CPHQ - Quality || A+ Guaranteed.
H Flowchart correct answers A pictorial representation displaying the actual-sequence of steps
and their inter-relationships in a specific process in order to identify hand-offs, inefficiencies,
redundancies, inspections, and waiting steps and/or the ideal-sequence of steps, once the actual
process is known.
H Force Field Analysis correct answers A change management tool. Looks at forces for and
against a change; 1) to decide if the change should be attempted or 2) used to create strategies to
increase support and decrease opposition.
H Gantt Chart correct answers Project planning tool for developing schedules; a graphic display
of individual parts of a quality improvement process as bars on a horizontal time scale.
H HAI correct answers Healthcare-Associated Infection: Replaces "nosocomial infection"
(hospital-acquired) because it implies all health care and is not limited to hospitals. {More
general Healthcare-Acquired Conditions {HAC}}
H Iatrogenic correct answers An infection or other complication of treatment induced in a patient
by a physician's or other licensed independent practitioner's activity, manner, or therapy.
H Indicator correct answers "Performance Measure": Includes data definitions, as well as
numerator and denominator statements, to accurately specify what is being measured.
H Integrated Delivery System - Horizontal correct answers Multi-institutional entity with
coordinated functions, activities, or operating units that are at the same stage or segment of the
continuum of care, e.g., hospital system.
H Integrated Delivery System - Vertical correct answers A network of entities that provide and
coordinate healthcare to a defined population across the entire continuum of care: prevention,
ambulatory, subacute, acute, and long term.
H Interrelationship Diagram correct answers A tool that allows a team to analyze all the
interrelated cause-and-effect relationships and factors involved in a complex problem;
distinguish between issues that serve as drivers and those that are outcomes; and describe desired
outcomes.
H Leadership Group correct answers "Individuals in senior positions with clearly defined, unique
responsibilities." Possible groups include governance, management, medical staff, nursing, other
clinical staff. An individual may be a member of more than one group.
H LIP correct answers Licensed Independent Practitioner: Any individual who is professionally
licensed by the state (US) and permitted by the organization to provide patient care services
without direction or supervision, within the scope of that license.
,H Management correct answers The sum of the activities of: planning, organizing, staffing,
directing, coordinating, and working to improve human and material resources toward the
achievement of stated goals.
H Medicare correct answers Age 65+, permanent kidney failure, and disabled. Managed by
CMS.
H Medicaid correct answers Low-income, managed by each state.
H Mission correct answers The written expression of the origination's overall, broad purpose and
role (what/who the organization is). In a quality improvement environment it is expected that the
statement of mission will express a high-priority, comprehensive commitment to patient care, to
quality in all activities, and to service to the community. The mission statement is the basis for
the formation of organizational vision, values, goals, and objectives.
H Monitoring and Evaluation correct answers Historically a data collection process that focused
on high-priority quality-of-care issues and was designed to facilitate problem solving and the
identification of opportunities to improve.
H Negligence correct answers Lack of proper care, as judged by peers.
A person who alleges negligent medical malpractice must prove four elements: (1) a duty of care
was owed by the physician; (2) the physician violated the applicable standard of care; (3) the
person suffered a compensable injury; and (4) the injury was caused in fact and proximately
caused by the substandard conduct. The burden of proving these elements is on the plaintiff in a
malpractice lawsuit.
H Negligent Conduct correct answers Doing what a reasonable person would not do: failure to
do what a reasonable person would do (based on set standards and under like circumstances and
training)
Gross Negligence: is failure to act if there is known or suspected risk resulting in adverse impact
or death.
H Nominal Group Process correct answers A technique used to give everyone on the team/group
an equal voice in brainstorming, problem selection, or resolution.
-Highly structured process to obtain primary data
-Few representatives from the priority population respond to questions based on specific needs.
-Small groups of 5 to 7
-Rank proposed ideas privately and share the rankings with the group
H Organization Leaders correct answers The group of individuals that sets expectations,
develops plans and implements procedures to assess and improve the quality of the
organization's governance, management, clinical, and support functions and processes.
, H Organizational Ethics correct answers Management of relationships with patients and the
public under a set of principles of right conduct; conduct of business with patients and the public
with respect, honesty, and integrity; and recognition and acceptance of responsibilities under
law.
H Outcomes Management correct answers A "technology of patient experience designed to help
patients, payers, and providers make rational medical care-related choices based on better insight
into the effect of these choices on the patient's life."
H Performance Improvement correct answers "The continuous study and adaptation of a
healthcare organization's functions and processes to increase the probability of achieving desired
outcomes and to better meet the needs of individuals and other users of services."
"Data collection and analysis for the purpose of providing an indication of the organization's
performance on a specified process of outcome."
H Plan correct answers The written document describing a particular program and all associated
structures, processes, and activities. e.g. Quality Management (III), Utilization Management
(III), Risk Management (III), Information Management (V), Organizational Plan for Patient Care
Services (II), Corporate Compliance Plan (III).
H Practice Guideline correct answers A generally accepted principle for patient management,
with care specifications based on the most current scientific findings (evidence of effectiveness,
hence, "evidence-based"), clinical expertise, and community standards of practice.
"Clinical practice guidelines are systematically developed statements to assist practitioner and
patient decisions about appropriate health care for specific clinical circumstances."
H Practice Parameter correct answers An overall patient management strategy that outlines a
range of appropriate services for a given clinical condition or identifies a range of clinical
conditions for which a given service may be appropriate, incorporation acceptable practice
guidelines, clinical criteria, protocols, or standards of care [Includes AMA descriptions of
practice parameters].
H Prioritization Matrix correct answers A tool used to select one option from a group of
alternatives, be they problems or solutions, or to put the options into priority order if all need to
be done, to promote objective decision making.
Tool used to organize info that can be compared on a variety of characteristics in order to make a
comparison, selection or choice
H Proctoring correct answers Direct observation and/or a review of medical records by peers to
validate competency to perform requested privileges (initial or new), usually for a specified
number of cases or for a period of time.
H Flowchart correct answers A pictorial representation displaying the actual-sequence of steps
and their inter-relationships in a specific process in order to identify hand-offs, inefficiencies,
redundancies, inspections, and waiting steps and/or the ideal-sequence of steps, once the actual
process is known.
H Force Field Analysis correct answers A change management tool. Looks at forces for and
against a change; 1) to decide if the change should be attempted or 2) used to create strategies to
increase support and decrease opposition.
H Gantt Chart correct answers Project planning tool for developing schedules; a graphic display
of individual parts of a quality improvement process as bars on a horizontal time scale.
H HAI correct answers Healthcare-Associated Infection: Replaces "nosocomial infection"
(hospital-acquired) because it implies all health care and is not limited to hospitals. {More
general Healthcare-Acquired Conditions {HAC}}
H Iatrogenic correct answers An infection or other complication of treatment induced in a patient
by a physician's or other licensed independent practitioner's activity, manner, or therapy.
H Indicator correct answers "Performance Measure": Includes data definitions, as well as
numerator and denominator statements, to accurately specify what is being measured.
H Integrated Delivery System - Horizontal correct answers Multi-institutional entity with
coordinated functions, activities, or operating units that are at the same stage or segment of the
continuum of care, e.g., hospital system.
H Integrated Delivery System - Vertical correct answers A network of entities that provide and
coordinate healthcare to a defined population across the entire continuum of care: prevention,
ambulatory, subacute, acute, and long term.
H Interrelationship Diagram correct answers A tool that allows a team to analyze all the
interrelated cause-and-effect relationships and factors involved in a complex problem;
distinguish between issues that serve as drivers and those that are outcomes; and describe desired
outcomes.
H Leadership Group correct answers "Individuals in senior positions with clearly defined, unique
responsibilities." Possible groups include governance, management, medical staff, nursing, other
clinical staff. An individual may be a member of more than one group.
H LIP correct answers Licensed Independent Practitioner: Any individual who is professionally
licensed by the state (US) and permitted by the organization to provide patient care services
without direction or supervision, within the scope of that license.
,H Management correct answers The sum of the activities of: planning, organizing, staffing,
directing, coordinating, and working to improve human and material resources toward the
achievement of stated goals.
H Medicare correct answers Age 65+, permanent kidney failure, and disabled. Managed by
CMS.
H Medicaid correct answers Low-income, managed by each state.
H Mission correct answers The written expression of the origination's overall, broad purpose and
role (what/who the organization is). In a quality improvement environment it is expected that the
statement of mission will express a high-priority, comprehensive commitment to patient care, to
quality in all activities, and to service to the community. The mission statement is the basis for
the formation of organizational vision, values, goals, and objectives.
H Monitoring and Evaluation correct answers Historically a data collection process that focused
on high-priority quality-of-care issues and was designed to facilitate problem solving and the
identification of opportunities to improve.
H Negligence correct answers Lack of proper care, as judged by peers.
A person who alleges negligent medical malpractice must prove four elements: (1) a duty of care
was owed by the physician; (2) the physician violated the applicable standard of care; (3) the
person suffered a compensable injury; and (4) the injury was caused in fact and proximately
caused by the substandard conduct. The burden of proving these elements is on the plaintiff in a
malpractice lawsuit.
H Negligent Conduct correct answers Doing what a reasonable person would not do: failure to
do what a reasonable person would do (based on set standards and under like circumstances and
training)
Gross Negligence: is failure to act if there is known or suspected risk resulting in adverse impact
or death.
H Nominal Group Process correct answers A technique used to give everyone on the team/group
an equal voice in brainstorming, problem selection, or resolution.
-Highly structured process to obtain primary data
-Few representatives from the priority population respond to questions based on specific needs.
-Small groups of 5 to 7
-Rank proposed ideas privately and share the rankings with the group
H Organization Leaders correct answers The group of individuals that sets expectations,
develops plans and implements procedures to assess and improve the quality of the
organization's governance, management, clinical, and support functions and processes.
, H Organizational Ethics correct answers Management of relationships with patients and the
public under a set of principles of right conduct; conduct of business with patients and the public
with respect, honesty, and integrity; and recognition and acceptance of responsibilities under
law.
H Outcomes Management correct answers A "technology of patient experience designed to help
patients, payers, and providers make rational medical care-related choices based on better insight
into the effect of these choices on the patient's life."
H Performance Improvement correct answers "The continuous study and adaptation of a
healthcare organization's functions and processes to increase the probability of achieving desired
outcomes and to better meet the needs of individuals and other users of services."
"Data collection and analysis for the purpose of providing an indication of the organization's
performance on a specified process of outcome."
H Plan correct answers The written document describing a particular program and all associated
structures, processes, and activities. e.g. Quality Management (III), Utilization Management
(III), Risk Management (III), Information Management (V), Organizational Plan for Patient Care
Services (II), Corporate Compliance Plan (III).
H Practice Guideline correct answers A generally accepted principle for patient management,
with care specifications based on the most current scientific findings (evidence of effectiveness,
hence, "evidence-based"), clinical expertise, and community standards of practice.
"Clinical practice guidelines are systematically developed statements to assist practitioner and
patient decisions about appropriate health care for specific clinical circumstances."
H Practice Parameter correct answers An overall patient management strategy that outlines a
range of appropriate services for a given clinical condition or identifies a range of clinical
conditions for which a given service may be appropriate, incorporation acceptable practice
guidelines, clinical criteria, protocols, or standards of care [Includes AMA descriptions of
practice parameters].
H Prioritization Matrix correct answers A tool used to select one option from a group of
alternatives, be they problems or solutions, or to put the options into priority order if all need to
be done, to promote objective decision making.
Tool used to organize info that can be compared on a variety of characteristics in order to make a
comparison, selection or choice
H Proctoring correct answers Direct observation and/or a review of medical records by peers to
validate competency to perform requested privileges (initial or new), usually for a specified
number of cases or for a period of time.
