MOA 192 - Quality and Performance » Fall 2022 » Exam 2
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Question #1
What are the three primary quality management activities?
A.
Measurement, assessment, and improvement
B.
Goal setting, prioritization, and measurement
C.
Quality planning, control, and improvement
D.
Overuse, underuse, and misuse
Question #2
Who is considered the father of statistical quality control?
A.
Walter Shewhart
B.
W. Edwards Deming
C.
Joseph Juran
D.
Kaoru Ishikawa
Question #3
What quality program is managed by the National Institute of Standards and Technology in the US Commerce Department?
A.
Conditions of Participation
B.
Baldrige National Quality Program
C.
National Quality Strategy
D.
The healthcare quality Triple Aim
Question #4
What organization sponsored the first program to improve quality in US hospitals?
A.
American College of Surgeons
B.
Centers for Medicare & Medicaid Services
C.
Medical Group Management Association
D.
The Joint Commission
Question #5
What is one of the core values found in the Baldrige healthcare criteria for performance excellence?
A.
Do no harm
B.
Employee empowerment
C.
Quality control
D.
Management by fact
Question #6
What activity is done to achieve compliance with minimum quality standards in a healthcare organization?
A.
Quality planning
B.
Quality assurance
C.
Performance assessment
D.
Performance measurement
Question #7
The Medicare program’s quality management requirements for healthcare facilities are found in what regulations?
A.
State licensing documents
B.
Conditions of Participation
C.
Accreditation standards
D.
Hospital standardization program
Question #8
Until the 1970s, healthcare quality activities were primarily based on which management system?
A.
Quality assurance methodology
B.
Pre-Industrial Revolution craft model
C.
Synthesis and alignment principle
D.
Deming approach to continuous improvement
Question #9
Which of the following is a structure measure used to evaluate hospital performance?
A.
Percentage of patients with private insurance
B.
Number of disaster drills conducted annually
C.
Percentage of patients educated about their medications
D.
Rate of patient falls in various units
Question #10
What is a process measure of staff performance in a nursing home?
A.
Number of requests for equipment maintenance
B.
Percentage of residents developing a pressure ulcer
C.
Number of records lacking documentation of resident’s allergies
D.
Percentage of residents regularly participating in social activities
Question #11
What is the first step in constructing a performance measurement?
A.
Identify data sources
B.
Identify topic of interest
C.
Establish measurement team
D.
Establish performance goals
Question #12
What framework is used by an organization to categorize system-level performance measures?
A.
Triple Aim
B.
ORYX project
C.
Balanced scorecard
D.
Check sheet
Question #13
Which external group does NOT establish performance measurement requirements for healthcare organizations?
A.
Centers for Medicare & Medicaid Services
B.
The Joint Commission
C.
National Quality Forum
D.
National Committee for Quality Assurance
Question #14
What statistic is used to report a measurement that is comparing two things (e.g., the actual number of hospital deaths as compared to the expected deaths)?
A.
Percentage
B.
Average
C.
Ratio
D.
Absolute number
Question #15
What federal act created incentives for hospitals and providers to adopt electronic health records?
A.
Patient Protection and Affordable Care Act
B.
National Quality Strategy
C.
Medicare Access and CHIP Reauthorization
D.
Health Information Technology for Economic and Clinical Health
Question #16
What document does The Joint Commission require hospitals create to describe each data element captured electronically?
A.
Data dictionary
B.
Measure plan
C.
Data attributes
D.
Measure specifications
Question #17
Measures of clinical decision making often originate from medical license requirements.
A.
False
B.
True
Question #18
A performance measure is considered evidence based if it is derived from nationally recognized practice guidelines.
A.
True
B.
False
Question #19
The percentage of patients receiving home health services who develop a pressure ulcer is a measure of potentially avoidable events.
A.
True
B.
False
Question #20
Which of the following is a process measure of performance in a hospital intensive care unit?
A.
Percentage of patients on ventilators who develop pneumonia
B.
Number of complaints received from family members
C.
Percentage of staff using hand cleaner when entering patient room
D.
Percentage of patients on ventilators who develop pneumonia
Question #21
What type of healthcare organization uses measures found in the Healthcare Effectiveness Data and Information Set (HEDIS)?
A.
Health insurance plan
B.
Urgent care clinic
C.
Home health agency
D.
Rehabilitation facility
Question #22
What group sponsors the National Guidelines Clearinghouse?
A.
The Joint Commission
B.
Centers for Medicare & Medicaid Services
C.
National Quality Forum
D.
Agency for Healthcare Research and Quality
Question #23
Which of the following is a data-gathering tool used to collect performance measurement data?
A.
Check sheet
B.
Dashboard
C.
Scorecard
D.
Sampling
Question #24
What activity-level measure is related to the system-level measure “percentage of hospital patients who are very satisfied with the overall quality of care”?
A.
Percentage of hospital physicians who are board certified
B.
Percentage of patients reporting that nurses treated them with respect
C.
Rate of staff compliance with hand hygiene procedures
D.
Rate of insurance claims submitted within 10 days of patient discharge
Question #25
What situation puts data accuracy at risk when more than two people are independently gathering data for the same performance measure?
A.
Poor interrater reliability
B.
Only a sample of the population is measured
C.
Data are collected on different days
D.
Patient records are the data source
Question #26
What does an organization use benchmarking for?
A.
To determine if current performance meets performance goals
B.
To determine the level of current performance
C.
To compare current performance to previous performance
D.
To compare current performance to an exemplary organization
Question #27
Which of the following factors is NOT considered when selecting a format for displaying measurement data?
A.
The audience
B.
The measurement time frame
C.
The need for improvements
D.
The information’s intended use
Question #28
Which of the following formats can be used to display measurement data from different time periods?
A.
Pie chart
B.
Tabular report
C.
Scatter diagram
D.
Pareto chart
Question #29
What is a publicly available source of comparative healthcare performance data?
A.
National Quality Forum
B.
Healthcare Cost and Utilization Project
C.
Hospital Association Quality Measures
D.
American Customer Satisfaction Index
Question #30
During which phase of quality management are raw data examined to draw conclusions about performance?
A.
Performance measurement
B.
Data analytics
C.
Goal setting
D.
Data mining
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