What is the primary purpose of a quality and performance management program?
a) Comply with quality-related licensure and accreditation standards
b) Monitor medical staff performance to prevent increases in malpractice rates
c) Identify process performance problems that affect the hospital's financial status
d) Monitor, control, and direct efforts toward achieving delivery of optimal performance -
ANSWER d) Monitor, control, and direct efforts toward achieving delivery of optimal
performance
Which of the following most accurately describes quality measures in the Healthcare
Effectiveness Data and Information Set (HEDIS)?
a) Often adapted for use by acute care hospitals and skilled nursing facilities
b) Evaluates care effectiveness, access to care, enrollee satisfaction, and utilization
c) Developed primarily to evaluate whether the needs of patients and their families are
being met
d) Strongly influenced by the financial performance of providers being evaluated -
ANSWER b) Evaluates care effectiveness, access to care, enrollee satisfaction, and
utilization
How does the governing body best ensure the quality of patient care?
a) Oversee medical staff privileging and credentialing activities
b) Regularly review quality measurement and improvement reports
c) Hold the facility CEO accountable for performance results
1
, d) Add the president of the medical staff as a voting member of the board -
ANSWER b) Regularly review quality measurement and improvement reports
he principles of quality improvement require that healthcare executives change their
management philosophy from
a) finding fault with employees to finding opportunities in processes
b) focusing on involving employees in process development to creating standard work and
providing detailed instructions to staff
c) focusing on transformational leadership to autocratic leadership
d) finding fault in processes to holding individual employees accountable - ANSWER a)
finding fault with employees to finding opportunities in processes
Which of the following best describes the underlying assumption for the concept of
continuous quality improvement?
a) Achievement should be rewarded
b) Top management directs the process
c) There are no upper limits to excellence d) Performance measurement is ongoing -
ANSWER c) There are no upper limits to excellence
Which of the following performance improvement models focuses on elimination of waste a
process?
a) Plan-Do-Check-Act
b) Six Sigma
c) Lean
d) Statistical Process Control - ANSWER c) Lean
Which of the following performance improvement models focuses on reduction of variation?
2
a) Comply with quality-related licensure and accreditation standards
b) Monitor medical staff performance to prevent increases in malpractice rates
c) Identify process performance problems that affect the hospital's financial status
d) Monitor, control, and direct efforts toward achieving delivery of optimal performance -
ANSWER d) Monitor, control, and direct efforts toward achieving delivery of optimal
performance
Which of the following most accurately describes quality measures in the Healthcare
Effectiveness Data and Information Set (HEDIS)?
a) Often adapted for use by acute care hospitals and skilled nursing facilities
b) Evaluates care effectiveness, access to care, enrollee satisfaction, and utilization
c) Developed primarily to evaluate whether the needs of patients and their families are
being met
d) Strongly influenced by the financial performance of providers being evaluated -
ANSWER b) Evaluates care effectiveness, access to care, enrollee satisfaction, and
utilization
How does the governing body best ensure the quality of patient care?
a) Oversee medical staff privileging and credentialing activities
b) Regularly review quality measurement and improvement reports
c) Hold the facility CEO accountable for performance results
1
, d) Add the president of the medical staff as a voting member of the board -
ANSWER b) Regularly review quality measurement and improvement reports
he principles of quality improvement require that healthcare executives change their
management philosophy from
a) finding fault with employees to finding opportunities in processes
b) focusing on involving employees in process development to creating standard work and
providing detailed instructions to staff
c) focusing on transformational leadership to autocratic leadership
d) finding fault in processes to holding individual employees accountable - ANSWER a)
finding fault with employees to finding opportunities in processes
Which of the following best describes the underlying assumption for the concept of
continuous quality improvement?
a) Achievement should be rewarded
b) Top management directs the process
c) There are no upper limits to excellence d) Performance measurement is ongoing -
ANSWER c) There are no upper limits to excellence
Which of the following performance improvement models focuses on elimination of waste a
process?
a) Plan-Do-Check-Act
b) Six Sigma
c) Lean
d) Statistical Process Control - ANSWER c) Lean
Which of the following performance improvement models focuses on reduction of variation?
2
