1. What is the primary purpose oƒ a quality and perƒormance
management program?
a) Comply with quality-related licensure and accreditation standards
b) Monitor medical staƒƒ perƒormance to prevent increases in malpractice rates
c) Identiƒy process perƒormance problems that aƒƒect the hospital's
ƒinancial status
d) Monitor, control, and direct eƒƒorts toward achieving delivery oƒ
optimal perƒormance: d) Monitor, control, and direct ettorts toward achieving delivery oƒ optimal
perƒormance
2. Which oƒ the ƒollowing most accurately describes quality measures in the
Healthcare Eƒƒectiveness Data and Inƒormation Set (HEDIS)?
a) Oƒten adapted ƒor use by acute care hospitals and skilled nursing ƒacilities
b) Evaluates care eƒƒectiveness, access to care, enrollee satisƒaction, and utiliza-
tion
c) Developed primarily to evaluate whether the needs oƒ patients and their
ƒamilies are being met
d) Strongly inƒluenced by the ƒinancial perƒormance oƒ providers being evalu-
ated: b) Evaluates care ettectiveness, access to care, enrollee satisƒaction, and utilization
3. How does the governing body best ensure the quality oƒ patient care?
a) Oversee medical staƒƒ privileging and credentialing activities
b) Regularly review quality measurement and improvement reports
c) Hold the ƒacility CEO accountable ƒor perƒormance results
,d) Add the president oƒ the medical staƒƒ as a voting member oƒ the board:
b) Regularly review quality measurement and improvement reports
4. he principles oƒ quality improvement require that healthcare executives
change their management philosophy ƒrom
a) ƒinding ƒault with employees to ƒinding opportunities in processes
b) ƒocusing on involving employees in process development to creating stan-
dard work and providing detailed instructions to staƒƒ
, c) ƒocusing on transƒormational leadership to autocratic leadership
d) ƒinding ƒault in processes to holding individual employees accountable: a)
ƒinding ƒault with employees to ƒinding opportunities in processes
5. Which oƒ the ƒollowing best describes the underlying assumption ƒor
the concept oƒ continuous quality improvement?
a) Achievement should be rewarded
b) Top management directs the process
c) There are no upper limits to excellence d) Perƒormance measurement is
ongoing: c) There are no upper limits to excellence
6. Which oƒ the ƒollowing perƒormance improvement models ƒocuses on
elimi- nation oƒ waste a process?
a) Plan-Do-Check-Act
b) Six Sigma
c) Lean
d) Statistical Process Control: c) Lean
7. Which oƒ the ƒollowing perƒormance improvement models ƒocuses on reduc-
tion oƒ variation?
a) Plan-Do-Check-Act
b) Six Sigma
c) Lean
d) Rapid Cycle Improvement: b) Six Sigma
8. Which oƒ the ƒollowing quality management tools includes a set oƒ measures
that provides leaders with a concise but comprehensive view oƒ perƒormance
in the organization as a whole?
a) Accountability scorecard
management program?
a) Comply with quality-related licensure and accreditation standards
b) Monitor medical staƒƒ perƒormance to prevent increases in malpractice rates
c) Identiƒy process perƒormance problems that aƒƒect the hospital's
ƒinancial status
d) Monitor, control, and direct eƒƒorts toward achieving delivery oƒ
optimal perƒormance: d) Monitor, control, and direct ettorts toward achieving delivery oƒ optimal
perƒormance
2. Which oƒ the ƒollowing most accurately describes quality measures in the
Healthcare Eƒƒectiveness Data and Inƒormation Set (HEDIS)?
a) Oƒten adapted ƒor use by acute care hospitals and skilled nursing ƒacilities
b) Evaluates care eƒƒectiveness, access to care, enrollee satisƒaction, and utiliza-
tion
c) Developed primarily to evaluate whether the needs oƒ patients and their
ƒamilies are being met
d) Strongly inƒluenced by the ƒinancial perƒormance oƒ providers being evalu-
ated: b) Evaluates care ettectiveness, access to care, enrollee satisƒaction, and utilization
3. How does the governing body best ensure the quality oƒ patient care?
a) Oversee medical staƒƒ privileging and credentialing activities
b) Regularly review quality measurement and improvement reports
c) Hold the ƒacility CEO accountable ƒor perƒormance results
,d) Add the president oƒ the medical staƒƒ as a voting member oƒ the board:
b) Regularly review quality measurement and improvement reports
4. he principles oƒ quality improvement require that healthcare executives
change their management philosophy ƒrom
a) ƒinding ƒault with employees to ƒinding opportunities in processes
b) ƒocusing on involving employees in process development to creating stan-
dard work and providing detailed instructions to staƒƒ
, c) ƒocusing on transƒormational leadership to autocratic leadership
d) ƒinding ƒault in processes to holding individual employees accountable: a)
ƒinding ƒault with employees to ƒinding opportunities in processes
5. Which oƒ the ƒollowing best describes the underlying assumption ƒor
the concept oƒ continuous quality improvement?
a) Achievement should be rewarded
b) Top management directs the process
c) There are no upper limits to excellence d) Perƒormance measurement is
ongoing: c) There are no upper limits to excellence
6. Which oƒ the ƒollowing perƒormance improvement models ƒocuses on
elimi- nation oƒ waste a process?
a) Plan-Do-Check-Act
b) Six Sigma
c) Lean
d) Statistical Process Control: c) Lean
7. Which oƒ the ƒollowing perƒormance improvement models ƒocuses on reduc-
tion oƒ variation?
a) Plan-Do-Check-Act
b) Six Sigma
c) Lean
d) Rapid Cycle Improvement: b) Six Sigma
8. Which oƒ the ƒollowing quality management tools includes a set oƒ measures
that provides leaders with a concise but comprehensive view oƒ perƒormance
in the organization as a whole?
a) Accountability scorecard
