CPHQ Practice Exam Questions, Complete Verified Solution

CPHQ Practice Exam Questions, Complete Verified Solution When considering the use of an external subject matter expert (SME), which of the following is most critical? A. leadership's personal preference B. geographic location of the SME C. cost of the SME's services D. references of the SME D. references of the SME The positive clinical reputation provides credibility support to the project. To avoid misinterpreting variances, which of the following statistical tools should be used? A. control chart B. fishbone diagram C. force field analysis D. Pareto chart analysis A. control chart Control charts exhibit points between control limits, therefore displaying the variation. An operating room circulating nurse reported that the instrument count indicated a missing clamp. X-ray findings were negative, and the patient showed no adverse effects. This occurrence is an example of which of the following? A. claims management B. malpractice C. clinical incompetency D. potentially compensable event D. potentially compensable event Although the clamp was not found, this has potential to become a compensable event. A potentially compensable event is an event for which there is risk of future claim or settlement. Training is being determined based on treatment record review results. The following weighted results are available: Based on these results, which of the following areas should take priority for training? (Image missing) A. assessment B. external communication C. care plan D. progress notes C. care plan When ranked by weight and non-compliance (weight*(100-%compliance)), care plan results in the highest weighted rank. A healthcare entity initiating re-structuring must consider the impact on staff to ensure the greatest opportunity for success by A. defining the concepts of re-structuring to the staff and the community. B. planning carefully, communicating openly, and leading effectively. C. developing policies to assist in the change process so that fear will be minimized. D. selecting a consultant, conducting a needs assessment, and analyzing results. B. planning carefully, communicating openly, and leading effectively Best answer, these actions promote transparency and trust through communication and leadership. During quality management data analysis activities, Pareto charts are most appropriately used for A. displaying parts of a whole. B. displaying trends over time. C. determining cause and effect relationships. D. determining priorities among contributing factors. D. determining priorities among contributing factors. Pareto charts most appropriately assist to determine priority using represented values. A clinical pathway on the management of hip fractures has been developed by a multi-disciplinary team 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. A. 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. A new quality director has reviewed the information related to the Quality Council minutes, and notes the following: - The council meets quarterly. Meetings last approximately 2 hours. - The council roster includes all clinical department managers and the quality director. Attendance ranges from 45-60%. - The primary role of the council is to receive department quality reports, which are then forwarded to the organization's governing body. Based on the information above, which of the following actions is most appropriate? A. Require departments to forward reports for review prior to the meetings. B. Redefine the council's role to coordinate and prioritize quality activities. C. Switch to a monthly meeting with a new agenda format. D. Eliminate the council and directly report quality data to the governing body. B. Redefine the council's role to coordinate and prioritize quality activities. This is the best answer available. An annual evaluation of a laboratory's quality program identified no opportunities for improvement. Which of the following elements of the program should be reviewed? A. performance indicators B. format of data display C. committee meeting attendance D. frequency of data collection A. performance indicators Performance indicators need to be reviewed for need for revision. The following table shows the percentage of hospital-acquired pressure ulcers: Which of the following should the healthcare quality professional do next? A. Implement a new pressure ulcer protocol. B. Re-educate staff. C. Continue to track and trend the data. D. Conduct a focused analysis of pressure ulcer cases. D. Conduct a focused analysis of pressure ulcer cases. Advanced-stage, hospital-acquired pressure ulcers are considered never-events. Because this is a significant patient safety issue, it is important to not delay analysis so that trends and opportunities for improvement can be determined. Medication reconciliation is a process intended to A. identify and resolve discrepancies. B. investigate formulary discrepancies. C. increase use of electronic medication administration. D. improve efficiency of medication administration. A. identify and resolve discrepancies. Correct; the definition of medication reconciliation is a process of identifying the most accurate list of all medications by comparing the medical record to an external list of medications. 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 C. 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. Statistical process control may be employed a tool to facilitate quality improvement, but is not a required component of quality improvement. According to continuous quality improvement principles, which of the following concepts is most important? A. financial impact B. constancy of purpose C. resistance to change D. performance of individual B. constancy of purpose This is the best answer In lean thinking, a process step is defined as "value added" if the A. customer recognizes the value. B. customer corrects a mistake to add value. C. process owner recognizes the value. D. process owner changes the value of the product. A. customer recognizes the value. Customer value is the key concept of lean thinking and improvement efforts. One aspect of a quality process that integrates with risk management is the review and evaluation of A. adverse drug events. B. encounter data. C. case-mix analysis reports. D. accreditation survey reports. A. adverse drug events. Risk management has a role related to incident reporting. Which of the following action plans is the first step in correcting inappropriate blood usage in an emergency department? A. in-service on ordering blood usage for the physicians B. elimination of wasted blood C. improvements in documentation D. development of a new procurement procedure A. in-service on ordering blood usage for the physicians Educating the physicians on the critical use of blood products will assist to better utilize blood supply. A physician who has a high inpatient mortality rate compared to others in a facility should first be A. counseled by the department chairperson. B. reviewed by the credentialing committee. C. suspended in the interest of patient safety. D. evaluated via a more in-depth review of cases. D. evaluated via a more in-depth review of cases Required to make a determination based on quantity of cases and quality The primary purpose of an organization's quality improvement (QI) strategic plan is to A. determine accountability for outcomes. B. assess improvement opportunities. C. define the future direction for quality. D. explain the purpose of performance teams. C. define the future direction for quality. This is a function of having a QI strategic plan. 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.