CPHQ EXAM WITH COMPLETE SOLUTIONS 100%
CORRECT LATEST UPDATE
A health care provider has recently completed a customer satisfaction survey based on
the five most important quality characteristics represented in the graph below: Based
on the data represented, the provider can determine that customers were most
dissatisfied with: - ANSWER Cost and most satisfied with caring
Which of the following team members is responsible for keeping meetings focused? -
ANSWER The facilitator facilitates and is responsible for team focus
The best way to measure the success or effectiveness of any performance improvement
training is through - ANSWER Observed changes in behavior: it means it has been
transferred into practice
The best sampling technique in the case study would involve a review of - ANSWER
Number of records needed by using a statistical approach: the confidence level and
interval would be determined mathematically
Which of the following is an example of Information that would be included in an incident
report, but should NOT be documented in a patient's chart - ANSWER Details regarding
a medication preparation error found and corrected before administration; this
information is part of identifying the root cause of the incident and not appropriate for
the clinical medical record
The major purpose of an organization's QI strategic plan is to- ANSWER Define the
future direction for quality; this is the function of having a QI strategic plan
A medication error occurred and caused a serious adverse outcome. In addition to
notifying the patient and/or family, a professional involved in health care quality should
ANSWER Conduct root cause analysis; the investigation of the system and process
issues should be the primary activity of a root cause analysis.
,A federally certified EHR that is able to perform the functions described, such as
e-prescribing, electronic exchange of health information and submission of health care
quality measures meets - ANSWER Meaningful use requirements
Satisfaction Surveys, focus groups, and complaint tracking are tools used to - ANSWER
Understand customers expectations; surveys, focus groups and complaints with or from
customers can provide information directly from the customers regarding a variety of
topics including customer expectations
Deemed status refers to - ANSWER Accreditation equivalency with a Centers for
Medicare and Medicaid Services (CMS) survey; CMS allows deemed status with meeting
all conditions of participation requirements through Joint Commission Accreditation
A multi-disciplinary team has devised a clinical pathway on the management of hip
fractures and implemented this in a large teaching hospital. Length of stay, however,
has continually been above guidelines after 6 months of monitoring. Which of the
following should be the next step? - ANSWER 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 has noted 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 that are then forwarded to the
organization's governing body. Which of the following actions is most appropriate, in
view of information above? - ANSWER Redetermine the role of the council to coordinate
and prioritize quality activities.
Balanced scorecards are useful because they allow-ANSWER Putting strategy and
vision at the center of an organization's effort; the balanced scorecard is a management
framework that translates an organization's strategic objectives into a set of
performance measures which are measured, monitored and changed if necessary, to
ensure that organizations strategic goals are met.
, A root cause analysis team investigated a serious medication error and provided
recommendations for change. Which is the following is the next step - ANSWER Process
owner should implement and evaluate effectiveness; the recommended changes need
to have ownership assigned
Refer to the following control chart: In evaluating timeliness for the administration of
antibiotics for pneumonia, this control chart depicts - ANSWER process of improvement
Which would be the best way an organization would measure its effectiveness in
meeting customer expectations - ANSWER satisfaction data analysis; satisfaction data
assesses customer satisfaction
According to principles from IHI, who is responsible for effectiveness of quality
improvement and effectiveness of patient safety for an organization? - ANSWER
governing body; this is TJC and CMS's expectation
Which of the following are steps to take in preparation for an organization's first
accreditation or certification survey? ANSWER Read the standards and evaluate
readiness. These activities represent the beginning steps in executing a gap analysis,
which serves as a good starting point from which to determine where resources will be
required to focus and build a plan of action/prioritization.
The main rationale for incorporating financial and quality management information is to -
ANSWER detect problems in resource management; this links financial impact to quality
management
Minimizing the opportunities for an adverse event to recur involves determining the
major contributing factor by utilizing - ANSWER root cause analysis; as investigation of
system and process issues should primarily identify roots of error
The UM committee is reviewing length-of-stay data for a particular procedure. Which of
the following statistics would be most useful when comparing the data by physician?
ANSWER mean; the mean is the statistical average in a data set. It is often used to
describe average length of stay for comparison and is used with the standard deviation
to understand the variability around the mean.
CORRECT LATEST UPDATE
A health care provider has recently completed a customer satisfaction survey based on
the five most important quality characteristics represented in the graph below: Based
on the data represented, the provider can determine that customers were most
dissatisfied with: - ANSWER Cost and most satisfied with caring
Which of the following team members is responsible for keeping meetings focused? -
ANSWER The facilitator facilitates and is responsible for team focus
The best way to measure the success or effectiveness of any performance improvement
training is through - ANSWER Observed changes in behavior: it means it has been
transferred into practice
The best sampling technique in the case study would involve a review of - ANSWER
Number of records needed by using a statistical approach: the confidence level and
interval would be determined mathematically
Which of the following is an example of Information that would be included in an incident
report, but should NOT be documented in a patient's chart - ANSWER Details regarding
a medication preparation error found and corrected before administration; this
information is part of identifying the root cause of the incident and not appropriate for
the clinical medical record
The major purpose of an organization's QI strategic plan is to- ANSWER Define the
future direction for quality; this is the function of having a QI strategic plan
A medication error occurred and caused a serious adverse outcome. In addition to
notifying the patient and/or family, a professional involved in health care quality should
ANSWER Conduct root cause analysis; the investigation of the system and process
issues should be the primary activity of a root cause analysis.
,A federally certified EHR that is able to perform the functions described, such as
e-prescribing, electronic exchange of health information and submission of health care
quality measures meets - ANSWER Meaningful use requirements
Satisfaction Surveys, focus groups, and complaint tracking are tools used to - ANSWER
Understand customers expectations; surveys, focus groups and complaints with or from
customers can provide information directly from the customers regarding a variety of
topics including customer expectations
Deemed status refers to - ANSWER Accreditation equivalency with a Centers for
Medicare and Medicaid Services (CMS) survey; CMS allows deemed status with meeting
all conditions of participation requirements through Joint Commission Accreditation
A multi-disciplinary team has devised a clinical pathway on the management of hip
fractures and implemented this in a large teaching hospital. Length of stay, however,
has continually been above guidelines after 6 months of monitoring. Which of the
following should be the next step? - ANSWER 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 has noted 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 that are then forwarded to the
organization's governing body. Which of the following actions is most appropriate, in
view of information above? - ANSWER Redetermine the role of the council to coordinate
and prioritize quality activities.
Balanced scorecards are useful because they allow-ANSWER Putting strategy and
vision at the center of an organization's effort; the balanced scorecard is a management
framework that translates an organization's strategic objectives into a set of
performance measures which are measured, monitored and changed if necessary, to
ensure that organizations strategic goals are met.
, A root cause analysis team investigated a serious medication error and provided
recommendations for change. Which is the following is the next step - ANSWER Process
owner should implement and evaluate effectiveness; the recommended changes need
to have ownership assigned
Refer to the following control chart: In evaluating timeliness for the administration of
antibiotics for pneumonia, this control chart depicts - ANSWER process of improvement
Which would be the best way an organization would measure its effectiveness in
meeting customer expectations - ANSWER satisfaction data analysis; satisfaction data
assesses customer satisfaction
According to principles from IHI, who is responsible for effectiveness of quality
improvement and effectiveness of patient safety for an organization? - ANSWER
governing body; this is TJC and CMS's expectation
Which of the following are steps to take in preparation for an organization's first
accreditation or certification survey? ANSWER Read the standards and evaluate
readiness. These activities represent the beginning steps in executing a gap analysis,
which serves as a good starting point from which to determine where resources will be
required to focus and build a plan of action/prioritization.
The main rationale for incorporating financial and quality management information is to -
ANSWER detect problems in resource management; this links financial impact to quality
management
Minimizing the opportunities for an adverse event to recur involves determining the
major contributing factor by utilizing - ANSWER root cause analysis; as investigation of
system and process issues should primarily identify roots of error
The UM committee is reviewing length-of-stay data for a particular procedure. Which of
the following statistics would be most useful when comparing the data by physician?
ANSWER mean; the mean is the statistical average in a data set. It is often used to
describe average length of stay for comparison and is used with the standard deviation
to understand the variability around the mean.
