NAHQ CPHQ 2027 ANSWERS AND QUESTIONS SET
A+
✔✔c. Improve performance - ✔✔The primary reason healthcare orgs use benchmarking
is to:
a. Provide risk adjustment
b. Decrease risk to the org
c. Improve performance
d. Comply with accreditation
✔✔a. A random sample of annual discharges/visits per unit - ✔✔A small rural hospital
wishes to evaluate customer satisfaction using a survey. The organization has 4 patient
care units, an ED, and an ambulatory unit. Which of the following survey methods
provides the most reliable information?
a. A random sample of annual discharges/visits per unit
b. All discharges/visits in January and July
c. A random sample of annual discharges/visits
d. All discharges/visits of customers with a last name beginning with A-E
✔✔b. Lack proper reference points for interpretation - ✔✔Rationale: A random sample
of annual discharges/visits per unit provides a sample from all units which will yield the
most valid information for a comparison of each unit
The major drawback of using raw numbers to present the results of quality monitoring is
that they:
a. May be used for focused review
b. Lack proper reference points for interpretation
c. Cannot be graphed
d. Only measure compliance to established criteria
✔✔d. Control chart
Rationale: Control charts display variation and stability of a process within defined upper
and lower limits. - ✔✔The best tool to display stability of nosocomial infection rates over
time is a:
a. Pareto chart
b. Histogram
, c. Run chart
d. Control chart
✔✔c. Define objectives of the performance review, develop data collection form, pilot
test
Rationale: Objectives must be defined first - ✔✔A number of specialty and primary care
clinicians have participated in several meetings to develop clinical practice guidelines
for the management of diabetes. The team leader has moved the team through the
actual guideline development. Which of the following sequences of steps should the
team consider in developing the quality of care product evaluation phase?
a. Identify medical review criteria, identify sampling methods to be used, pilot test
b. Identify populations covered by the guideline, identify the data sources, conduct the
review
c. Define objectives of the performance review, develop data collection form, pilot test
d. Consider costs of the review, identify clinicians and sites of care, define objectives of
the performance review
✔✔b. Investigate the complaint write the patient and report to the governing board -
✔✔A former patient emails an organization's CEO complimenting the friendliness of the
nurses while complaining that her pain was not well-managed. To comply with Centers
for Medicare and Medicaid Services (CMS) Conditions of Participation, which of the
following actions are needed?
a. Interview staff involved, track performance over time, and report to the Quality
Council
b. Investigate the complaint write the patient and report to the governing board
c. Call the patient, put compliments in the nurses' personnel records, and report to the
Quality Council
d. Review the medical record, put compliments and complaints in the appropriate staff
personnel records, and report to the governing board
✔✔b. Demonstrating understanding by return demonstration - ✔✔A hospital is working
to reduce readmissions. Which of the following is the best approach to accomplish this
goal?
a. Giving an education sheet on patient medication to the patient and family
b. Demonstrating understanding by return demonstration
c. Showing a video to a patient and their family
d. Requesting the home health nurse provide patient instruction
✔✔a. An activity carried out to provide care or service - ✔✔A process indicator is
defined as one that measures
a. An activity carried out to provide care or service
b. Significant events that require further investigation
c. Unexpected or negative variations
d. The appropriateness of procedure or treatment
A+
✔✔c. Improve performance - ✔✔The primary reason healthcare orgs use benchmarking
is to:
a. Provide risk adjustment
b. Decrease risk to the org
c. Improve performance
d. Comply with accreditation
✔✔a. A random sample of annual discharges/visits per unit - ✔✔A small rural hospital
wishes to evaluate customer satisfaction using a survey. The organization has 4 patient
care units, an ED, and an ambulatory unit. Which of the following survey methods
provides the most reliable information?
a. A random sample of annual discharges/visits per unit
b. All discharges/visits in January and July
c. A random sample of annual discharges/visits
d. All discharges/visits of customers with a last name beginning with A-E
✔✔b. Lack proper reference points for interpretation - ✔✔Rationale: A random sample
of annual discharges/visits per unit provides a sample from all units which will yield the
most valid information for a comparison of each unit
The major drawback of using raw numbers to present the results of quality monitoring is
that they:
a. May be used for focused review
b. Lack proper reference points for interpretation
c. Cannot be graphed
d. Only measure compliance to established criteria
✔✔d. Control chart
Rationale: Control charts display variation and stability of a process within defined upper
and lower limits. - ✔✔The best tool to display stability of nosocomial infection rates over
time is a:
a. Pareto chart
b. Histogram
, c. Run chart
d. Control chart
✔✔c. Define objectives of the performance review, develop data collection form, pilot
test
Rationale: Objectives must be defined first - ✔✔A number of specialty and primary care
clinicians have participated in several meetings to develop clinical practice guidelines
for the management of diabetes. The team leader has moved the team through the
actual guideline development. Which of the following sequences of steps should the
team consider in developing the quality of care product evaluation phase?
a. Identify medical review criteria, identify sampling methods to be used, pilot test
b. Identify populations covered by the guideline, identify the data sources, conduct the
review
c. Define objectives of the performance review, develop data collection form, pilot test
d. Consider costs of the review, identify clinicians and sites of care, define objectives of
the performance review
✔✔b. Investigate the complaint write the patient and report to the governing board -
✔✔A former patient emails an organization's CEO complimenting the friendliness of the
nurses while complaining that her pain was not well-managed. To comply with Centers
for Medicare and Medicaid Services (CMS) Conditions of Participation, which of the
following actions are needed?
a. Interview staff involved, track performance over time, and report to the Quality
Council
b. Investigate the complaint write the patient and report to the governing board
c. Call the patient, put compliments in the nurses' personnel records, and report to the
Quality Council
d. Review the medical record, put compliments and complaints in the appropriate staff
personnel records, and report to the governing board
✔✔b. Demonstrating understanding by return demonstration - ✔✔A hospital is working
to reduce readmissions. Which of the following is the best approach to accomplish this
goal?
a. Giving an education sheet on patient medication to the patient and family
b. Demonstrating understanding by return demonstration
c. Showing a video to a patient and their family
d. Requesting the home health nurse provide patient instruction
✔✔a. An activity carried out to provide care or service - ✔✔A process indicator is
defined as one that measures
a. An activity carried out to provide care or service
b. Significant events that require further investigation
c. Unexpected or negative variations
d. The appropriateness of procedure or treatment
