quality dataaggregate numeric data, usually provide means, and include the standard deviation and range.translate data into quartile dashboards.graphically trace performance for a selected indicator over time.provide a succinct summary of performance together with the comparison performance of similar groups. Loading... 18. When designing the content of a survey obefore implementing a future program, one should considerprogram needs and goals, different survey questions than those found in other surveys, population characteristics, and open-ended questions only.program resources, existing national or regional survey questions, and individualization so each participant can develop their own questions and responses.program resources, different servey questions than those found in other surveys, and individualization so each participant can develop his or her own questions and responses.program needs and goals, existing national survey questions, population characteristics, and type of responses desired. Loading... 19. An outpatient care setting QM/QI program that focuses on the "outcomes" as a measure of treatment effectiveness is difficult to establish becausepatient care outcomes are determined by the payer.the patient still has the upper hand in the control of treatment.expected outcomes for ambulatory conditions are too obvious.there are no required medical records. Loading... 20. A team approach to assist in problem solving is most useful when:diverse areas of expertise are required.there are adequate resources within the organization.communication challenges exist.the organization's goals are unclear. Loading... 21. Records show that one surgeon's wound infection rate is 28%. Further examination of which of the following data will provide the most useful information in determining the cause of this surgeon's infection rate?use of prophylactic antibiotics.hospital infection rate.mortality rate.mean patients age. Loading... 22. Which of the following are measures of central tendency?grouped data, bell curve, and distribution.correlation, regression, and t-test.standard deviation, variance, and standard error.mean, median, and mode. Loading... 23. The following criteria of a job description should be used to evaluate an employee performance:Duties and responsibilities.Qualifications.Salary grade.Working conditions. Loading... 24. Re-engineering can most appropriately be viewed as:total quality management.automating processes.reorganizing or flattening organizations.rethinking and redesign of business processes. Loading... 25. A case management department regularly monitors the number of inappropriate referrals, the timelines of discharge planning, and the number of days of discharge delays. What additional monitor should be added to evaluate the appropriateness of case management interventions?attainment of case management goals.inadequacy of documentation in progress notes.timeliness of referrals to case managers.number of case managements referrals from nursing. Page 2 of 10 Loading... 26. Reliability of a clinical rating scale involvesensuring that if it is applied repeatedly fot the same object, it would uield the same results each time.ensuring accuracy.ensuring precision.ensuring that it measures what it should measure. Loading... 27. Replacing retrospective review with concurrent review is an example ofa paradigm shift.an impowerment process.productivity enhancement.a process improvement. Loading... 28. A factor critical to the capital decision-making process is:Tax considerations.Medical staff requests.Strategic planning activities.Credit worthiness for an organization. Loading... 29. "A measure of the quality of attainment in meeting objectives" is the definition of Reliability.Timeliness.Effectiveness.Safety. Loading... 30. A medication has been prescribed for one patient for the prophylactic treatment of migraine. Its capacity to improve patient's health status, as dimension of quality or performance, is itspotential.efficacy.safety.efficiency. Loading... 31. Which of the following is the most likely to be a benefit of concurrent ambulatory surgical case review?decreased medical record review at discharge.an increase in reviewer competence.an increase in the number of cases failing screening criteria.decreased amployee turnover. Loading... 32. In describing the spread of data, the rangeis equal to the highest recorded data.shows where the mean sits in the data set.represents the most repeated values.ignores the outliers. Loading... 33. Guidelines for a fall prevention policy should include:Cost of care, fall risk assessment, interventions, postfall assessment.Interventions, cost of care, head to toe skin assessment, postfall assessment.Fall risk assessment, head to toe skin assessment, interventions, cost of care.Interventions, fall risk assessment, frequency of assessment, postfall assessment. Loading... 34. Monitoring and evaluating medication administration in order to minimize medical errors is an example ofutilization management.quality management.financial management.risk management. Loading... 35. In the continuous quality improvement process, it is determined to increase emphasis on customer satisfaction and outcomes of care, which two dimensions of quality performance must be incorporated into all quality management activities?Respect and competency.Continuity and competency.Availability and respect.Effectiveness and respect. Loading... 36. All of the following are essential to the implementation of an effictive quality improvement project EXCEPT:A clear charge and purpose for the group.A timeline for work completion and pre-determined reporting structure.The hospital CEO and CFO.Support and resources from the senior administration. Loading... 37. Practitioner clinical privileging processis centralized through regional or national professional boards.grants permission for the provision of specific medical or other patient care services in the organization.determine the level of individual competency.classifies patients according to disease severity index. Loading... 38. For a community hospital, patient satisfaction scores demonstrate multiple areas needed 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 would the healthcare quality professional also will be expected to find?departments are operating independently with little communication between units.employee satisfaction scores in the 90th percentile compared to other peer organizations.departments managers are openly discuss patient satisfaction scores.administration is prioritizing and leading units to achieve organizational goals. Loading... 39. Successful continued positive impact of simulation programs depends on all the following actions EXCEPT:assessing whether the program's goals and objectives are fulfilled.repeating the same curriculum to staff to improve performance.encouraging instructors to attend national conferences on simulation or quality improvement.inviting departmental and institutional key stakeholders to observe simulation training. Loading... 40. Quality leadership, in contrast to management by results, starts with which of the following?profit and loss.return on investment.customer needs and expectations.current products and services. Loading... 41. A useful strategy in developing effective measure sets for children's healthcare quality can be achieved throughbeing inclusive in identifying and assessing measures.developing new frameworks.relying on existing national efforts to develop measures.developing a near-complete document before obtaining input from experts. Loading... 42. Steps to developing a new service or program should occur in the following order:define goals, develop curriculum, secure champions of simulation, obtain support.perform needs assessment, define goals, obtain support, develop the curriculum.perform needs assessment, get support, secure champions of simulation, define goals.get support, develop curriculum, purchase equipment, identify and train instructors. Loading... 43. In departmental zero-based budget,Periodic updates to the budget, including revenues, costs, and volume, are done prior to the next budget cycle.Budgeting is a cost center (department) or centers with one person holding overall responsibility.All cost centers are reevaluated for each budget period to determine if they should be funded or eliminated, partially or completely.Monetary amounts are made regarding anticipated changes in revenue and expenses, and both fixed and variable costs are identified. Loading... 44. A fundamental difference between monitoring product quality and service quality is that a service is more easier to measure in advance.a service is not perishable.a service is more heterogeneous than an object.there are more service delays than product delays. Loading... 45. A utilization management department of a community hospital has collcted data on the length of stay and readmission rates. When compared to benchmarks, the length of stay rates are found to be higher and readmission rates are lower. Which of the following is the next step?Investigate the length of stay rates.Conduct a cost-benefit analysis.Identify additional benchmarks to compare the data.Display readmission rates with a run chart. Loading... 46. A team of three nurses is found to study the effect of patient education on diabetic patients to improve blood glucose levels. 120 patients have been selected for the survey and divided into two equal groups, A and B. Group A was randomly selected to receive education and group B was kept without intervention. Pre and post tests have been made before and after the end of survey. After three months, the team collected the data and made the necessary analysis todemonstrate that group A achieved a better control of blood glucose levels.prove that study design depends on sample size.show the both groups maintain the same levels of blood glucose.group B has a better quality of life. Loading... 47. Which of the following IS NOT part of the continuous improvement process through a defined teamwork:Conforming.Performing.Informing.Norming. Loading... 48. When illustrated in a dashboard, quartiles are defines asthe arithmetic average (summing up all occurrences and dividing by the number of occurrences).the spread of data between the 25th and 75th percentiles.clusters of data in which the data aredivided into four quarters, with the 25th quartiles as the lower quartile and the 75th as the upper quartile.the average distance of data from the mean. Loading... 49. Percentages of a distribution of values that are equal to or below that number are known asquartiles.rates.prevalence.percentiles. Loading... 50. Both Pharmacy and Nursing departments are having difficulty developing an action plan for the management of medication errors. Pharmacy Services claims that Nursing Services causes the majority of the problems related to errors, while Nursing Services states the opposite. The quality professional's role in resolving this problem is toimmediately refer the problem to the facilitywide quality council.assign the task to an independent manager.facilitate discussion between the two parties to enable them to assume ownership of their portions of the problem.provide them with directives on how to solve the problem. Page 3 of 10 Loading... 51. A 67 years old diabetic patient being taught how to self-administer insulin. Which of the following is the best method to assess this patient's understanding of the teaching?return demonstration.family's ability to verbalize instructions.patient satisfaction survey.written pre- and post test. Loading... 52. Nosocomial infection isa chronic infection affecting the nostrils.an infection caused by physicians wrong practice.an infection acquired while receiving care, treatment in a health care organization.a community aquired infection. Loading... 53. A health care facility decided to implement Standard Precautions one year ago, but compliance has been poor. In addition to assessing the cause for poor compliance, the most effective way for the organization to improve compliance?review and revise policies and procedures.stock personal protective equipment (PPE) in the clean utility room.show a videotape on Standard Precautions quarterly.initiate testing as a part of staff competency. Loading... 54. A collaborative team is required to improve the service in the emergency department of a community hospital. What are the essential steps for this team success?forming a team, choosing a chair, selecting areas on which to focus improvement efforts and PDCA.forming a team, collecting baseline data, submitting a work plan and PDCA.forming a team, choosing a chair, collecting baseline data and PDCA.forming a team, collecting baseline data, selecting areas on which to focus improvement efforts and PDCA. Loading... 55. Standards of care based on the knowlede and research of recognized experts are known aspre-established criteria.evidence-based guidelines.generic screens.benchmark data. Loading... 56. On performing a financial analysis of a hospital, the following would not be considered direct costsFacility maintenance.Drug expenses.Supplies.Salaries. Loading... 57. The following tool is used primarily to record patient and practitioner specific dataSpreadsheet.Flowchart.Histogram.Graph. Loading... 58. To consider a staff accountable for a certain task, there must be an equal balance between responsibility andcompetency.authority.appraiasal.education. Loading... 59. The list of materials that are considered hazardous within a healthcare facility is created by:NAHQ.FDA.NIOSH.individual facilities. Loading... 60. The leader of a quality improvement team needs to deal effectively with a conflict between two units, it is best to appoint which of the following to its membership?a risk manager.a senior safety officer.a facilitator.a human resources representative. Loading... 61. Generally, large quality data sets are summarized usingdescriptive statistics.newsletters.reports.inferential statistics. Loading... 62. The concept of organizational liability is most important to the field of healthcare quality because it holds the organization responsible formaintaining confidentiality of all documents.requiring physicians to carry adequate malpractice insurance.assuring that peer reviewers have no conflict of interest is cases being reviewed.maintaining a process to identify deficiencies in the provision of care. Loading... 63. The following is non-modifiable risk factors for coronary heart disease:Smoking.Obesity.Age.Hypertension. Loading... 64. RN Lora measured the customer variable "feelings toward quality of provided care" with the categories very satisfied, satisfied, indifferent, dissatisfied, and very dissatisfied. RN Lora was using which the level of measurement?interval.ordinal.nominal.ratio. Loading... 65. To achieve full compliance with the discontinuation of postoperative antibiotics within 24 hours, the best way is throughinstructing the nurses to discontinue the antibiotics at the appropriate time.implementing a set protocaol through risk management department.working with the pharmacy and therapeutics committee to implement an automatic stop on postoperative antibiotics.hoolding anesthesiologists accountable for writing orders for postoperative antibiotics. Loading... 66. The following is the First Step to facilitate a change in an organizationIdentify problems to be addressed in the organization.Get feedback from staff on the problems to be addressed.Identify key people in the organization who should be involved.Develop a performance improvement plan. Loading... 67. The process of obtaining, verification, and assessment of the qualifications of a healthcare practitioner to provide patient care or services in a healthcare organization is known as:Appointment.Profiling.Credentialing.Accreditation. Loading... 68. Clinical microsystemsinvolves only clinical staff.do not give a true picture of hospital care.are the building blocks that form hospitals.are small research centers focusing mainly on epideiological studies. Loading... 69. The term "performance" meansan interactive series of process steps.a statement of expectation.a demonstration during accreditation survey.the effective execution of functions and processes. Loading... 70. Physician profiles are reviewed at time of reappointment toensure practitioner competency.compare practitioner to peers.review number of complaints.facilitate reappointment approval. Loading... 71. An example of hospital external customer is (are)Suppliers.Insurance companies.Accreditation agencies.An outpatient. Loading... 72. You are doing research on hospital personnel including orderlies, technicians, nurses, pharmacists and doctors. You want to be sure you draw a sample that has cases in each of personnel categories. An appropriate sampling method would be:cluster sampling.simple random sampling.convenience sampling.stratified sampling. Loading... 73. Which of the following is the fisrt step in the strategic planning process?establishing and controlling a budget.defining organizational structure.setting goals and objectives.determining productivity indicators. Loading... 74. Which one piece of information is the most usefull to describe the age of population that is served in a vaccination clinic?Scatter plot.Gantt chart.Pie chart.Radar chart. Loading... 75. Two hospitals A&B has recently been merged. After 8 months it has been noted that Hospital A has successfully transitioned their staff to new organization values, while Hospital B is still struggling. Hospital A' success can be best attributed to support of both hospitals' mission statements.acceptance of the new mission and vision statements.integration of technology and databases.ensuring adoption of new values by all staff. Page 4 of 10 Loading... 76. The following monitor provides patient outcome information:the degree of compliance with prescribed antibiotics therapy.the degree of compliance with nursing care recommendations.hospital nosocomial infection rate.an equipment malfunction rate. Loading... 77. A team has identified a process for improvement, selected examples of best ptactice performers, visited those sites, gathered all necessary data, and compiled the results. The most effective next step for the team is to:compare results to historical data.identify a new future process to benchmark.implement change back at the team's site.make the results public for others to use for benchmarking. Loading... 78. _____is accountable for the administration of the prophylactic preoperative dose of antibiotics.Holding room nurse.Operating room circulating nurse.The pharmacist.The Anesthesiologist. Loading... 79. Which of the following are managers who assume that the average employee enjoys work, seeks out responsibility, and is self-directed?Theory Z managers.Theory X managers.Autocratic managers.Theory Y managers. Loading... 80. The following is an example of a "never event" or sentinel eventmissed dose of an IV antibiotic.patient suicide in the psychiatric ward.patient fall that results in a bruised tailbone.fever of 101.2°F after a blood transfusion. Loading... 81. The majority of medication errors in the hospital setting originate in which phase of the medication-use process?Prescribing.Administration.Dispensing.Transcribing. Loading... 82. External environmental analysis typically includes:Qulaity indicators.Operating margins and debt capacity.Efficiency and staffing ratios.Demographic and socioeconomic characteristics of the service area. Loading... 83. When evaluating the components of an existing medication utilization system, priority attention should be given to those steps that:have highly functional checks and balances.are the least prone to variation.cannot be easily observed "down stream".occur within the pharmacy department. Loading... 84. The most effective tool to improve communication between caregivers is known as:SBAR.PDCA.PDSA.SOAP. Loading... 85. If response rates are not within the threshold levels in an ongoing determined process, which of the following statistical methods can be used for quality improvement purpose?Chi square test.monthly surveying.trending with control charts.time series analysis. Loading... 86. The healthcare quality professional is studing and assessing the benefits of introducing an electrical alarming machine to swiftly inform physicians of abnormal and alarming extraordinary lab results. The healthcare quality professional is performing:FMEA.Root cuase analysis.cost-effective analysis.technology assessment. Loading... 87. Patient's personal,demographic and insurance information should occur during:Account follow up.Admission.Discharge.Preadmission. Loading... 88. The most common measure describing the degree of variability in a distribution is the standard deviation.the dispersion.the range.the variance. Loading... 89. The term _____ is defined as "Performance probability of the priduct over its intended life and conditions"ReputationReliabilityKaisenConformance Loading... 90. The best way to facilitate change within a healthcare organization is tocommunicate through group e-mail.involve the individuals directly affected by the change.arrange presentations by senior leaders.communicate through group meetings. Loading... 91. All of the following statement about variation in quality management methods are true EXCEPT:Common cause variation is also known as (internal variation).Special cause variation is best addressed at the specific source.Common cause variation is inherent to any given process.Special cause variation is typically random in nature. Loading... 92. Which of the following is NOT associated with the Baldrige Award?First awarded in 1989.Primary focus is customer satisfaction and quality.For US firms only.It serves as an inexpensive consulting service. Loading... 93. Failure Mode and Effects Analysisis a proactive process that expect potential errors expectations.analyses past errors and design a system that will minimize their impact.studies the effect accreditation process on organization's future goals.is carried out retrospectively in response to a sentibel event. Loading... 94. Meaningful quality process measures must be:relevant and explainable.feasible and explainable.valid and identifiable.relevant and valid. Loading... 95. Who is responsible for notifying Clinical Engineering of any incoming medical equipment (including loaner, demo and rental) in order to complete an acceptance inspection prior to initial use on a patient? Purchasing Department.Nursing Department.Technical staff of Clinical Engineering.Each department receiving the equipment. Loading... 96. Extent to which a service achieves its intended outcomes in a real world environmen is known as:Equity.Efficacy.Effeciecy.Effectiveness. Loading... 97. Compartmentalization of QM/QI activities by department or descipline when incorporating TQM key concepts within an organization isa weakness in implementing quality improvement.the most efficient structure.important for preservation of medical staff autonomy.consistent with TQM philosophy. Loading... 98. One distenct difference between traditional quality assurance (QA) and quality improvement (QI) is that QIfocuses on the process, while QA focuses on individual performance.is defensive,while QA is proactive.stresses management by objective, while QA atresses team management.focuses on the individual, while QA focuses on the process. Loading... 99. The medical director requested the quality manager to assign a staff member to assist in the development of a quality program for a newly established service. The following staff member is the most appropriate for this project development:A newly hired staff member who has demonstrated competence and has time to complete the task.A motivated staff member who is actively seeking promotion.A knowledgeable staff member who works best on defined tasks.A competent staff member who has good interpersonal skills. Loading... 100. Which of the following is an important criterion for evaluating a measure of quality?the lack of existing gaps in performance.the scientific validity and reliability of the measure.reliance on data collected through electronic medical records.the lack of evidence supporting best practice. Page 5 of 10 Loading... 101. The measure of the volume of cases in a hospital is known as:Case mix.Census.DRGs.Acuity. Loading... 102. Which test is most commonly used to evaluate the reliability of a survey questionnaire?Pearson's correlation coefficient.Mann-Whitney U test.Coefficient of variation.Cronbach's alpha coefficient. Loading... 103. Six Sigma performance improvement modelis a performance improvement model developed by Motorola corporation.allows for no more than 0.3 defects per million opportunitiesis introduced and recommended by Joint Commision.primarily aims to eliminate wrong site surgeries. Loading... 104. The method of arranging data by listing all available values, and all individuals receiving each value, is calleda simple frequency distribution.the standard deviation.the mode.a grouped frequency distribution. Loading... 105. Which is not a critical first step when implementing new program in a hospital:Calirifying current practices.System-wide implementation.Ensuring essential team membership (leadership and front-line staff).Piloting changes to facilitate rapid modifications. Loading... 106. A quality officer is measuring the time it takes a nurse to perform a procedure. This addresses which of the following aspects of care?Structure.Monitoring.Process.Outcome. Loading... 107. All of the following are key aspects of quality EXCEPT: Depends upon customer perceptions.High levels of precision.Considers customers' needs.Does not change with time. Loading... 108. Standard deviation isthe middle value or 50% reference point of all occurences.the spread of the data from the highest to lowest numbers.a sort of data that are not symmetrically distributed.the average distance of observations from the mean. Loading... 109. Prior to plotting a line graph, a healthcare quallity staff should firstdefine the axis measurements.calculate the mean.identify the parameters.develop a legend. Loading... 110. The following table represents two samples of two hospitals lower limb amputation monthly rates per 1,000 diabetic patients aged 60-70 years of age: In analyzing the above data, it can be concluded that:There is a data collection error in Sample A.Sample A has more variability than Sample B.Sample A's performance is superior to Sample B's.There are more female cases in Sample A. Loading... 111. A measure used to determines, over time, the performance of functions, processes, activities is defined as a/an:Standard.Parameter.Indicator.Trend. Loading... 112. A program is developed to evaluate the effectiveness of physicians care in a primary healthcare clinic. Which one of the following indicators may be selected?The contract lab will provide results within 24 hours of sample delivery.Newly diagnosed hypertensive patients are controlled within 6 months.The staff complies with all infection control policies and procedures.The patient will express overall satisfaction with clinic facilities. Loading... 113. Healthcare quality professionals can best communicate organizational values through:disseminating monthly newletters.creating a mission statement.establishing a multidisciplinary task force.leading by examples. Loading... 114. A cohort studyprincipally relies on case reports.often requires a long term follow-up.represents a systematic review of several randomized trials.involves limited sample sizes. Loading... 115. The healthcare risk manager is usually responsible for claims administration. Which of the following is included in this process?contracting, reporting, and resources management.Patient satisfaction surveys, contracting, and investigation.QM, analysing patient satisfaction surveys and resources management.investigating, analyzing, and reporting. Loading... 116. What is "iatrogenic illness" ?Illness caused by not enough iron in the blood supply.Illness caused by doctors.Illness of the eye.Illness caused by iatro-genetic factors. Loading... 117. Some applications of International Classification of Diseases (ICD) code information include:Provides supporting documentation to the service or procedure performed by non-physicians.Used to document procedures done by physicians to request publication.Provides data to support credentialing agencies, Health Plan Employer Data and Information Set (HEDIS) reporting, and state licensure requirements.Supports correct coding initiatives, supports data requirements for residency program accreditation, and can provide means of identifying cases that fit the criteria for research protocols. Loading... 118. Your community hospital has coordinated with local municipality authority to convert a busy intersection to a roundabout (i.e., traffic circle) to alleviate long standing condestion, but after completion it was realized that large fire trucks cannot fit through the new configuration. This is an example of:System re-engineering.Continuous quality improvement.Quality assurance.Unintended consequences. Loading... 119. P control charts can be used to:Measure stability over time, compare findings with a threshold, and determine why a threshold was not met.Measure data values, compare each individual's result with all other participants, and determine type of variation.Measure data values, compare findings with a threshold, and determine why a factor was not within the threshold.Measure stability over time, compare findidngs with a threshold, and determine type of variation. Loading... 120. The following type pf budgets allocates one major equipment to be purchased in the next year:Zero-based.Operating.Capital.Variable. Loading... 121. All of the following are presently components of National Quality Measures for Acute Myocardial Infarction (AMI) EXCEPT:ACEI (Angiotensin Converting Enzyme Inhibitors) or ARB (Angiotensin Receptor Blockers) for left ventricular systolic dysfunction. Long-term lipid-lowering therapy adherence.Beta blocker prescribed at discharge.Aspirin at arrival. Loading... 122. The following process or methodology is performed retrospectivey:Clinical path.Root cause analysis.Cohort (Follow up) study.Failure modes and effects analysis. Loading... 123. A patient was discharged from the operating room when a surgical towel was left in the patient's body. The patient was readmitted for removal of the towel. Which of the following would most likely apply in this situation?res ipsa loquitur.tort liability.contractual liability.contributory negligence. Loading... 124. An emergency department tracks patient's mean waiting time from arrival to physician assessment. Data is plotted using a run chart. Which of the following shows a true statistical increase in treatment delays?data points are close to the mean line.8 consecutive ascending data points.a zigzag pattern of 10 data points.7 consecutive descending data points. Loading... 125. The primary purpose of an emergency preparedness program is toprevent internal disasters that disrupt the facility's ability to provide care and treatment.provide evaluations of semiannual evacuation drills.manage consequences of disasters that disrupt the facility's ability to provide care.conduct evaluations of emergency training. Page 6 of 10 Loading... 126. The two major responsibilities of the FDA for both drugs and devices aresafety and affectiveness.efficacy and reliability.availability and durability.quality and affordability. Loading... 127. A quality officer has the responsibility for education and implementation of a continuous quality improvement process. To affect cultural change, administration mustreceive quarterly reports.be assigned as a member of a team.limit training to managers and supervisors.believe the costs are justified by the benefits. Loading... 128. The following is used to relate interaction between equipment, methods, and customersCause and effect diagram.Scatter diagram.Histogram.Tally chart. Loading... 129. The following is the approach when implementing a National patient Safety Goal related to minimizing potential errors in a patient's care, treatment, and services?having the patient provide return demonstration of the knowledge provided.showing a video to a patient and their family.allowing the patient and family opportunities to ask questions.giving both written and verbal instructions to a patient and family. Loading... 130. Lean-Six Sigma is a performance improvement model thatdepends on continuous learning and rapid change.is driven by individual junior staff within the organization.is focused on short-term goals and strategies.excludes physians performance. Loading... 131. Which of the following is NOT considered a component of the front-end of the revenue cycle?Admissions.Patient financial services.Compliance.Medical records. Loading... 132. You decided to hire a consultant to assess and prepare the hospital for an upcoming accreditation event for the next six months. The most important aspect to consider is the consultant'scosts.Education.Readiness.References. Loading... 133. Measures of central tendency describethe average distance of any variable in the data set from the mean.the extent to which the data points are scattered.the typical or middle data point.graphical representation of a distribution. Loading... 134. Which of the following is the most practical and mandatory element of the process of developing quality measures for use in the healthcare setting?Evidence-based guidelines.Pay for performance.Clinical trials.Hospital/physician quality measures. Loading... 135. Being a QM Diretor at a 400-bed community medical center, one of your first key issues to determine when evaluating the current organization QM program is the operating budgets for the quality, utilization, and risk management departments.the climate for change in each department and service.responses to accreditation recommendations following the last two surveys.the extent of leadership knowledge of and involvement in quality activities. Loading... 136. What is the initial step taken when developing a new program?securing champions of the program.performing a needs assessment.defining program goals.developing the curriculum. Loading... 137. When a case manager wants to demonstrate length of stay data that depicts both common cause and special cause variation, which of the following should be used?Pareto chart.Frequency plot.Scatter plot.Shewhart chart. Loading... 138. The leadership style known to motivate employees, and optimizes the introduction of a change in an organization isautocratic.consultative.participatory.democratic. Loading... 139. The operations management transformation process in a hospital is primarily which of the following?physiological.locational.exchange.storage. Loading... 140. Using the table from question (Q-232), What is tha ratio of units wasted to total units typed and cross-matched in July?0.3618055564%0.3645833330.359027778 Loading... 141. The "apropriateness" of care can be defines ascase management.the degree to which healthcare services are coherent & unbroken.doing the right things in accordance with the purpose.adherance to organizational standards of care and practice. Loading... 142. Published articles information in scientific lournals is set in the following sequence:Title, Author(s), Journal, Year, Volume, Issue, Page(s).Journal, Year, Volume, Issue, Page(s), Year, Title.Author(s), Title, Journal, Year, Volume, Issue, Page(s).Author(s), Journal, Title, Year, Volume, Issue, Page(s). Loading... 143. Tho most effective way for a healthcare quality professional to communicate quality improvement activities to the medical staff is byevaluating physician participation on quality teams.providing outcome data at medical staff meetings.inviting medical staff to an isdervice on quality tools.developing professional relationships. Loading... 144. You are working as the hospital quality healthcare professional, a regulatory person came to your office to monitor selected quality issues in your facility. What is the most appropriate FIRST question you may address to that person?What is the most important topic shall we discuss first?Can I see your ID please?Shall we have coffee?How long do you want me to spare time for you? Loading... 145. The following are essential functions of an infection control programpatient safety and risk management.prevention and education.risk management and surveillance.surveillance and prevention. Loading... 146. In the event of a fire staff should follow R.A.C.E. what does that acronym stand for?RACE out of the building.Remove people in danger, Activate the alarm, Contain the fire, Extinguish.Report the problem, Assemble staff, Communicate plan, Educate patients.Ride the elevator, Ask questions, Call for assistance, Exit. Loading... 147. A time sequences chart displaying plotted values of a statistic, including a center line and statistically determined control limits is a :control chart.run chart.scatter diagram.process flow chart. Loading... 148. A Collaborative team is recruited aimed at reducing inappropriate admissions in a community hospital. An ideal senior leader role in the collaborative team should be filled by someone whois a practicing physician and an opinion leader respected by his or her peers.holds responsibility for making day-to-day decisions and for driving the project internally.holds authority over physician staff and has the ability to influence physician behavior.holds authority over the areas affected by the change and has an ability to allocate resources to the effort. Loading... 149. Research, Quality Assessment and Quality Improvement:are considered protocols rather than projects.do not share the aspect of systematic investigation.use scientific methods to test hypothesis and statistical methods to analyza data.do not require documentation of IRB approval before publication. Loading... 150. The following represents an essential element to an effective quality council:consultation of the legal advisor.direction from the organization's quality department.participation of the strategic planning committee.involvement of leadership. Page 7 of 10 Loading... 151. A process that may include recredentialing, reprivileging, profiling, peer review, and reappointment is known as:Reappraisal.Reengineering.Reformation.Restructuring. Loading... 152. "Failure free operation over time", can be used to describe which of the following characters of a measuring procedure?Sensitivity.Validity.Reliability.Specificity. Loading... 153. To be usedful in preventing future error, a Root Cause Analysis (RCA) should be performedusing practitioners who were not involved in the event.utilizing a multidisciplinary team.starting no earlier than 30 days after the event.documenting opinion as well as facts. Loading... 154. A critically ill patient is admitted and requires a specialized procedure; however, the surgeon does not have privileges at the facility. Which of the following documents will be MOST helpful in identifying the course of action the hospital should take?patient safety manual.surgical policies and procedures.medical staff bylaws.risk management plan. Loading... 155. Your hospital is compaing its current practice with the that of the best facility in the area. This process is calledStandardization.Challenging.Benchmarking.Competency. Loading... 156. The following best describes an organization's vision statementIt describes the organization's strategic plan.It is used as a marketing strategy.It defines the stucture of the institution.It reflects the organization's future aspirations. Loading... 157. Joint Comission surveyors review organization'sphysycians PDAs.income taxes.credit worthiness.medical records. Loading... 158. The relationship between patient satisfaction and hours per patient day on a GOB unit was found to be (r=0.70,p < 0.05). What is the correlation between these two values?0.050.70.4914 Loading... 159. Four kinds of cost behaviors in cost accounting are:Fixed, variable, semi-variable, and semi-fixed.Incremental, fixed, variable, and semi-variable.Discretionary, fixed, variable, and semi-variable.Direct, indirect, fixed, and variable. Loading... 160. 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?the partitioner privilege form.the credentialing application.purpose of the request.requestor's contact information. Loading... 161. Of a quality improvement perspective, the most desirable state is when:Best practices have been identified.Consensus has been achieved and articulated.Clinical studies identify effective therapies.Multiple treatment options are being studied. Loading... 162. This individual developed "bar chart" techniques for activity schedualing Elton Mayo.Walter Shewhart.Henry Gantt.Adam Smith. Loading... 163. Hospital mission statementdetermines the role of the community.reflects only the main objectives of medical departments.represents extended future goals.should include a commitment to serve the community. Loading... 164. A key Quality Management function of an independent licenced physician practitioner is toestablish a data collection methodology for non-physician clinical reviews.research citeria options for certain specialty specific peer review.tabulate peer review data for periodic medical committee reporting.determine what constitutes a deviation from an accepted standard of care. Loading... 165. In addition to the label on a hazardous chemical container, what other information should you read to understand how to handla a hazardous material?Medical chart.Material Safety Data Sheets (MSDS).Employee handbook.The Healthcare Effectiveness Data and Information Set. Loading... 166. What are "psychic" externalities?External costs and benefits associated with caring about other people.External costs and benefits from being at risk of catching diseases from other people.External costs and benefits from curing other people.External costs and benefits to society from having clairvoyants around. Loading... 167. Management by quality improvement principles should emphasize the importance ofteam development.quarterly statistical reports.staff orientation.customers' expectations. Loading... 168. One method used to transfere risk from one party to another is:Copayment.Risk retention.Commercial insurance.Self-insurance. Loading... 169. Potential negative outcomes of a patient fall may include all of the following exceptIncreased fear and/or psychological effects.Injury or death.Decreased social interactions.Increased co-pay to Medicare/Medicaid. Loading... 170. A graphic tool used to explore and display all the factors that may influence or cause a given outcome is known asForce field analysis.Interrelationship diagraph.Ishikawa diagram.Flow chart. Loading... 171. More complex waiting line problems can almost always be handled by:queuing models.linear programming.mathematical models.computer simulation. Loading... 172. A hospital governing board addressed the quality council to adopt an action plan to reduce patients fall rate in medical/surgical wards. What is the initial step to be taken by the council when developing or modifying a fall prevention program?Evaluationof current program findings such as historical fall data, current policy, and compliance to the current program.Selection of a pilot unit to establish new practice and to evaluate and/or modify changes.Development of systematic evaluationof current program success and implementation of PDSA.Modification of current policy. Loading... 173. All of the following are key aspects of quality EXCEPT:It promotes high levels of precision.It does not change with time.It depends upon customer perceptions.It considers customers needs. Loading... 174. In the patient schedualing process, who is not considered a customer?The Patient.The Medical provider.The Referring physician.The insurance company. Loading... 175. The following statements regarding the back-end of the revenue cycle is TRUE?The health system's finance department is solely in charge of it.Responsibility for it is jointly held by the finance, compliance and internal audit, and information services departments.It refers to the functions and processes that occur before the bill is submitted to the payer.It has no effect on the revenue cycle management. Page 8 of 10 Loading... 176. Using the table from the previous question (Q-232), which aspect of blood utilization would you recommend first for further investigation?Typing and cross-matching.Single-unit transfusions.Use of whole blood.Units wasted. Loading... 177. The number of C-sections performed in the labour room of a meternity hospital during the last twelve months is 3,5,4,1,2,7,3,3,1,4,3,2. What are the values of n, mean, range, mode, average and median respectively?3,3,6,3,4,3.12,3,6,3,3,3.12,3,38,3,4,3.38,3,6,3,4,3. Loading... 178. A repeated out-of-control signal from a process may implyan out-of-control process, incorrect control limits, an incorrecct control system, or a type 1 error.an out-of-control process, an operator error, measurment errors, or a type 2 error.an out-of-control process, incorrect control limits, an incorrecct control system, or a type 2 error.an out-of-control process, incorrect control limits, an operator error, or a type 2 error. Loading... 179. Which of the following are the primary reasons for developing drug formularies?reduce medication errors and educate physicians.decrease food and drug interactions and promote patient safety.manage pharmacy costs and promote patient safety.encourage the appropriate use of medications and minimize inventory. Loading... 180. In the course of developing and implementing a Fall Prevention Program, when choosing a pilot unit, the unit should havehigh fall rate, unique patient population, strong unit leadership, staff willingness to seek change.strong unit leadership, low daily census, high fall rate, high fall risk patient population.unique patient population, high fall risk patient population, high fall rate, low daily census.high fall risk patient population, high fall rate, staff willingness to seek change, strong unit leadership. Loading... 181. Obstacles to building a culture of patient safety in healthcare include all of the following EXCEPT:placement of accountability on healthcare systems.medical and nursing staff complacency.unsupportive senior leadership.assignment of blame on healthcare providers. Loading... 182. All of the following statement are true EXCEPT:The National Quality Forum reviews and endorses voluntary consensus standards.The Institute for Healthcare Improvement is an independent, non-profit organization promoting patient safety initiatives.Accreditation by the Joint Commission is mandatory for hospitals that bill Medicare for services.The Hospital Quality Alliance develops and promotes the utilization of quality measures, such as those addressing surgical wound infections. Loading... 183. Fall prevention programs should include all of the following EXCEPT:Assessment/reassessment criteria.An evidence-based risk assessment tool.Postfall assessment criteria.Reimbursement criteria. Loading... 184. The principale purpose of a management information system is tofacilitate better coordination of organizational change.releease data for quality assessment.computerize operations for greater effectiveness.provide information that supports management decisions. Loading... 185. Based on an identified preliminary data relating to admissions by family practice physicians, the Critical Care QI Team is chartered to improve the admission process to the critical care units. The medical director drafts the performance measures and criteria for data collection. The critical care nurses collect the data, and the quality management department staff aggregates and displays the data for the team. What key step is missing?Approval of the project by the family practice department.Data collection and summarization by the medical staff.Collaboration with the medical staff Executive Committee and family practice department.Preliminary information proving that assessment is needed. Loading... 186. The following table demonstrates inpatient adverse events data in male internal medicine department in a general hospital for the first three months last year: What is the percentages of complications of inpatients for the month of March?2%19%18%1% Loading... 187. Benchmark reports of quality dataare used to translate data into quartile dashboards.provide a concise summary of performance together with the comparison performance of similar groups.represent numeric data into illustative graphs.graphically trace performance deviations for a selected indicator over time. Loading... 188. Benchmarking is based on identifying which of the following?Best practices.Statistical control.Deficiencies.Competition. Loading... 189. A set of binary data collected from a process records could include all of the following EXCEPT:the discharge status (expired or otherwise) of post-coronary artery stent patients.the presence of bed sores after a one-year residency in an assisted living facility.the degree of blood pressure reduction experienced by patients treated by a primary care practitioner.the giving of disease information pamphlets to discharged emergency room patients. Loading... 190. A unique challenge in identifying measures of children's healthcare quality is thatgrowing attention to children by national bodies.the focus of existing pediatric measures on inpatient settings.the focus of existing pediatric measures on chronic care.the diversity of diagnoses and patterns of illness across different age groups of children. Loading... 191. In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing a pie chart.run chart.Ishikawa diagram.histogram. Loading... 192. Conclusions from a licensed independent practitioner's profile would most likely be used during productivity management.initial credentialing.reprivileging.case management. Loading... 193. The evaluation of the quality and appropriateness of patient care in the radiology department is the responsibility of the medical director of radiology.medical director of the quality department.administrator of clinical services.chief medical officer. Loading... 194. Regarding Meta-analysis, all the following statements are True EXCEPT:It provides a more precise estimate of a treatment effect.It may be biased due to exclusion of relevant studies or inclusion of inadequate studies.It is a statistical procedure that integrates the results of several independent studies that considered to be combinable.It doesn't allow a more objective appraisal of the evidence than traditional narrative reviews. Loading... 195. In order to ensue patient safety as a dimension of performance within a healthcare facility, the most effective way is toencourage patients and families to identify risks.focus on processes and minimize individual blame.sponsor a tol-free line for reporting problems.have leaders who commit to and foster a safe culture. Loading... 196. A team has been requested to develop a program to prevent patient falls. Which of the following data elements from an incident/occurrence reports would provide the most useful information for the team in evaluating the program's success?nursing assessment.patient demographics.staffing ratio at the time of the fall.record of the time of the fall. Loading... 197. Communication has been identified by The Joint Commission (TJC) as a leading cause of medical errors. A staff nurse to safely take a medication order by telephone from a resident physician shouldwrite the order on the telephone notebook and restate back the order to the physician for confirmation before administration to the concerned patient.confirm the order with the nursing supervisor first then procede as directed after a double check by another staff nurse.immediately administer the medication to the patient and call back the physician for confirming order being excuted as requested.restate the order back to the physician for confirmation before administration to the identified patient. Loading... 198. A sampling interval of 10 was used to select a sample from a population of 1200. How many elements are to be in the sample?1212001201180 Loading... 199. Which of the following is an essential component in a performance improvement report?govering body approval.data analysis and display.team composition and attendance.individual performance review. Loading... 200. Clinical pathways and guidelines in hospitals are primarily used to:Minimize variation in patient care.Identify errors in patient care.Improve patient satisfaction.Reduce lentgth of stay. Page 9 of 10 Loading... 201. Trend reports of quality dataprovide a comparison of performance between similar groups.translate data into dashboards.aggregate numeric data into comparison tables.graphically trace performance for a selected indicator over time. Loading... 202. The objective of adopting a nationwide or global uniformset of discharge data is tovalidate data being collected from other sources.assist medical records personnel in collecting internal data.facilitate data entry into computers.facilitate collection of comparable health information. Loading... 203. The following are reasonable description of variation in process capability EXCEPT: Distance from perfection.Antithesis of quality.Extent to which process conforms to the norm.Degree of distribution about the mean. Loading... 204. In accordance with FDA Categorization for Medications Safety in Pregnancy, which statement is true?Category C drugs; no risk to the fetus in the first trimester in humans.Category B drugs; evidence of risk is only in later trimesters in humans.Category A drugs; no evidence of risk reported in humans so far.Category X drugs; risk is documented in animals but not in humans. Loading... 205. The three entities that are essential to make up hospital manpower structure areadministration, medical staff and nursing.the governing body, administration/management and medical staff.administration, department managers and medical staff.the governing body, amdinistration and finance. Loading... 206. According to Joint Commission standards, an organization's safety program must include all of the following EXCEPT:monthly safety committee meetings.planned response to natural disasters.orientation and continuing education on safety issues.review of safety policies and procedures for all departments. Loading... 207. The primary goal of risk management is to:perform Failure Mode and Effects Analyses (FMEA).minimize financial loss associated with legal actions.maintain an effective and timely incident reporting system.identify the high risk areas of the organization. Loading... 208. Quality improvement teams are beneficial because theyauthorize solutions to problems.improve managerial control.promote competition and pride among members.maximize expertise and perspectives. Loading... 209. The value in the lean process is determined by The customer.The market.The provider.The hospital. Loading... 210. While implementing a new plan to improve current infection control procedures organization-wide, staff are expected to become supportive to the plan when the it is linked toregulatory requirements.disciplinary action.patient risk reduction.staff financial incentives. Loading... 211. Which of the following National Patient Safety Goals is applicable to everyone in a healthcare facility?Goal 7-Healthcare-related Associated Infections.Goal 8-Reconcile Medications.Goal 3-Medication Safety.Goal 2-Communication. Loading... 212. Health care practitioners can effeciently apply time management techniques through:generating to-do lists.working longer hours.tasks delegating and outsourcing.overcoming procrastination. Loading... 213. Two surveys were completed in a healthcare facility that showed conflicting results concerning patient statisfaction with food services. The two surveys were independently designed and distributed by different departments within the facility. The healthcare quality professional should FIRSTdesign, distribute, and analyze a new servey instrument.set up a quality improvement team to improve food service.distribute the surveys to obtain a larger sample size.meet with the departments to review the survey processes. Loading... 214. The following processes is the most cost-effective in preventing unnecessary resource consumption in the hospital:second opinions for all surgeries.accurate DRG assignment at admission.effective preaddmission screening.preadmission insurance benefit denials. Loading... 215. The following is NOT among the roles that pharmacy has in revenue cycle management Clinical documentation.Drug procurement.Selection of date of service.Verification of the correct patient. Loading... 216. All of the following criteria are essential in evaluating strengths and weaknesses of an organization's Quality Management program EXCEPT:alternative QM software products.QI team minutes.managed care contracts.strategic initiatives. Loading... 217. The following is the best way to determine if a quality improvement initiative is successfulComparing outcomes with pre-established goals.Presenting findings to the Quality Council.Surveying patients and customers.Conducting a survey of employees. Loading... 218. In statistical procedures, generalty, as sample size increasethe standard error is a constant that is not related to sample size.the standard error increases in size.the standard error remains the same.the standard error decreases in size. Loading... 219. _____ is "A group decision-making technique designed to generate a large number of creative ideas through an interactive process".Continuous Quality Improvement.Brainstorming.Control chart.Data collection. Loading... 220. In a hospital setting, a material is considered hazardous if It is frequently stolen.Addictive components are present.Procedures for administration are complex or difficult for health care workers to conduct properly.Exposure to it may cause health effects in exposed employees. Loading... 221. Failure Mode and Effects Analysis (FMEA) is performed:if the severity of an incident led to a patient death.to immediately investigate an incident that occurred.as a preventative measure before an incident occurs.when there is a chance of an incident reoccurring. Loading... 222. In developing a performance improvement action plan, which of the following tools should be used first?Cause and effect diagram.Pareto chart.Interrelationship diagram.Control chart. Loading... 223. The following has no role in the mark-up cost on pharmaceuticals:Dispensing fee.Current medicare and Medicaid rates.Labor.Acquisition cost. Loading... 224. A Gantt chart:uses footstones and inchstones to represent events of lesser importance.represents an important event in the completion of a project.is used to schedule independent activities.relates interdependent activities to their completion time. Loading... 225. Quality improvement team outcomes are best evaluated by which of the following?nominal group technique.team leader.senior leadership.PDCA process. Page 10 of 10 Loading... 226. Which one piece of information is the most usefull to describe the age of population that is served in an anticoagulation monitoring service clinic?t-test.mean.chi square test.standard error of the mean (SEM). Loading... 227. The following statements are correctly aligned with Disease Management (DM) concept:Optimization of economic outcomes is a secondary component of disease management programs.Clinical practice guidelines encourage variability in clinical practice.Expanded role of pharmacists in drug therapy monitoring has no impact on preventive care.Clinical practice guidelines provide educational tools to demonstrate the modeling of best clinical practices. Loading... 228. One of the greatest motivators for employees is :active listening.involvment in political parties.isolation from management.autonomy. Loading... 229. The 1999 report "To Err is Human" by the Institute of Medicine (IOM):mandates healthcare institutions to report sentinel events in patient care.stated that close to 90,000 preventable patient injuries occur each year.blames medical and nursing providers for patient injuries.cited communication breakdown as the leading cause of sentinel events. Loading... 230. The_____ leader makes decisions independently, and strictly enforces rulesBureaucraticAutocraticCharismaticConsultative Loading... 231. The following key healthcare issue is more difficult to establish for ambulatory care than for inpateint care:access to specialty care.appropriateness of treatment setting.quality of care provided.reimbursement for care. Loading... 232. The difference between healthcare dashboards and report cards is thatdashboards are a summary of data, and report cards are more detailed.dashboards guide the decisions of hospital staff, and report cards are used by governing board.dashboards are more accurate than report cards.dashboards provide data on structure, process, and outcomes, and report cards focus on outcomes. Loading... 233. A new plan for Improving Prophylactic Perioperative Antibiotic Utilization is introduced in your Hospital System. A physician champion has been appointed to promote the success of this initiative. The main role of the physician champion is to complete a literature search of best practices concerning antibiotics.follow-up with nursing staff regarding documentation requirements.write the antibiotic discontinuatuin orders.detail physicians who failed to comply with the guidelines. Loading... 234. Cost-Effectivenessanalysis is expressed by monetary units.is the net cost of a project compared to the resultant benefits.results only is saving of costs of a previous service or product.is quantitative in consideration. Loading... 235. Being the QI officer, in order to apply "Reliability science" as a framework for a patient safety initiative, the first recommended step in developing an implementation plan to create a patient safety culture is toget approval from your hospital CFO.perform a needs assessment.cerate a committee.educate yourself. Loading... 236. The following table illustrates the utilization of blood products during the third quarter in a general hospital: The percentage of the total number wasted of units typed and cross-matched for September is3%4%2%6% Loading... 237. The sequential and continual nature of the continuous improvement process is illustrated by the PDCA cycle. PDCA stands for:produce-deliver-check-assure.plan-development-check-align.produce-design-catalogue-assess.plan-do-check-act. Loading... 238. Common cause variation in a specific program is not concerning since it demonstrates extreme differences between results.very concerning since it demonstrates the program is out of control.very concerning since it demonstrates that the program is in control but not meeting its goals.not concerning since it demonstrates that results are similar and in control. Loading... 239. A patient in an acute psychiatric unit commited suicide by hanging himself with his belt. To prevent this from future occuring, the most appropriate action is to institutepatient checks every 15 minutes.a 24-hour video monitoring system.a buddy system for the patients.a policy allowing no belts entery inside the unit. Loading... 240. All the following categories are eligible for the Baldrige Award except:manufacturing companies.service companies.nonprofit companies.small business. Loading... 241. An effective quality improvement plans should have clearly definedgoals, standards, measure, threshould, and results.goals, standards, indicators, measure, and thresholds.goals, standards, thresholds, results, and trends.goals, standards, indicators, results, and trends. Loading... 242. Key elements when choosing a fall risk assessment tool includeValid, reliable, fit the patient population, ease of use, high prevention rates.Multiple levels of risk identified, valid, reliable, automated scoring, fit patient population.Ease of use, valid, reliable, fit the patient population, multiple levels of risk identified.Valid, ease of use, fit patient population, automated scoring, clinician rated. Loading... 243. Which of the following sets of data are discret variables?Patient discharge in the months of March and May.Community-acquired and hospital-aquired infection rates.Height, weight, and body mass indices.Code blue team responses mean time. Loading... 244. A quality professional can best facilitate the development of a "quality culture" in an organization byassessing the organization's readiness to commit to change.designing a long range plane for culture transformation.encouraging leaders to commit to a culture of excellence.leading the cultural transformation redesign team. Loading... 245. The following is a "Picture of the process mapping out each individual step so that each group member can understand how it works"Flow chart.Control chart.Gantt chart.Pareto chart. Loading... 246. In which area of National Commission on Quality Assurance (NCQA) review do reviewers assess the preventive services, diagnosis, and appropriateness and continuity of care provided to patients?Utilization management.Mmber rights and responsibilities.Quality assurance.Medical records. Loading... 247. Clinical decision support systems can support medication safety by alerting prescribes topatient compliance and allergies.drug interactions and patient weight changes.allergies and drug interactions.the need for dose adjustments and patient weight changes. Loading... 248. A Quality Council has created a Patient Safety Council. The council is concerned that staff may see this as another program that has been added to their busy scheduales that will eventually go away. The best way for the organization to establish patient safety as an ongoing part of the organization's culture is tomake patient safety a part of the emloyees' job descriptions.include a presentation on patient safety in employee orientation.identify the patient safety goals and how they will be monitored.display the number of incident reports monthly with lessons learned. Loading... 249. All following statements regarding the revenue cycle are true EXCEPT:It only begins after the diagnosis and treatment plan are formulated.It includes activities and transactions that lead to revenue generation.It includes activities and transactions that lead to collection at the end of the patient caring process.It begins when the patient enters the system. Loading... 250. A facilitator shouldinstantly pass judgment on ideas that are generated by group members.be flexible to the changing needs of the group.be the center of attention.take side on an issue the group is discussing. Loading...
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