HIT 254 EXAM 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026
Community Hospital recently completed earthquake retrofitting and seismic upgrades on their
physical building in order to increase the safety of their building for patients and employees. Identify
which of Donabedian's four perspectives for quality management this upgrade is an example of: -
Answers Structure
A PI team role responsible for championing the effectiveness of PI activities in meeting customers'
needs and for the content of a team's work is the - Answers Team Leader
Which of the following individuals was instrumental in bringing attention to the formal training needs
for nurses? - Answers Dr. Samuel Gross
A PI team role primarily responsible for ensuring that an effective performance improvement process
occurs by serving as advisor and consultant to the PI team, remaining a neutral, nonvoting member,
suggesting alternative PI methods and techniques to keep the team on target and moving forward,
maintaining group dynamics acting as coach and motivator for the team, assisting in consensus
building when necessary, and recognizing team and individual achievements is the - Answers Team
Facilitator
A type of PI team that constructs relatively simple and quick "fixes" to improve work process without
going through the complete PI cycle is called a - Answers Rapid Improvement Team
A PI team role responsible for maintaining the records of a team's work during meetings, including
any documentation required by the organization, is the - Answers Team Recorder or Scribe
Which state was the first to pass legislation that required nurses to be registered? - Answers North
Carolina
Today's healthcare organizations focus on helping their patients return to healthier lives that are
more productive. In order to accomplish this goal, continuous performance improvement, such
as_____is critical for healthcare organizations. - Answers Demonstrating their commitment to quality
through transparent outcomes data
A description of the ideal end state or a description of the best way a process under review by a team
should function is called the - Answers Team Vision
A tool used to ensure that every team member knows which items will be discussed or worked on
during a meeting is called a - Answers Agenda
The PI team was meeting to discuss the post-operative infection rate issues. Sue was assigned by the
PI team leader to monitor the meeting agenda and watch the clock for adherence to the schedule. In
what capacity is Sue serving during this meeting? - Answers Team Timekeeper
A set of National Patient Safety Goals (NPSGs) that all institutions participating in accreditation must
promote and train their staffs providing care to adhere to, was developed by which of the following
organizations? - Answers The Joint Commission
The HIM department is having an issue with extensive use of sick leave within the department, and
quality of work has declined. The HIM manager decides to personally ask each employee in the
department what they believe is leading to the problem with extensive use of sick leave. The HIM
manager uses this information create a new sick leave policy in an effort to improve the quality of
work performed in the department. What technique is the HIM manager using to address the sick
leave and quality of work issue? - Answers Inclusive
A team organized in the HIM department to look at errors in the release of information process would
be considered a - Answers Functional Team
Which of the following is a set of initiatives that are to be undertaken to achieve a performance
improvement goal? - Answers Action Plan
Which of the following acts established a quality-reporting program for skilled nursing care in the US?
- Answers Improving Medicare Post-Acute Care Transformation Act (IMPACT)
A system in which purchasers hold providers of healthcare accountable for both the costs of
healthcare and its quality is called - Answers Value-based purchasing
At a recent meeting, the was reviewing the last quarter's data for the post-operative infection rates.
The data is showing an increase in post-op infections after major joint procedures. A recommendation
was made for a rapid improvement team to be initiated to investigate this increase - Answers
Performance Improvement Council
TQM mobilizes individuals directly involved in a work process to examine and improve the process
with the goal of achieving a better product or outcome. It does not matter what the product or
outcome might be. - Answers True
, Which of the following is the act that stimulated investment in the information systems infrastructure
of professional practices, clinics, and hospitals? - Answers Standardization
The practice of reporting patient outcomes to the Hospital Board of Trustees was begun at which of
the following hospitals - Answers Massachusetts General
In the 1700 - 1800s, which of the following hospitals became a model for the development of
hospitals in other communities? - Answers Pennsylvania Hospital
Which of the following associations was established in 1840 to represent the interests of physicians
across the United States? - Answers American Medical Association
Which type of statement describes what the organization of PI initiative will look like in the future or
may describe some milestone that the PI team will reach in the future? - Answers Vision Statement
During and after World War II, healthcare shifted from predominantly treating patients in their home
to more sophisticated healthcare provided in a growing number of hospitals. To address this
increased need for more hospitals closer to where patients lived, the US government: - Answers
Passed the Hill-Burton Act to fund extensive hospital construction
A PI team that involves staff from more than one department, service area, or discipline is called a -
Answers Cross-functional Team
Which of the following terms is used to identify a variety of methods PI teams can use to accomplish
their goals? - Answers QI toolbox techniques
Each healthcare organization must identify and prioritize which processes and outcomes (in other
words, which types of data) are important to monitor. This data collection should be based on the
scope of care and services the healthcare organization provides and - Answers Its mission
Organizations that pay close attention to weak signals of trouble to catch problems or errors in the
earliest stage are applying the principles of - Answers High Reliability Organizations (HROs)
Healthcare leaders and their boards of directors are responsible for the quality of the organizations'
service. - Answers True
At a recent PI team meeting, John reported on the data collection results of the laboratory project.
This data demonstrated that errors were occurring in the specimen collection area of the lab that
resulted in contamination of the sample. After John's report, the team brainstormed solutions and
made a final decision as to how they wanted to correct this problem. Which step in Deming's PDCA
cycle is this an example of? - Answers Check
The state licensing bureau recently conducted a survey at Community Hospital. During this review,
the surveyors determined that the hospital was not meeting its established standard for timely
operative report documentation. Now that Community Hospital is fully aware of this deficiency in
documentation compliance, this situation presents the hospital with a - Answers Opportunity for
improvement
Which of the following is a quality improvement methodology that uses statistics for measuring
variation in a process with the intent of producing error-free results? - Answers Six Sigma
is the steps in which focused data are collected and analyzed, changes are incorporated, the new
process is implemented, and staff are educated about the new process. - Answers Systems
engineering
Performance improvement data collection results that fall outside the established ___________ often
trigger further study or more focused data collection on a performance measure. - Answers
Benchmark
Root-cause analysis is a key technique used in which quality improvement methodology? - Answers
Lean
Joint Commission requires healthcare organizations to appoint a ___________ group to oversee
organization-wide PI activities. - Answers Leadership
University Hospital is experiencing a high level of demand for their OR surgical suites. Upon
investigation, organizational leaders determined that the OR turnover process is time intensive. The
average time between surgeries in a specific OR suite is 70 minutes. This OR suite turnover rate is
hampering the hospital's ability to perform needed surgeries. A PI team conducted an investigation to
pinpoint the causes of the OR turnover delays. Because of this investigation, the hospital created a
required standardized checklist for staff to use during the turnover process. In addition, the supplies
needed to complete the turnover process were moved closer to the OR. These changes resulted in an
improved OR suite turnover time of 30 minutes. Identify the performance improvement framework
used by University Hospital to improve their OR suite turnover rate. - Answers Lean Six Sigma
Community Hospital recently completed earthquake retrofitting and seismic upgrades on their
physical building in order to increase the safety of their building for patients and employees. Identify
which of Donabedian's four perspectives for quality management this upgrade is an example of: -
Answers Structure
A PI team role responsible for championing the effectiveness of PI activities in meeting customers'
needs and for the content of a team's work is the - Answers Team Leader
Which of the following individuals was instrumental in bringing attention to the formal training needs
for nurses? - Answers Dr. Samuel Gross
A PI team role primarily responsible for ensuring that an effective performance improvement process
occurs by serving as advisor and consultant to the PI team, remaining a neutral, nonvoting member,
suggesting alternative PI methods and techniques to keep the team on target and moving forward,
maintaining group dynamics acting as coach and motivator for the team, assisting in consensus
building when necessary, and recognizing team and individual achievements is the - Answers Team
Facilitator
A type of PI team that constructs relatively simple and quick "fixes" to improve work process without
going through the complete PI cycle is called a - Answers Rapid Improvement Team
A PI team role responsible for maintaining the records of a team's work during meetings, including
any documentation required by the organization, is the - Answers Team Recorder or Scribe
Which state was the first to pass legislation that required nurses to be registered? - Answers North
Carolina
Today's healthcare organizations focus on helping their patients return to healthier lives that are
more productive. In order to accomplish this goal, continuous performance improvement, such
as_____is critical for healthcare organizations. - Answers Demonstrating their commitment to quality
through transparent outcomes data
A description of the ideal end state or a description of the best way a process under review by a team
should function is called the - Answers Team Vision
A tool used to ensure that every team member knows which items will be discussed or worked on
during a meeting is called a - Answers Agenda
The PI team was meeting to discuss the post-operative infection rate issues. Sue was assigned by the
PI team leader to monitor the meeting agenda and watch the clock for adherence to the schedule. In
what capacity is Sue serving during this meeting? - Answers Team Timekeeper
A set of National Patient Safety Goals (NPSGs) that all institutions participating in accreditation must
promote and train their staffs providing care to adhere to, was developed by which of the following
organizations? - Answers The Joint Commission
The HIM department is having an issue with extensive use of sick leave within the department, and
quality of work has declined. The HIM manager decides to personally ask each employee in the
department what they believe is leading to the problem with extensive use of sick leave. The HIM
manager uses this information create a new sick leave policy in an effort to improve the quality of
work performed in the department. What technique is the HIM manager using to address the sick
leave and quality of work issue? - Answers Inclusive
A team organized in the HIM department to look at errors in the release of information process would
be considered a - Answers Functional Team
Which of the following is a set of initiatives that are to be undertaken to achieve a performance
improvement goal? - Answers Action Plan
Which of the following acts established a quality-reporting program for skilled nursing care in the US?
- Answers Improving Medicare Post-Acute Care Transformation Act (IMPACT)
A system in which purchasers hold providers of healthcare accountable for both the costs of
healthcare and its quality is called - Answers Value-based purchasing
At a recent meeting, the was reviewing the last quarter's data for the post-operative infection rates.
The data is showing an increase in post-op infections after major joint procedures. A recommendation
was made for a rapid improvement team to be initiated to investigate this increase - Answers
Performance Improvement Council
TQM mobilizes individuals directly involved in a work process to examine and improve the process
with the goal of achieving a better product or outcome. It does not matter what the product or
outcome might be. - Answers True
, Which of the following is the act that stimulated investment in the information systems infrastructure
of professional practices, clinics, and hospitals? - Answers Standardization
The practice of reporting patient outcomes to the Hospital Board of Trustees was begun at which of
the following hospitals - Answers Massachusetts General
In the 1700 - 1800s, which of the following hospitals became a model for the development of
hospitals in other communities? - Answers Pennsylvania Hospital
Which of the following associations was established in 1840 to represent the interests of physicians
across the United States? - Answers American Medical Association
Which type of statement describes what the organization of PI initiative will look like in the future or
may describe some milestone that the PI team will reach in the future? - Answers Vision Statement
During and after World War II, healthcare shifted from predominantly treating patients in their home
to more sophisticated healthcare provided in a growing number of hospitals. To address this
increased need for more hospitals closer to where patients lived, the US government: - Answers
Passed the Hill-Burton Act to fund extensive hospital construction
A PI team that involves staff from more than one department, service area, or discipline is called a -
Answers Cross-functional Team
Which of the following terms is used to identify a variety of methods PI teams can use to accomplish
their goals? - Answers QI toolbox techniques
Each healthcare organization must identify and prioritize which processes and outcomes (in other
words, which types of data) are important to monitor. This data collection should be based on the
scope of care and services the healthcare organization provides and - Answers Its mission
Organizations that pay close attention to weak signals of trouble to catch problems or errors in the
earliest stage are applying the principles of - Answers High Reliability Organizations (HROs)
Healthcare leaders and their boards of directors are responsible for the quality of the organizations'
service. - Answers True
At a recent PI team meeting, John reported on the data collection results of the laboratory project.
This data demonstrated that errors were occurring in the specimen collection area of the lab that
resulted in contamination of the sample. After John's report, the team brainstormed solutions and
made a final decision as to how they wanted to correct this problem. Which step in Deming's PDCA
cycle is this an example of? - Answers Check
The state licensing bureau recently conducted a survey at Community Hospital. During this review,
the surveyors determined that the hospital was not meeting its established standard for timely
operative report documentation. Now that Community Hospital is fully aware of this deficiency in
documentation compliance, this situation presents the hospital with a - Answers Opportunity for
improvement
Which of the following is a quality improvement methodology that uses statistics for measuring
variation in a process with the intent of producing error-free results? - Answers Six Sigma
is the steps in which focused data are collected and analyzed, changes are incorporated, the new
process is implemented, and staff are educated about the new process. - Answers Systems
engineering
Performance improvement data collection results that fall outside the established ___________ often
trigger further study or more focused data collection on a performance measure. - Answers
Benchmark
Root-cause analysis is a key technique used in which quality improvement methodology? - Answers
Lean
Joint Commission requires healthcare organizations to appoint a ___________ group to oversee
organization-wide PI activities. - Answers Leadership
University Hospital is experiencing a high level of demand for their OR surgical suites. Upon
investigation, organizational leaders determined that the OR turnover process is time intensive. The
average time between surgeries in a specific OR suite is 70 minutes. This OR suite turnover rate is
hampering the hospital's ability to perform needed surgeries. A PI team conducted an investigation to
pinpoint the causes of the OR turnover delays. Because of this investigation, the hospital created a
required standardized checklist for staff to use during the turnover process. In addition, the supplies
needed to complete the turnover process were moved closer to the OR. These changes resulted in an
improved OR suite turnover time of 30 minutes. Identify the performance improvement framework
used by University Hospital to improve their OR suite turnover rate. - Answers Lean Six Sigma
