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.
Quality planning, control, and improvement
C.
Goal setting, prioritization, and measurement
D.
Overuse, underuse, and misuse
Question #2
Who is considered the father of statistical quality control?
A.
Kaoru Ishikawa
B.
Walter Shewhart
C.
Joseph Juran
D.
W. Edwards Deming
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.
American College of Surgeons
B.
Medical Group Management Association
C.
Centers for Medicare & Medicaid Services
D.
The Joint Commission
Question #5
What is one of the core values found in the Baldrige healthcare criteria for performance excellence?
A.
Quality control
B.
Employee empowerment
C.
Management by fact
D.
Do no harm
Question #6
What activity is done to achieve compliance with minimum quality standards in a healthcare organization?
A.
Performance assessment
B.
Quality planning
C.
Performance measurement
D.
Quality assurance
Question #7
The Medicare program’s quality management requirements for healthcare facilities are found in what regulations?
A.
Accreditation standards
B.
Conditions of Participation
C.
State licensing documents
D.
Hospital standardization program
Question #8
Until the 1970s, healthcare quality activities were primarily based on which management system?
A.
Deming approach to continuous improvement
B.
Quality assurance methodology
C.
Synthesis and alignment principle
D.
Pre-Industrial Revolution craft model
Question #9
Which of the following is a structure measure used to evaluate hospital performance?
A.
Percentage of patients educated about their medications
B.
Number of disaster drills conducted annually
C.
Rate of patient falls in various units
D.
Percentage of patients with private insurance
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 records lacking documentation of resident’s allergies
C.
Percentage of residents developing a pressure ulcer
D.
Number of requests for equipment maintenance
Question #11
What is the first step in constructing a performance measurement?
A.
Identify topic of interest
B.
Establish measurement team
C.
Establish performance goals
D.
Identify data sources
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.
National Quality Forum
B.
National Committee for Quality Assurance
C.
The Joint Commission
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.
Absolute number
B.
Ratio
C.
Average
D.
Percentage
Question #15
What federal act created incentives for hospitals and providers to adopt electronic health records?
A.
Medicare Access and CHIP Reauthorization
B.
Patient Protection and Affordable Care Act
C.
National Quality Strategy
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.
Measure specifications
B.
Measure plan
C.
Data attributes
D.
Data dictionary
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 staff using hand cleaner when entering patient room
B.
Number of complaints received from family members
C.
Percentage of patients on ventilators who develop pneumonia
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.
Urgent care clinic
B.
Home health agency
C.
Health insurance plan
D.
Rehabilitation facility
Question #22
What group sponsors the National Guidelines Clearinghouse?
A.
National Quality Forum
B.
The Joint Commission
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.
Dashboard
B.
Check sheet
C.
Sampling
D.
Scorecard
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.
Rate of staff compliance with hand hygiene procedures
C.
Rate of insurance claims submitted within 10 days of patient discharge
D.
Percentage of patients reporting that nurses treated them with respect
Question #25
What situation puts data accuracy at risk when more than two people are independently gathering data for the same performance measure?
A.
Data are collected on different days
B.
Poor interrater reliability
C.
Patient records are the data source
D.
Only a sample of the population is measured
Question #26
What does an organization use benchmarking for?
A.
To compare current performance to previous performance
B.
To determine if current performance meets performance goals
C.
To compare current performance to an exemplary organization
D.
To determine the level of current performance
Question #27
Which of the following factors is NOT considered when selecting a format for displaying measurement data?
A.
The need for improvements
B.
The measurement time frame
C.
The audience
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.
Tabular report
B.
Pie chart
C.
Pareto chart
D.
Scatter diagram
Question #29
What is a publicly available source of comparative healthcare performance data?
A.
Hospital Association Quality Measures
B.
National Quality Forum
C.
Healthcare Cost and Utilization Project
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.
Performance measurement
D.
Data analytics
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