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In regard to health dispari es around the world, which of the following statements is most true?
(A) Inequitable medical care is the primary driver of health dispari es.
(B) Where a child is born significantly affects his or her life expectancy.
(C) The root causes of health dispari es are complex.
(D) B and C - Ans (D) B and C
Which of the following is a trend in modern health care across industrialized na ons? (A)
Providers are becoming more specialized.
(B) The disease burden is shi+ing toward acute condi ons.
(C) There is growing demand for complicated procedures.
(D) A and C - Ans (D) A and C
Which of the following countries has had a rela vely inexpensive universal health insurance
system for more than 50 years?(A) Chile
(B) Germany
(C) Japan
(D) The US - Ans (C) Japan
Which of the following statements is true: (A) During the past 15 years, the cost of care has
been a growing problem for many developed na ons.
(B) During the past 15 years, most countries around the world have used similar approaches to
improve health care quality and access.
(C) Among industrialized na ons, there is a perfect correla on between quality rankings and
the number of dollars spent on health care.
,(D) All of the above - Ans (A) During the past 15 years, the cost of care has been a growing
problem for many developed na ons.
Which of the following statements is a reason for improving the US health care system?
(A) The US has fallen behind in biomedical innova on.
(B) The US lacks the means to measure health care quality and access.
(C) The US government and ci zens alike are struggling to afford the cost of care.
(D) All of the above - Ans (C) The US government and ci zens alike are struggling to afford the
cost of care.
Why was it important for the Ins tute of Medicine (IOM) to develop its six aims for health care?
(A) So that accredita on organiza ons would be be7er able to evaluate hospitals
(B) So that health care organiza ons would have a be7er idea of what they needed to improve
(C) So that lawmakers could focus their a7en on upon specific areas when working on health
care reform
(D) All of the above - Ans (B) So that health care organiza ons would have a be7er idea of what
they needed to improve
Michael S., a 49-year-old factory worker, is brought to the hospital a+er developing chest pain
at work. He is quickly diagnosed with an acute myocardial infarc on (heart a7ack). However, he
waits almost two hours to get to the catheteriza on lab and have his blocked coronary artery
opened. Ul mately, he suffers permanent damage to his heart.
Which of the IOM aims has this hospital FAILED to meet?A) Equitable
(B) Safe
(C) Effec ve
(D) Efficient
(E) Timely
(F) Pa ent-centered - Ans (E) Timely
, The hospital where Michael is recovering reviews its pa ent sa sfac on survey results in order
to improve its care and pa ent outcomes. Leaders poring over the data note that 90 to 100
percent of pa ents rate staff as "excellent" in the following categories: listening, answering
ques ons, being friendly and courteous, and giving good advice based on specific needs and
preferences. Which aim is the hospital generally achieving?(A) Equitable
(B) Safe
(C) Effec ve
(D) Efficient
(E) Timely
(F) Pa ent-centered - Ans (F) Pa ent-centered
Which of the following improvement efforts is the best example of increasing the effec veness
of care?
(A) Decreasing adverse drug events by having a pharmacist on rounds in the intensive care unit
(B) Shortening wait mes at a clinic by allowing pa ents to self-register on a computer in the
wai ng room
(C) Improving the percent of clinic pa ents achieving their goal blood pressure by ins tu ng a
series of reminders for providers about evidence-based processes
(D) Ins tu ng quarterly focus groups of pa ents seen in the emergency department to be7er
iden fy pa ent concerns - Ans (C) Improving the percent of clinic pa ents achieving their goal
blood pressure by ins tu ng a series of reminders for providers about evidence-based
processes
Which of the following improvement efforts is the best example of increasing the equity of
care?
(A) Decreasing adverse drug events by having a pharmacist on rounds in the intensive care unit
(B) Shortening wait mes at a clinic by allowing pa ents to self-register on a computer in the
wai ng room
, (C) Ins tu ng quarterly focus groups of pa ents seen in the emergency department to be7er
iden fy pa ent concerns
(D) Through staff development and weekly feedback, equalizing the likelihood that a pa ent
will receive pain medica on regardless of race, ethnicity, or educa on - Ans (D) Through staff
development and weekly feedback, equalizing the likelihood that a pa ent will receive pain
medica on regardless of race, ethnicity, or educa on
Which of the following is a basic principle of improvement?
(A) Improvement must come from the bo7om up — not the top down.
(B) Every system is perfectly designed to get the results it gets.
(C) Data should always drive improvement.
(D) When examining a complex system, consider all the parts separately. - Ans (B) Every system
is perfectly designed to get the results it gets.
Using Deming's System of Profound Knowledge is helpful in quality improvement because:
(A) It's a systema c set of procedures for implemen ng improvement.
(B) It can help break down complex quality issues into smaller, more understandable parts.
(C) It can help figure out who is to blame a+er an error.
(D) It's a helpful way to secure funding from external sources for planned improvements. - Ans
(B) It can help break down complex quality issues into smaller, more understandable parts.
Transcendental Nursing Home is working on decreasing its rates of catheter-associated urinary
tract infec ons (UTIs) among its residents. While reviewing data, the improvement team no ces
that the UTI rate on Floor 3 is half that of the rest of the floors. They decide to visit the unit and
find out what it is doing differently.
Which component of Deming's System of Profound Knowledge is the team about to harness?
(A) Apprecia on of a system
(B) Understanding varia on
(C) Theory of knowledge