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