CPHQ (Certified Professional in Healthcare Quality) practice exam

CPHQ (Certified Professional in Healthcare Quality) practice exam Which of the following is the most effective way to integrate performance improvement concepts throughout an organization? A. quarterly newsletters B. Monthly lectures C. quality teams D. continuous monitoring Quality teams include participation by front-line staff, which allows direct integration of performance improvement into practice. Domain: Organizational Leadership Which of the following is the best example of an outcome measure? A. availability of computers B. pathway compliance C. mortality rate D. laboratory turnaround Mortality rate - an outcome measure is used to determine how the system or improvement project impacts the patient. Domain: Health Data Analytics The quality improvement directory is responsible for the coordination of accreditation survey activities. Responsibilities will most likely include: A. facilitating self-assessments of compliance with standards, communicating new requirements to pertinent parties, and distributing the agenda for the survey. B. educating staff to all standards, writing the survey report, and completing the survey application. C. developing a protocol for a mock survey, conducting unannounced surveys, and challenging the survey report. D. preparing for unannounced surveys, disseminating the survey report, and developing new standards facilitating self-assessments of compliance with standards, communicating new requirements to pertinent parties, and distributing the agenda for the survey - these are essential functions for overseeing the accreditation process. Domain: Organizational Leadership Generic screening is an example of risk__________ A. evaluation B. reduction C. prevention D. identification Identification is the first step in disease management/ risk management Domain: Patient Safety A medication error occurred and resulted in a severe adverse outcome. In addition to informing the patient and/or family, a healthcare quality professional should ______ A. perform a regression analysis B. implement new technology C. reassign the employees involved D. conduct a root cause analysis Conduct a root cause analysis - exploration of system and process issues should be the primary function of a root cause analysis. Domain: Patient Safety According to continuous quality improvement principles, which of the following concepts is most important? A. financial impact B. constancy of purpose C. resistance of change D. performance of individuals Constancy of purpose Domain: Organizational Leadership One difference between continuous quality improvement and traditional quality assurance is that quality improvement always A. requires the application of statistical process control B. excludes monitoring and evaluation of care provided C. focuses on systems or processes D. addresses potential problems focuses on systems or processes - quality improvement is focused on systems, processes, and groups to improve. Quality assurance is focused on monitoring problem areas or individuals. Domain: Organizational Leadership Which of the following should a Quality Council provide to best ensure success of performance improvement teams? A. facilitator and recorder B. empowerment and training C. indicators and a data analyst D. standards and procedures Empowerment and training - these are two key elements for ensuring success for the teams Domain: Organizational Leadership A root cause analysis team examined a serious medication error and recommended changes. Which of the following should be done next? A. Random checks for compliance should be made by patient safety staff B. The Quality Council should review medication errors quarterly C. The process owner should implement and assess effectiveness D. Monthly reports should be sent to the regulatory body The process owner should implement and assess effectiveness - the recommended changes need to be assigned ownership Domain: Patient safety When errors are discovered, staff and supervisors best demonstrate a culture of safety by A. developing a plan for just-in-time training B. studying the process to understand the error C. planning which details of the error to disclose to senior leadership D. performing a root cause analysis to determine which individuals were involved Studying the process to understand the error - this is a foundational statement Domain: Patient Safety An organization can best measure its effectiveness in meeting customer expectations by A. analyzing satisfaction data B. benchmarking occupancy rates C. creating a run chart of complaints D. tracking length of stay Analyzing satisfaction data - satisfaction data evaluates customer satisfaction Domain: Health Data Analytics A clinical pathway on the management of hip fractures has been developed by a multi-disciplinary teams and implemented in a large teaching hospital. After monitoring for 6 months, the length of stay continues to exceed the guidelines. Which of the following should be the next step? A. evaluate compliance with the pathway B. correlate the pathway with staffing levels C. re-educate the staff on the purpose of the pathway D. continue to monitor, and collect additional data Evaluate compliance with the pathway - evaluation of compliance with the proven pathway should be conducted first to see if that may be influencing the lack of change in the outcome Domain: Organizational Leadership A policy for "time-outs" in an operating room was initiated in the first quarter. The second quarter data demonstrated only 40% compliance with all elements of the process. the first step the Quality Council should take is to A. examine if the policy is clear and user-friendly B. ask the nurses to identify non-compliant surgeons C. continue to audit to confirm that a problem exist D. create a letter for the CEO to send to all surgeons examine if the policy is clear and user-friendly - since the process has changed it is important to make sure it is clear and all understand.