UPDATED ACTUAL Questions and
CORRECT Answers
To determine internal priorities for performance improvement, a health care organization must
consider the: - CORRECT ANSWER - Needs and expectations of all the stakeholders
A component of the organization's quality management activities that is often documented in the
performance improvement plan: - CORRECT ANSWER - performance improvement model
used by the organization
The lead Federal agency in health care quality research. - CORRECT ANSWER - Agency for
Healthcare Research & Quality
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The 3 components of health care quality management - CORRECT ANSWER -
measurement, assessment and improvement
Which of the following dimensions of health care was NOT identified by the Institute of
Medicine in 2001 as needing improvement? - CORRECT ANSWER - Convenience
Group that sponsors the HEDIS performance measurement system for managed care
organizations. - CORRECT ANSWER - National Committee for Quality Assurance
The reporting structure for quality management activities in a hospital is commonly documented
in the organization's: - CORRECT ANSWER - performance improvement plan
"Championing Quality" throughout the organization is the job of: - CORRECT ANSWER -
Senior Management
, A basic responsibility of the quality management department in a healthcare organization. -
CORRECT ANSWER - Help other departments identify potential quality problems
Group ultimately responsible for the quality of health care in a healthcare organization. -
CORRECT ANSWER - governing board
A way of doing business which continuously improves products and services to achieve ever
better levels of performance. - CORRECT ANSWER - Quality management
To determine compliance with departmental standards, the manager of the hospital registration
department is collecting data on the accuracy of patient demographic information that has been
into the computer system by registration clerks. This activity is an example of: - CORRECT
ANSWER - Measuring performance
Performance measurement data are collect primarily for the purpose of: - CORRECT
ANSWER - identifying opportunities for improvement
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For performance measure, "Percentage of surgery patients who develop a wound infection," what
number is used for the denominator? - CORRECT ANSWER - Number of surgery patients
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A PROCESS measure used to evaluate care provided to patients in the emergency department. -
CORRECT ANSWER - Percent of records that include name of patient's next of kin.
Examples of Outcomes measures - CORRECT ANSWER - 1. Rate of uninsured patients
2. Percent of patients that develop wound infections
3. Rate of readmission to the emergency department within 24 hours
The first step in developing a performance measurement - CORRECT ANSWER - Select the
process to be evaluated