HIMT Final UPDATED Exam Questions
and CORRECT Answers
The QI [x] is the organization's strategic plan for quality. A QI [y] is the review of or study of
data on a specific priority area. - Correct Answer- (X) Plan (Y) Project
______________________ is a process that compares organizational performance with
healthcare industry best practice - Correct Answer- benchmarking
Top management's involvement and concern for quality directly impacts the commitment of
the organization to quality improvement. (t/f) - Correct Answer- True
The analysis and interpretation of data is what aspect of the PDSA methodology. - Correct
Answer- study
________________ are quantitative measures that can be used to assess and improve
performance. - Correct Answer- indicators
quality improvement requires resources (t/f) - Correct Answer- true
the vision statement is ____________ - Correct Answer- serves an overarching guide for
quality improvement process
The QI plan should assign responsibility for gathering data to the appropriate person or
department. List one example of data that might be assigned to the HIM department to gather.
- Correct Answer- The answer could be any clinical data from the EHR, such as, number
patients with post operative infections or patients with a H&H of a specified level that
received blood products.
The answer could be an HIM operational data. example number of potential HIPAA issues.
the steps of continuous monitoring process - Correct Answer- 1. identify the problem
2. select quality indicators
3. collect data and review data
,4. set targets for improvement
5. develop work plan for improvement
6. revise work plan if necessary
7. new data may be collected to assess the success of the plan for improvement.
8. thorough analysis of data, barriers to improvement identified.
9. based on analysis determine next step
10. develop new thresholds or maintain current targets
What organizations would provide regulatory standards, guidelines, or laws that infection
control programs must interpret & implement? - Correct Answer- State Licensure laws,
OSHA,
CDC,
FDA,
JCAHO
the following must maintain infection control training records of employees: - Correct
Answer- Infection control program
In the article, "Developing an Infection Control Program," it suggests that besides an
Infection Control Professional, healthcare systems should have an identified infection
control___________. - Correct Answer- committee chairperson
The infection control plan should include special problem-focused studies that describe
personnel or environmental sampling, including what circumstances and who has the
authority to order. (true/false) - Correct Answer- true
The ___________ of an infection control program should communicate why they are in the
business of healthcare epidemiology and infection control. - Correct Answer- mission
statement
Federal, state, and regulatory agency guidelines, standards, regulations, and laws do not have
to be interpreted and implemented for every healthcare organization regardless of size to
prevent negative consequences. (true/false) - Correct Answer- false
, The small community hospital often has an infectious disease physician (true/false) - Correct
Answer- false
Three key components of a well-defined written infection control plan are the - Correct
Answer- - goals,
- mission statement,
- an assessment of the organization's philosophy regarding infection prevention and control.
The infection control professional will remain the facilitator for the broad scope of practice to
prevent and control infections throughout their healthcare system. (true/false) - Correct
Answer- true
The infection control program of a healthcare facility is usually not responsible for reporting
communicable diseases required by state law (true/false) - Correct Answer- fals
the originator of "total quality control". His 3 stps to quality included: 1) quality of leadership
2) modern quality technology 3) organizational cimmitment - Correct Answer- Arman F
Feigenbaum
a statistician & research engineer who pioneered statistical process control to reduce variation
in a process - Correct Answer- Walter Shewhard
In the 1980's, he proposed the concept of zero defects - Correct Answer- Phillip Crosby
He is famous for his bead experiment that demonstrates that differences in performance are
caused by the system not the employee - Correct Answer- Edward Deming
Adapted the IOM 6 dimensions of quality into a "no needless" framework - Correct Answer-
US Institute for Healthcare improvement
One of the Demings principles that Dr. Haughom cites in his article, Five Deming Priniciples
that Help Healthcare Process Improvement is "the right data in the right format at the right
time in the right hands".
and CORRECT Answers
The QI [x] is the organization's strategic plan for quality. A QI [y] is the review of or study of
data on a specific priority area. - Correct Answer- (X) Plan (Y) Project
______________________ is a process that compares organizational performance with
healthcare industry best practice - Correct Answer- benchmarking
Top management's involvement and concern for quality directly impacts the commitment of
the organization to quality improvement. (t/f) - Correct Answer- True
The analysis and interpretation of data is what aspect of the PDSA methodology. - Correct
Answer- study
________________ are quantitative measures that can be used to assess and improve
performance. - Correct Answer- indicators
quality improvement requires resources (t/f) - Correct Answer- true
the vision statement is ____________ - Correct Answer- serves an overarching guide for
quality improvement process
The QI plan should assign responsibility for gathering data to the appropriate person or
department. List one example of data that might be assigned to the HIM department to gather.
- Correct Answer- The answer could be any clinical data from the EHR, such as, number
patients with post operative infections or patients with a H&H of a specified level that
received blood products.
The answer could be an HIM operational data. example number of potential HIPAA issues.
the steps of continuous monitoring process - Correct Answer- 1. identify the problem
2. select quality indicators
3. collect data and review data
,4. set targets for improvement
5. develop work plan for improvement
6. revise work plan if necessary
7. new data may be collected to assess the success of the plan for improvement.
8. thorough analysis of data, barriers to improvement identified.
9. based on analysis determine next step
10. develop new thresholds or maintain current targets
What organizations would provide regulatory standards, guidelines, or laws that infection
control programs must interpret & implement? - Correct Answer- State Licensure laws,
OSHA,
CDC,
FDA,
JCAHO
the following must maintain infection control training records of employees: - Correct
Answer- Infection control program
In the article, "Developing an Infection Control Program," it suggests that besides an
Infection Control Professional, healthcare systems should have an identified infection
control___________. - Correct Answer- committee chairperson
The infection control plan should include special problem-focused studies that describe
personnel or environmental sampling, including what circumstances and who has the
authority to order. (true/false) - Correct Answer- true
The ___________ of an infection control program should communicate why they are in the
business of healthcare epidemiology and infection control. - Correct Answer- mission
statement
Federal, state, and regulatory agency guidelines, standards, regulations, and laws do not have
to be interpreted and implemented for every healthcare organization regardless of size to
prevent negative consequences. (true/false) - Correct Answer- false
, The small community hospital often has an infectious disease physician (true/false) - Correct
Answer- false
Three key components of a well-defined written infection control plan are the - Correct
Answer- - goals,
- mission statement,
- an assessment of the organization's philosophy regarding infection prevention and control.
The infection control professional will remain the facilitator for the broad scope of practice to
prevent and control infections throughout their healthcare system. (true/false) - Correct
Answer- true
The infection control program of a healthcare facility is usually not responsible for reporting
communicable diseases required by state law (true/false) - Correct Answer- fals
the originator of "total quality control". His 3 stps to quality included: 1) quality of leadership
2) modern quality technology 3) organizational cimmitment - Correct Answer- Arman F
Feigenbaum
a statistician & research engineer who pioneered statistical process control to reduce variation
in a process - Correct Answer- Walter Shewhard
In the 1980's, he proposed the concept of zero defects - Correct Answer- Phillip Crosby
He is famous for his bead experiment that demonstrates that differences in performance are
caused by the system not the employee - Correct Answer- Edward Deming
Adapted the IOM 6 dimensions of quality into a "no needless" framework - Correct Answer-
US Institute for Healthcare improvement
One of the Demings principles that Dr. Haughom cites in his article, Five Deming Priniciples
that Help Healthcare Process Improvement is "the right data in the right format at the right
time in the right hands".
