NAHQ CPHQ ANSWERS AND QUESTIONS SET A+
✔✔61- Healthcare quality professionals can best communicate organizational values
and commitment through
A.
establishing a multidisciplinary task force.
B.
disseminating monthly newsletters.
C.
creating a mission statement.
D.
leading by example. - ✔✔EXPLANATIONS:
A. Establishing a task force does not communicate organizational values and is not
ongoing.
B. Newsletters may be one way of communicating, but are a passive form of
communication.
C. A mission statement is a passive form of communication. Leading by example is the
best way to communicate values stated in the mission.
D. Demonstrating and practicing expected values are the best ways to communicate
organizational values.
✔✔62- A critically ill patient is admitted and requires a specialized procedure; however,
the surgeon does not have privileges at the facility. Which of the following documents
will be most helpful in identifying the course of action the hospital should take?
A.
patient safety manual
B.
risk management plan
C.
medical staff bylaws
D.
surgical policies and procedures - ✔✔EXPLANATIONS:
A. See explanation C.
B. See explanation C.
C. Medical staff privilege rules are defined in the medical staff bylaws.
D. See explanation C.
, ✔✔63- Measuring the time it takes a nurse to perform a procedure addresses which of
the following aspects of care?
A.
monitoring
B.
process
C.
outcome
D.
structure - ✔✔EXPLANATIONS:
A. Monitoring is an observance of the process, outcome, or structure.
B. Process is the systematic approach to the delivery of medical care.
C. Outcome is the result of the medical care provided to patients.
D. Structure involves the resources available for medical care delivery.
✔✔3-Which of the following accrediting bodies have deemed status with the Centers for
Medicare and Medicaid Services (CMS)?
A. ISO Certification and The Joint Commission (TJC)
B. Det Norske Veritas (DNV) and the Healthcare Facility Accreditation Program (HFAP)
C. The American Osteopathic Association (AOA) and the National Quality Forum (NQF)
D. The American Medical Association (AMA) and Commission Accreditation of
Rehabilitation Facilities (CARF) - ✔✔B. Det Norske Veritas (DNV) and the Healthcare
Facility Accreditation Program (HFAP)****
✔✔6-The concept of organizational responsibility is most important to the field of
healthcare quality because it holds the organization responsible for
A. maintaining confidentiality of all documents.
B. requiring physicians to carry adequate malpractice insurance.
C. maintaining a process to identify deficiencies in the provision of care.
D. ensuring that peer review physicians have no conflict of interest in cases being
reviewed. - ✔✔C. maintaining a process to identify deficiencies in the provision of care.
✔✔8-The Joint Commission (TJC) Standards and Elements of Performance are used
A. to define expectations for safety and quality care.
B. in place of Centers for Medicare and Medicaid Services (CMS) Conditions of
Participation.
C. to determine compliance with the Department of Health and Human Services (HHS).
D. to calculate pay-for-performance incentives or penalties. - ✔✔A. to define
expectations for safety and quality care.*********
✔✔9-The primary reason healthcare organizations use benchmarking is to
A. comply with accreditation standards.
B. improve performance.
C. decrease risk to the organization.
✔✔61- Healthcare quality professionals can best communicate organizational values
and commitment through
A.
establishing a multidisciplinary task force.
B.
disseminating monthly newsletters.
C.
creating a mission statement.
D.
leading by example. - ✔✔EXPLANATIONS:
A. Establishing a task force does not communicate organizational values and is not
ongoing.
B. Newsletters may be one way of communicating, but are a passive form of
communication.
C. A mission statement is a passive form of communication. Leading by example is the
best way to communicate values stated in the mission.
D. Demonstrating and practicing expected values are the best ways to communicate
organizational values.
✔✔62- A critically ill patient is admitted and requires a specialized procedure; however,
the surgeon does not have privileges at the facility. Which of the following documents
will be most helpful in identifying the course of action the hospital should take?
A.
patient safety manual
B.
risk management plan
C.
medical staff bylaws
D.
surgical policies and procedures - ✔✔EXPLANATIONS:
A. See explanation C.
B. See explanation C.
C. Medical staff privilege rules are defined in the medical staff bylaws.
D. See explanation C.
, ✔✔63- Measuring the time it takes a nurse to perform a procedure addresses which of
the following aspects of care?
A.
monitoring
B.
process
C.
outcome
D.
structure - ✔✔EXPLANATIONS:
A. Monitoring is an observance of the process, outcome, or structure.
B. Process is the systematic approach to the delivery of medical care.
C. Outcome is the result of the medical care provided to patients.
D. Structure involves the resources available for medical care delivery.
✔✔3-Which of the following accrediting bodies have deemed status with the Centers for
Medicare and Medicaid Services (CMS)?
A. ISO Certification and The Joint Commission (TJC)
B. Det Norske Veritas (DNV) and the Healthcare Facility Accreditation Program (HFAP)
C. The American Osteopathic Association (AOA) and the National Quality Forum (NQF)
D. The American Medical Association (AMA) and Commission Accreditation of
Rehabilitation Facilities (CARF) - ✔✔B. Det Norske Veritas (DNV) and the Healthcare
Facility Accreditation Program (HFAP)****
✔✔6-The concept of organizational responsibility is most important to the field of
healthcare quality because it holds the organization responsible for
A. maintaining confidentiality of all documents.
B. requiring physicians to carry adequate malpractice insurance.
C. maintaining a process to identify deficiencies in the provision of care.
D. ensuring that peer review physicians have no conflict of interest in cases being
reviewed. - ✔✔C. maintaining a process to identify deficiencies in the provision of care.
✔✔8-The Joint Commission (TJC) Standards and Elements of Performance are used
A. to define expectations for safety and quality care.
B. in place of Centers for Medicare and Medicaid Services (CMS) Conditions of
Participation.
C. to determine compliance with the Department of Health and Human Services (HHS).
D. to calculate pay-for-performance incentives or penalties. - ✔✔A. to define
expectations for safety and quality care.*********
✔✔9-The primary reason healthcare organizations use benchmarking is to
A. comply with accreditation standards.
B. improve performance.
C. decrease risk to the organization.
