ACHE FACHE BOG Quality & Performance
Improvement – Risk Management, JCAHO/Joint
Commission Measures, Pareto & Process Design
(Verified Questions)
Description: Concentrates on quality management and performance improvement:
Joint Commission design and measurement guidelines, outcomes and
benchmarking, patient involvement, and PI tools (e.g., Pareto). Also addresses
documentation standards and appropriate data collection for quality review.
C. Variability - answer✔✔1) Which characteristic of a high-risk process would tend
to increase the risk of a process failure? a. Simplicity b. Consistency c. Variability d.
Automation c. Evaluate the outcomes of a clinical process - answer✔✔2) A
healthcare institution would use nationally accepted clinical benchmarks to: a.
Determine what services the institution should offer to meet the needs of the area b.
Obtain a comprehensive view of the state of the institution's business c. Evaluate the
outcomes of a clinical process d. Oversee the clinical structure of the institution b.
Require assessments of high-risk areas or processes within each service, department
1
Page
Improvement – Risk Management, JCAHO/Joint
Commission Measures, Pareto & Process Design
(Verified Questions)
Description: Concentrates on quality management and performance improvement:
Joint Commission design and measurement guidelines, outcomes and
benchmarking, patient involvement, and PI tools (e.g., Pareto). Also addresses
documentation standards and appropriate data collection for quality review.
C. Variability - answer✔✔1) Which characteristic of a high-risk process would tend
to increase the risk of a process failure? a. Simplicity b. Consistency c. Variability d.
Automation c. Evaluate the outcomes of a clinical process - answer✔✔2) A
healthcare institution would use nationally accepted clinical benchmarks to: a.
Determine what services the institution should offer to meet the needs of the area b.
Obtain a comprehensive view of the state of the institution's business c. Evaluate the
outcomes of a clinical process d. Oversee the clinical structure of the institution b.
Require assessments of high-risk areas or processes within each service, department
1
Page
