1 | Page
HCQM Final Questions and Correct Answers
Which state was the first to pass legislation that required nurses
to be registered? Ans: — North Carolina
What organization developed a set of National Patient Safety Goals
(NPSG's) that all institutions participating in accreditation must
promote and train their staffs providing care to adhere to? Ans: —
Joint Commission
Organizations that pay close attention to weak signals of trouble
to catch problems or errors in the earliest stage are applying the
principles of? Ans: — HRO
What quality improvement methodology uses statistics for
measuring variation in a process with the intent of producing
error-free results? Ans: — Six Sigma
What act stimulated investment in the information systems
infrastructure of professional practices, clinics, and hospital? Ans:
— HITECH
The regular and frequent assessment of healthcare processes and
their outcomes and related costs is considered? Ans: —
continuous monitoring
What act established a quality reporting program for skilled
nursing care in the US? Ans: — IMPACT
Who was instrumental in bringing attention to the formal training
needs of nurses? Ans: — Dr. Samuel Gross
Performance improvement data collection results that fall outside
the established _____________ often trigger further study or more
focused data collection on a performance measure? Ans: —
benchmark
© 2025 All rights reserved
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What is a system in which purchasers hold providers of healthcare
accountable for both the costs of healthcare and its quality? Ans:
— value-based purchasing
Quality and performance monitoring are ________________
processes? Ans: — data-driven
What is the standard of performance or best practice for a
particular process or outcome? Ans: — benchmark
The Joint Commission requires healthcare organizations to
appoint a ____________ group to oversee organization-wide PI
activities? Ans: — Leadership
Root-cause analysis is the key technique used in which quality
improvement methodology? Ans: — Lean
What tool provides an indication of an organizations performance
in relation to a specified process or outcome? Ans: — Performance
measure
What hospital became the model for the development of hospitals
in the 1700-1800's? Ans: — Pennsylvania Hospital
What term was used in the textbook to identify a variety of
methods PI teams can use to accomplish their goals? Ans: — QI
toolbox techniques
When can a team redesign a process or product? Ans: — When
there is room for improvement
Monitoring performance based on internal and external _________
is the foundation of all PI activities? Ans: — data
Which of the following is NOT a type of managed care? Ans: —
TQM
What are the steps in which focused data is collected and
analyzed, changes are incorporated, new processes are
© 2025 All rights reserved
HCQM Final Questions and Correct Answers
Which state was the first to pass legislation that required nurses
to be registered? Ans: — North Carolina
What organization developed a set of National Patient Safety Goals
(NPSG's) that all institutions participating in accreditation must
promote and train their staffs providing care to adhere to? Ans: —
Joint Commission
Organizations that pay close attention to weak signals of trouble
to catch problems or errors in the earliest stage are applying the
principles of? Ans: — HRO
What quality improvement methodology uses statistics for
measuring variation in a process with the intent of producing
error-free results? Ans: — Six Sigma
What act stimulated investment in the information systems
infrastructure of professional practices, clinics, and hospital? Ans:
— HITECH
The regular and frequent assessment of healthcare processes and
their outcomes and related costs is considered? Ans: —
continuous monitoring
What act established a quality reporting program for skilled
nursing care in the US? Ans: — IMPACT
Who was instrumental in bringing attention to the formal training
needs of nurses? Ans: — Dr. Samuel Gross
Performance improvement data collection results that fall outside
the established _____________ often trigger further study or more
focused data collection on a performance measure? Ans: —
benchmark
© 2025 All rights reserved
, 2 | Page
What is a system in which purchasers hold providers of healthcare
accountable for both the costs of healthcare and its quality? Ans:
— value-based purchasing
Quality and performance monitoring are ________________
processes? Ans: — data-driven
What is the standard of performance or best practice for a
particular process or outcome? Ans: — benchmark
The Joint Commission requires healthcare organizations to
appoint a ____________ group to oversee organization-wide PI
activities? Ans: — Leadership
Root-cause analysis is the key technique used in which quality
improvement methodology? Ans: — Lean
What tool provides an indication of an organizations performance
in relation to a specified process or outcome? Ans: — Performance
measure
What hospital became the model for the development of hospitals
in the 1700-1800's? Ans: — Pennsylvania Hospital
What term was used in the textbook to identify a variety of
methods PI teams can use to accomplish their goals? Ans: — QI
toolbox techniques
When can a team redesign a process or product? Ans: — When
there is room for improvement
Monitoring performance based on internal and external _________
is the foundation of all PI activities? Ans: — data
Which of the following is NOT a type of managed care? Ans: —
TQM
What are the steps in which focused data is collected and
analyzed, changes are incorporated, new processes are
© 2025 All rights reserved
