CPHQ EXAM QUESTIONS AND CORRECT ANSWERS
Which of the following is NOT part of the seven steps to the Kubler
Ross Change
Curve model?
A. shock
B. experiment
C. anger - Answers - A. anger
All styles are important for different situations an organization may find itself in at any
given point in time. Which of the following leadership styles is best when
an organization is in crisis mode?
A. autocratic
B. empowering
C. transactional
D. transformational - Answers - A. Autocratic
Quality Assurance - Answers - Measures compliance
with standards
Quality Control - Answers - Process of ensuring products
and services meet consumer
expectations
Performance
Improvement - Answers - Continuously improve
processes to meet
standards
Quality Defect:
Underuse - Answers - Failing to provide medically necessary care or follow evidence
based medical practice
Quality Defect: Overuse - Answers - Providing a drug or treatment without medical
justification
Quality Defect: Misuse - Answers - Medical errors in the provision of care
DEFECT:
Wrong site surgery
A.
Underuse
Failing to provide medically necessary
,care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - C. Misuse
DEFECT: Use of high tech imaging (MRI, CAT scan) when
other diagnostic tests are sufficient
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - B. Overuse
DEFECT: Less than 10% of recommended women
receive annual mammograms
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - A. Underuse
DEFECT: Nearly 10,000 pneumonia related deaths per
year could be prevented with the
administration of a vaccine
A.
Underuse
Failing to provide medically necessary
,care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - A. Underuse
DEFECT: Administering the wrong drug to a patient or
resident
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - C. Misuse
DEFECT: Antibiotics prescribed for simple viral infection
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - B.
Overuse
Vision - Answers - •Future goal
•Commitment to both internal and external customer supplier relationships
•Short, sustainable, patient centered
Mission - Answers - •Reflects current state
•Describes in broad terms organization purpose and role in the community
, •Based on data, program analysis and input from key stakeholders
•Includes at minimum, commitment to quality, patient safety, patient care and need to
serve the community
Goals - Answers - •Support vision and mission
•Overarching direction
•Intangible improve team communication; reduce falls; patient satisfaction, build trust
•Developed for units, departments
•Hard to measure
Objectives - Answers - •Specific, measurable actions or tasks taken to achieve goals
•Include at a minimum:
o Measurable
o Timeline
o Accountable party
Data driven process - Answers - External analysis of customer needs in relation to
demographics and regulations
Analytical process - Answers - Internal services and functions
SWOT analysis - Answers - Strengths, weaknesses, opportunities, threats
Revisions - Answers - Mission, vision, goals, core values
Ground it - Answers - o Priorities
o Goals
o Objectives
Safety - Answers - patient, family, staff
Communication - Answers - clinicians, non clinicians
Regulatory - Answers - ongoing readiness
Clinical quality measures - Answers - quality programs
Quality improvement - Answers - evidence based practice
Event tracking system - Answers - Risk management
Strategic goals - Answers - •Use PI measures for business planning and resource
allocation
•Provide PI training
By Laws - Answers - •Establish relationship between medical staff and board
Which of the following is NOT part of the seven steps to the Kubler
Ross Change
Curve model?
A. shock
B. experiment
C. anger - Answers - A. anger
All styles are important for different situations an organization may find itself in at any
given point in time. Which of the following leadership styles is best when
an organization is in crisis mode?
A. autocratic
B. empowering
C. transactional
D. transformational - Answers - A. Autocratic
Quality Assurance - Answers - Measures compliance
with standards
Quality Control - Answers - Process of ensuring products
and services meet consumer
expectations
Performance
Improvement - Answers - Continuously improve
processes to meet
standards
Quality Defect:
Underuse - Answers - Failing to provide medically necessary care or follow evidence
based medical practice
Quality Defect: Overuse - Answers - Providing a drug or treatment without medical
justification
Quality Defect: Misuse - Answers - Medical errors in the provision of care
DEFECT:
Wrong site surgery
A.
Underuse
Failing to provide medically necessary
,care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - C. Misuse
DEFECT: Use of high tech imaging (MRI, CAT scan) when
other diagnostic tests are sufficient
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - B. Overuse
DEFECT: Less than 10% of recommended women
receive annual mammograms
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - A. Underuse
DEFECT: Nearly 10,000 pneumonia related deaths per
year could be prevented with the
administration of a vaccine
A.
Underuse
Failing to provide medically necessary
,care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - A. Underuse
DEFECT: Administering the wrong drug to a patient or
resident
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - C. Misuse
DEFECT: Antibiotics prescribed for simple viral infection
A.
Underuse
Failing to provide medically necessary
care or follow evidence based medical
practice
B.
Overuse
Providing a drug or treatment without
medical justification
C.
Misuse
Medical errors in the provision of care - Answers - B.
Overuse
Vision - Answers - •Future goal
•Commitment to both internal and external customer supplier relationships
•Short, sustainable, patient centered
Mission - Answers - •Reflects current state
•Describes in broad terms organization purpose and role in the community
, •Based on data, program analysis and input from key stakeholders
•Includes at minimum, commitment to quality, patient safety, patient care and need to
serve the community
Goals - Answers - •Support vision and mission
•Overarching direction
•Intangible improve team communication; reduce falls; patient satisfaction, build trust
•Developed for units, departments
•Hard to measure
Objectives - Answers - •Specific, measurable actions or tasks taken to achieve goals
•Include at a minimum:
o Measurable
o Timeline
o Accountable party
Data driven process - Answers - External analysis of customer needs in relation to
demographics and regulations
Analytical process - Answers - Internal services and functions
SWOT analysis - Answers - Strengths, weaknesses, opportunities, threats
Revisions - Answers - Mission, vision, goals, core values
Ground it - Answers - o Priorities
o Goals
o Objectives
Safety - Answers - patient, family, staff
Communication - Answers - clinicians, non clinicians
Regulatory - Answers - ongoing readiness
Clinical quality measures - Answers - quality programs
Quality improvement - Answers - evidence based practice
Event tracking system - Answers - Risk management
Strategic goals - Answers - •Use PI measures for business planning and resource
allocation
•Provide PI training
By Laws - Answers - •Establish relationship between medical staff and board