Quality Assessment & Performance
The Model for Improvement includes a process for learning from tests of change. What are
the steps in this process? - correct answer-Plan, do, study, act
Seventy percent of the staff in the HIM department has a nationally recognized credential.
This is an example of which type of indicator? - correct answer-Process
The medical transcription improvement team wants to identify the cause of poor transcription
quality. Which of the following tools would best aid the team in identifying the root cause of
the problem? - correct answer-Fishbone diagram
The leader of the coding performance improvement team wants all of her team members to
clearly understand the coding process. Which of the following would be the best tool for
accomplishing this objective? - correct answer-Flowchart
When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is that: -
correct answer-Both C and D
The Joint Commission's methodology for accessing the quality of healthcare during its
survey process is to follow specific patients through their entire admission and to identify
noncompliance with standards as reflected in the experience of patients. - correct
answer-True
The National Committee on Quality Assurance (NCQA) has issued specific national patient
safety goals in response to its identification of patient safety as its top priority in accrediting
managed healthcare organizations. - correct answer-False
Which of the following is an investigative tool that facilitates the identification of the various
factors that contribute to the problem? - correct answer-Cause and effect diagram
Identify the process that allows groups to narrow the focus of discussion or to make
decisions without becoming involved in extended and circular decisions. - correct
answer-Nominal group teechnique
Name the graphic tool that illustrates the current process used so that a team can examine
and understand the current process. - correct answer-Flow chart
Quality improvement organizations use data analysis, peer review and other tools to: -
correct answer-Determine if a healthcare facility meets accreditation and licensing standards
When becoming licensed by the state, hospitals and healthcare organizations use the
Conditions of Participation for monitoring their processes. - correct answer-False
, For accessing quality of healthcare during its survey, the Joint Commission's methodology
process is to follow specific patients through their entire admission and to identify
noncompliance with standards as reflected in the experience of patients. - correct
answer-True
Events that showcase the good quality of care provided by a healthcare facility are known as
sentinel events. - correct answer-False
A __________ is an event that results or could have resulted, in the injury, sometimes
life-threatening, to an employee or patient within a healthcare facility. - correct
answer-Sentinel event
Medication adjustment and changes often occur during patient encounters with health
services, as patients are admitted, discharged, and transferred to another hospital unit or to
another facility. ______________, such as ensuring that the patient is receiving the right
dose of medication, is the process that monitors and confirms that the patient receives
consistent dosing across all facility transfers. - correct answer-Medication reconciliation
____________ is composed of a set of processes used to determine the appropriateness of
medical services provided during specific episodes of care. It is an important part of quality
patient care as it helps to ensure necessary and appropriate care, the effectiveness of the
services provided to the patient, and timely and safe discharge of patients. - correct
answer-Utilization management
In the United States, many different organizations monitor the quality of healthcare services
and offer programs for healthcare organizations. All of the programs are based on the data
collection and submission process followed by a comprehensive survey process.
Participation in this process is voluntary for healthcare organizations. This is based on
_________. - correct answer-Accreditation standards
The _________ outline the areas of organizational practice that most commonly lead to
patient injury or other negative outcomes that can be prevented if standardized procedures
are used. The focus is to prevent negative outcomes. - correct answer-NPSGs
Financial liability for a healthcare facility that resulted from an injury, accident, or medical
error is known as a - correct answer-Compensable event
What is the mode number of outpatient surgeries?
Month # of Outpatient Surgeries
July 16
August 12
September 7
October 13
November 16
December 14 - correct answer-16
The data set collected for hospital inpatients is: - correct answer-UHDDS
The Model for Improvement includes a process for learning from tests of change. What are
the steps in this process? - correct answer-Plan, do, study, act
Seventy percent of the staff in the HIM department has a nationally recognized credential.
This is an example of which type of indicator? - correct answer-Process
The medical transcription improvement team wants to identify the cause of poor transcription
quality. Which of the following tools would best aid the team in identifying the root cause of
the problem? - correct answer-Fishbone diagram
The leader of the coding performance improvement team wants all of her team members to
clearly understand the coding process. Which of the following would be the best tool for
accomplishing this objective? - correct answer-Flowchart
When trying to improve a process, one reason to use PDSA cycles rather than a more
traditional version of the scientific method (such as a randomized, controlled trial) is that: -
correct answer-Both C and D
The Joint Commission's methodology for accessing the quality of healthcare during its
survey process is to follow specific patients through their entire admission and to identify
noncompliance with standards as reflected in the experience of patients. - correct
answer-True
The National Committee on Quality Assurance (NCQA) has issued specific national patient
safety goals in response to its identification of patient safety as its top priority in accrediting
managed healthcare organizations. - correct answer-False
Which of the following is an investigative tool that facilitates the identification of the various
factors that contribute to the problem? - correct answer-Cause and effect diagram
Identify the process that allows groups to narrow the focus of discussion or to make
decisions without becoming involved in extended and circular decisions. - correct
answer-Nominal group teechnique
Name the graphic tool that illustrates the current process used so that a team can examine
and understand the current process. - correct answer-Flow chart
Quality improvement organizations use data analysis, peer review and other tools to: -
correct answer-Determine if a healthcare facility meets accreditation and licensing standards
When becoming licensed by the state, hospitals and healthcare organizations use the
Conditions of Participation for monitoring their processes. - correct answer-False
, For accessing quality of healthcare during its survey, the Joint Commission's methodology
process is to follow specific patients through their entire admission and to identify
noncompliance with standards as reflected in the experience of patients. - correct
answer-True
Events that showcase the good quality of care provided by a healthcare facility are known as
sentinel events. - correct answer-False
A __________ is an event that results or could have resulted, in the injury, sometimes
life-threatening, to an employee or patient within a healthcare facility. - correct
answer-Sentinel event
Medication adjustment and changes often occur during patient encounters with health
services, as patients are admitted, discharged, and transferred to another hospital unit or to
another facility. ______________, such as ensuring that the patient is receiving the right
dose of medication, is the process that monitors and confirms that the patient receives
consistent dosing across all facility transfers. - correct answer-Medication reconciliation
____________ is composed of a set of processes used to determine the appropriateness of
medical services provided during specific episodes of care. It is an important part of quality
patient care as it helps to ensure necessary and appropriate care, the effectiveness of the
services provided to the patient, and timely and safe discharge of patients. - correct
answer-Utilization management
In the United States, many different organizations monitor the quality of healthcare services
and offer programs for healthcare organizations. All of the programs are based on the data
collection and submission process followed by a comprehensive survey process.
Participation in this process is voluntary for healthcare organizations. This is based on
_________. - correct answer-Accreditation standards
The _________ outline the areas of organizational practice that most commonly lead to
patient injury or other negative outcomes that can be prevented if standardized procedures
are used. The focus is to prevent negative outcomes. - correct answer-NPSGs
Financial liability for a healthcare facility that resulted from an injury, accident, or medical
error is known as a - correct answer-Compensable event
What is the mode number of outpatient surgeries?
Month # of Outpatient Surgeries
July 16
August 12
September 7
October 13
November 16
December 14 - correct answer-16
The data set collected for hospital inpatients is: - correct answer-UHDDS
