CPHQ TEST SIMULATION QUESTIONS

The centerpiece of “outcomes management” in healthcare is

The measurement of the patient's functionality and quality of life.

Financial impact.

Data reliability.

Morbidity and mortality.

What sampling technique involves selecting the medical record of every fifth patient undergoing cardiovascular bypass?

Convenience

Simple random

Stratified

Systematic

The “appropriateness” of care is:

Primarily a focus of utilization management

A key dimension of quality care

Equivalent to "case management”

The degree to which healthcare services are coherent & unbroken

The major difference between traditional quality assurance activities and the expanded quality improvement/performance improvement activities is the QI/PI focus on:

People and competency.

Analysis of data.

Performance measures.

Systems and processes

After first describing the problem, the best way to look at “patterns of behavior” over time is to use

Story telling and "The Five Whys."

Pareto charts and brainstorming.

Line graphs and story telling.

Brainstorming and constructing gap hypotheses.

Monitoring phlebitis associated with IV insertions by nurses in the Surgical Intensive Care Unit addresses which focus?

Outcome of care

Process of care

Structure of care

Administration of care

Monitoring the specific organization and content requirements of a medical record system is a review of which focus?

Outcome of care

Process of care

Structure of care

Administration of care

That dimension of quality/ performance that is dependent upon evaluation by the recipients and/ or observers of care is:

Respect/caring

Safety

Continuity

Availability.

In the transition from quality assurance to quality management/quality improvement, which of the following emphases has resulted in the most significant benefit?

Focusing primarily on process rather than individual performance

Focusing on organizationwide rather than clinical processes

Organizing activities around patient flow rather than department or discipline

Initiating more prospective rather than retrospective improvement efforts.

Applying the Pareto Principle in quality improvement is

Prioritizing process issues.

Tracking and measuring process effectiveness.

Providing meaningful data to support strategic objectives.

Prioritizing patient outcome issues.

Which of the following best describes the successful outcome of the quality improvement process?

Customer satisfaction

Enhanced communication

Employee empowerment

Improved statistical data

When common cause process variation is identified, the goal of quality improvement is to

Promote compliance with established procedure or protocol.

Eliminate the variation.

Improve practitioner competency.

Reduce variation sufficiently to produce stability.

That function in the Juran Quality Management Cycle that includes the initial analysis of data/information is

Quality planning.

Quality initiatives.

Quality control/measurement.

Quality improvement.

In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one of the following indicators?

The contract lab will provide results within 24 hours of sample delivery.

The patients will express overall satisfaction with clinic facilities.

Newly diagnosed hypertensive patients are controlled within 6 months.

The staff complies with all infection control policies and procedures.

Review of the timeliness of high risk screening for diabetes addresses which focus?

Outcome of care

Process of care

Structure of care

Administrative procedure

In statistical process control, it is important to first

Eliminate assignable causes of variation.

Eliminate all causes of variation.

Prioritize causes of variation.

Eliminate random causes of variation.

The perception of quality by a patient receiving care in an ambulatory healthcare center is influenced most by;

The physical environment

Caring staff and physician

New technology

The physician's technical competence

Special cause variation is to the process

Random, extrinsic, outlier.

Assignable, intrinsic, noise.

Random, inlier, identifiable.

Assignable, extrinsic, outlier.

The task of setting up an ambulatory care setting QM/QI program that focuses on “outcomes” as a measure of treatment effectiveness is difficult because:

The patient remains in control of treatment.

Expected outcomes for ambulatory conditions are too obvious.

There are no required medical records.

Patient care outcomes are determined by the payer.

What is the most important relationship between structure, process, and outcome as types of indicators of quality?

Interdependent: Structure directly affects both process and outcome.

Causal: Structure leads to process and process leads to outcome.

Relational: Useful for comparisons, but not causal

There is no relationship; they are categories used to group indicators.

A medication is ordered for a diabetic patient its capacity to improve health status, as a dimension of quality or performance, is its:

Effectiveness

Potential

Appropriateness

Efficacy

The Quality Management Cycle, based on Juran’s Quality Trilogy (quality planning, quality control, quality improvement)

Excludes the lab's activities to monitor equipment.

Requires a departmentalized approach to quality management.

Incorporates information from strategic planning.

Encompasses only the non clinical aspects of QM

“Common causes” of problems in processes refer to

One-time situations.

Temporary situations.

Acute situations.

Chronic situations.

A team approach to problem solving is most useful when

The organization’s goals are unclear

Diverse areas of expertise are required

Communication challenges exist

There are ample resources within the organization

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CPHQ TEST SIMULATION QUESTIONS

The centerpiece of “outcomes management” in healthcare is

What sampling technique involves selecting the medical record of every fifth patient undergoing cardiovascular bypass?

The “appropriateness” of care is:

The major difference between traditional quality assurance activities and the expanded quality improvement/performance improvement activities is the QI/PI focus on:

After first describing the problem, the best way to look at “patterns of behavior” over time is to use

Monitoring phlebitis associated with IV insertions by nurses in the Surgical Intensive Care Unit addresses which focus?

Monitoring the specific organization and content requirements of a medical record system is a review of which focus?

That dimension of quality/ performance that is dependent upon evaluation by the recipients and/ or observers of care is:

In the transition from quality assurance to quality management/quality improvement, which of the following emphases has resulted in the most significant benefit?

Applying the Pareto Principle in quality improvement is

Which of the following best describes the successful outcome of the quality improvement process?

When common cause process variation is identified, the goal of quality improvement is to

That function in the Juran Quality Management Cycle that includes the initial analysis of data/information is

In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one of the following indicators?

Review of the timeliness of high risk screening for diabetes addresses which focus?

In statistical process control, it is important to first

The perception of quality by a patient receiving care in an ambulatory healthcare center is influenced most by;

Special cause variation is to the process

The task of setting up an ambulatory care setting QM/QI program that focuses on “outcomes” as a measure of treatment effectiveness is difficult because:

What is the most important relationship between structure, process, and outcome as types of indicators of quality?

A medication is ordered for a diabetic patient its capacity to improve health status, as a dimension of quality or performance, is its:

The Quality Management Cycle, based on Juran’s Quality Trilogy (quality planning, quality control, quality improvement)

“Common causes” of problems in processes refer to

A team approach to problem solving is most useful when

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