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NEW QUESTION 116
Today's patients' perception of the quality of our healthcare system is not favorable.
In healthcare, quality is household word that evokes great emotion, including (Choose two):
- A. Frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who observe the care of their loved ones
- B. Anxiety over the ever-increasing costs and complexities of care
- C. Timely care that may be experienced in terms of performance of services
- D. Patient centered measures
Answer: A,B
NEW QUESTION 117
Once listing posts system is in place, root-cause analyses can be performed to identify particular problems, such as a
staff member or medical group that contributes to problems, or problems that are systemic to the delivery of care,
such as an antiquated manual appointment system. Listing post strategies include:
- A. Suggestion boxes
- B. Patient and family advisory services
- C. Surveys
- D. Focus group
Answer: C
NEW QUESTION 118
Numerous opportunities for improvement exist in every healthcare organization. However, not all improvements are
of the same magnitude. Improvements that are powerful and worthy of organization resources include those:
- A. That will positively affect a large number of patients
- B. Increase risk
- C. Eliminate or reduce instability in critical clinical or business processes
- D. Ameliorate serious problems
Answer: D
NEW QUESTION 119
The approach to medical record review involves well-conceived steps, beginning with the development of a data collection tool and ending with:
- A. Execution of the future activities on the finding of this record review
- B. Compilation of collected data element into a register or physical record system
- C. Implementation of the analysis of collected data set
- D. Compilation of collected data element into a registry or electronic database software for review and analysis
Answer: D
NEW QUESTION 120
Studies comparing self-reports with proxy reports do not consistently support the hypothesis that self- reports are more accurate than proxy reports.
However, conclusions drawn from studies in which responses were verified using hospital and physician records show that, on average (Choose two):
- A. Health events are reported in both populations
- B. Health events are underreported in both populations
- C. Proxy reports tend to be more accurate than self-reports
- D. Self-reports tend to be more accurate than proxy reports
Answer: B,D
NEW QUESTION 121
Crossing the Quality Chasm provided a blueprint for the future that classified and unified the components of quality
through six aims for improvement, chain of effects, and simple rules for redesign of healthcare. The six aims for
improvement, viewed also six dimensions of quality. Which of the following is NOT out of those dimensions?
- A. Care centered
- B. Efficient
- C. Safe
- D. Effective
Answer: A
NEW QUESTION 122
There are many different control charts. However, it its initial efforts, the average facility can manage with only four.
Which of the following is/are NOT out of those?
- A. U-chart
- B. Individual values and moving range chart
- C. Pie chart
- D. X-bar and S chart
Answer: C
NEW QUESTION 123
Within any unit, organization, or system, there will be barriers to spread and adoption (e.g., organizational culture, communication, leadership support).
However, failure to transfer knowledge effectively may result in (Choose two):
- A. Benchmarks
- B. organizational persistence
- C. Inconsistency
- D. Unnecessary waste
Answer: C,D
NEW QUESTION 124
An alternative to a walk-through is a similar technique called ___________. A staff member asks permission to accompany a patient through the visit and take notes on patients' experience.
- A. Patient shadowing
- B. Patient graphing
- C. Patient counselling
- D. Patient profiling
Answer: A
NEW QUESTION 125
One major difference between traditional quality assurance (QA) and quality improvement (QI) is that QI:
- A. Focuses on the individual, while QA focuses on the process.
- B. Stresses management by objective, while QA stresses team management.
- C. Focuses on the process, while QA focuses on individual Performance
- D. Stresses peer review, while QA focuses on the customer.
Answer: C
NEW QUESTION 126
Health organizations measure performance to meet multiple internal and external needs and demands.
Internal quality improvement literature identifies some fundamental purposes for conducting performance measurement such as:
- A. Both A and B
- B. Assessment of current performance
- C. Control of evaluation
- D. Demonstration and verification of performance improvement activities
Answer: A
NEW QUESTION 127
The problem with using readily available, convenient data is that the data usually do a poor job of answering the
questions necessary to access performance. Ten years ago this "good enough" approach to data collection might have
been acceptable. Today, however, because of the increasing demand to demonstrate effectiveness of care and
efficiency of healthcare processes, this mind set is not acceptable. Performance quality and excellence do not occur
because organizations do what they have always done or what is convenient. Most healthcare observers agree that:
- A. Once you have resolved the issues, the data collection should go smoothly
- B. Quality improvement efforts definitely end up with a positive result
- C. Industry does not need perpetuation of status quo
- D. Specific measures should not be used in data collection
Answer: C
NEW QUESTION 128
"Likelihood of desired health outcomes" corresponds to clinicians' view that, with respect to outcomes, there are only
probabilities, not certainties, owing to factors-such as patients' genetically determined physiological reliance-that
influence:
- A. Outcomes of care and yet are beyond clinicians' control
- B. The primary concerns of patients
- C. High cost interventions
- D. Outcomes of care and now are within clinicians' control
Answer: A
NEW QUESTION 129
Health plan databases are valuable because they contain detailed information on all care received by health plan members.
These databases are commonly used to identify patients who have not received preventive services such as:
- A. Colon cancer screening
- B. Immunization
- C. A, B and C
- D. Mammograms
Answer: C
NEW QUESTION 130
In order to perform a task for which one is held accountable, there must be an equal balance between responsibility and:
- A. Authority
- B. Delegation
- C. Education
- D. Specialization
Answer: A
NEW QUESTION 131
The following represents two samples of five hospitals' hysterectomy rates per 1,000 women aged 40-60 years of age:
Rates Mean Standard Deviation
Sample A 3, 5, 7, 8, 5 5.6 1.8
Sample B 4, 5, 6, 7, 5 5.4 1.1
In analyzing this information, it can be concluded that:
- A. Sample A's performance is superior to Sample B's
- B. There is a data collection error in Sample B
- C. There are more cases in Sample B
- D. Sample A has more variability than Sample B
Answer: D
NEW QUESTION 132
A patient was in the operating room when a piece of a surgical instrument broke off and was left in the patient's body.
The patient was readmitted for removal of the foreign object. Which of the following would most likely apply in this
situation?
- A. Contributory negligence
- B. Tort liability
- C. Contractual liability
- D. Res ipsa loquitur
Answer: D
NEW QUESTION 133
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