NAHQ CPHQ Practice Test || All Errorless Answers.
The governing body is responsible for setting policy, financial and strategic direction, quality of
care, and setting goals and objectives
A. True
B. False correct answers True
The governing body is responsible for implementing strategies and collecting measurements of
quality indicators.
A. True
B. False correct answers False
According to TJC (2012), how many serious medical errors involved miscommunication
between caregivers when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80% correct answers d. 80%
Observation and documentation of interpersonal and communication skills is an example of an
FPPE.
A. True
B. False correct answers True
An example of criteria that might be tracked for OPPE is morbidity and mortality data
A. True
B. False correct answers True
Examples of data for physician profiles include data representing major service lines, patient
safety issues, and outpatient information
A. True
B. False correct answers True
A CQO has the responsibility for education and implementation of a quality improvement
process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors correct answers b. Be a visible participant in the
process
When a healthcare org is contracting with an outside provider for services, the subcontractor
must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
c. Have an active risk management program
,d. Have a competitively priced service correct answers a. Meet all regulatory requirements
A healthcare quality professional is developing a policy regarding access to physician quality
files. In addition to the date and name of the person requesting the information, which of the
following should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel correct answers a. Purpose of the request
Physician profiles should be reviewed at the time of reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval correct answers b. Assess practitioner competency
Which of the following is the first step in the strategic planning process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators correct answers a. Setting goals and objectives
If someone in your organization is resisting and not willing to make the change, what is the best
strategy to take?
a. Set goals, measure performance, provide coaching and feedback, reward and recognize
positive efforts
b. Communicate what, why, how, when and who of change process, present positive outlook,
have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
correct answers a. Set goals, measure performance, provide coaching and feedback, reward and
recognize positive efforts
If someone in your organization is resisting and not able to perform change, what is the best
strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook,
have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
correct answers a. Provide education and training in new skills and use of various management
techniques
If someone in your organization is resisting change and lack knowledge about what is required,
what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook,
have clear focus and goal for change and expectations
, c. Provide education and training in new skills and use of various management techniques
correct answers b. Communicate what, why, how, when and who of change process, present
positive outlook, have clear focus and goal for change and expectations
For a quality improvement team to deal effectively with conflict, it is important to appoint which
of the following to its membership?
a. Risk manager
b. HR representative
c. Facilitator
d. Senior leader correct answers c. Facilitator
Which of the following is essential to effective Quality Councils?
a. Involvement of leadership
b. Consultation of legal advisor
c. Participation of the strategic planning committee
d. Direction from the organization's quality department correct answers a. Involvement of
leadership
A Quality Council has chartered a performance improvement team to reduce medication errors.
The team has been meeting for several months and progress has been slow. Which of the
following is the most important factor for the Quality Council to assess with the team leader?
a. Composition of the team
b. Number of medication errors since team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings correct answers a. Composition of the team
Two surveys were completed in a healthcare facility that showed conflicting results concerning
patient satisfaction with food services. The two surveys were independently designed and
distributed by different departments within the facility. The healthcare quality professional
should first:
a. Set up a quality improvement team to improve food service
b. Redistribute the surveys to obtain a larger sample size.
c. Design, distribute, and analyze a new survey instrument
d. Meet with the departments to review the survey processes correct answers d. Meet with the
departments to review the survey processes
Which of the following steps occurs first in the facilitating change in an organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan correct answers a. Identify problems to be
addressed in the organization
The separate services of pharmacy and nursing are having difficulty developing an action plan
for med errors. Pharmacy services states that nursing services causes the majority of the
The governing body is responsible for setting policy, financial and strategic direction, quality of
care, and setting goals and objectives
A. True
B. False correct answers True
The governing body is responsible for implementing strategies and collecting measurements of
quality indicators.
A. True
B. False correct answers False
According to TJC (2012), how many serious medical errors involved miscommunication
between caregivers when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80% correct answers d. 80%
Observation and documentation of interpersonal and communication skills is an example of an
FPPE.
A. True
B. False correct answers True
An example of criteria that might be tracked for OPPE is morbidity and mortality data
A. True
B. False correct answers True
Examples of data for physician profiles include data representing major service lines, patient
safety issues, and outpatient information
A. True
B. False correct answers True
A CQO has the responsibility for education and implementation of a quality improvement
process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors correct answers b. Be a visible participant in the
process
When a healthcare org is contracting with an outside provider for services, the subcontractor
must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
c. Have an active risk management program
,d. Have a competitively priced service correct answers a. Meet all regulatory requirements
A healthcare quality professional is developing a policy regarding access to physician quality
files. In addition to the date and name of the person requesting the information, which of the
following should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel correct answers a. Purpose of the request
Physician profiles should be reviewed at the time of reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval correct answers b. Assess practitioner competency
Which of the following is the first step in the strategic planning process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators correct answers a. Setting goals and objectives
If someone in your organization is resisting and not willing to make the change, what is the best
strategy to take?
a. Set goals, measure performance, provide coaching and feedback, reward and recognize
positive efforts
b. Communicate what, why, how, when and who of change process, present positive outlook,
have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
correct answers a. Set goals, measure performance, provide coaching and feedback, reward and
recognize positive efforts
If someone in your organization is resisting and not able to perform change, what is the best
strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook,
have clear focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
correct answers a. Provide education and training in new skills and use of various management
techniques
If someone in your organization is resisting change and lack knowledge about what is required,
what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook,
have clear focus and goal for change and expectations
, c. Provide education and training in new skills and use of various management techniques
correct answers b. Communicate what, why, how, when and who of change process, present
positive outlook, have clear focus and goal for change and expectations
For a quality improvement team to deal effectively with conflict, it is important to appoint which
of the following to its membership?
a. Risk manager
b. HR representative
c. Facilitator
d. Senior leader correct answers c. Facilitator
Which of the following is essential to effective Quality Councils?
a. Involvement of leadership
b. Consultation of legal advisor
c. Participation of the strategic planning committee
d. Direction from the organization's quality department correct answers a. Involvement of
leadership
A Quality Council has chartered a performance improvement team to reduce medication errors.
The team has been meeting for several months and progress has been slow. Which of the
following is the most important factor for the Quality Council to assess with the team leader?
a. Composition of the team
b. Number of medication errors since team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings correct answers a. Composition of the team
Two surveys were completed in a healthcare facility that showed conflicting results concerning
patient satisfaction with food services. The two surveys were independently designed and
distributed by different departments within the facility. The healthcare quality professional
should first:
a. Set up a quality improvement team to improve food service
b. Redistribute the surveys to obtain a larger sample size.
c. Design, distribute, and analyze a new survey instrument
d. Meet with the departments to review the survey processes correct answers d. Meet with the
departments to review the survey processes
Which of the following steps occurs first in the facilitating change in an organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan correct answers a. Identify problems to be
addressed in the organization
The separate services of pharmacy and nursing are having difficulty developing an action plan
for med errors. Pharmacy services states that nursing services causes the majority of the
