What is a process measure of staff performance in a nursing home?

Which external group does NOT establish performance measurement requirements for healthcare organizations?

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)?

What federal act created incentives for hospitals and providers to adopt electronic health records?

What is the data source for an e-measure?

What document does The Joint Commission require hospitals create to describe each data element captured electronically?

Measures of clinical decision making often originate from medical license requirements.

A performance measure is considered evidence based if it is derived from nationally recognized practice guidelines.

What is the denominator for the performance measure “percentage of home health patients admitted to the hospital”?

The percentage of patients receiving home health services who develop a pressure ulcer is a measure of potentially avoidable events.

Which of the following is a process measure of performance in a hospital intensive care unit?

What type of healthcare organization uses measures found in the Healthcare Effectiveness Data and Information Set (HEDIS)?

What group sponsors the National Guidelines Clearinghouse?

Which of the following factors is NOT considered when selecting a format for displaying measurement data?

Which of the following formats can be used to display measurement data from different time periods?

What is a publicly available source of comparative healthcare performance data?

Which of the following statements best represents the philosophy employed by the Pareto principle?

During which phase of quality management are raw data examined to draw conclusions about performance?

What type of data display is commonly used to report performance measurement data over time?

What is revealed by evaluating the difference between a department’s actual and expected performance?

Tampering can occur when a manager reacts to performance measurement results without knowing how much natural performance variance occurs in the process.

Which graph is used to display the frequency distribution of measurement data?

The clinic medical director wants to know if there is a correlation between the number of minutes patients must wait to see a physician and the time of day. Which graph would you use to display the data to help determine if a relationship exists between the two variables?

When a data point on a control chart falls above the upper control limit, the process being measured is exhibiting what type of characteristic?

What type of data display uses symbols or colors to draw people’s attention to performance concerns?

Which of the following statements regarding control charts is TRUE?

Statistical process control techniques can be applied to which type of graph?

The hospital has collected patient satisfaction data for more than one year. It is now time for strategic planning, and you’ve been asked to summarize the satisfaction data so senior leaders can establish two or three strategic objectives related to improving patient satisfaction. They want to focus on the vital few issues that cause the most problems. What type of graph would you use to provide senior leaders with the information they need?

Eliminating wasteful inefficiencies in a process is the primary goal of which performance improvement model?

For a healthcare process to achieve Six Sigma, what level of quality is expected?

What improvement model originated in the Toyota automobile production system?

During the Act phase of a PDSA project, if changes made to improve performance are found to be unsuccessful, what is the next step?

A health maintenance organization conducted a study on outpatient treatment of patients with asthma. The need for a new asthma management protocol was identified, and it was developed. Now the protocol is being piloted by physicians at two primary care clinics. This project is in which phase of the Plan-Do-Study-Act improvement cycle?

What is the first question asked during a FOCUS-PDCA project?

Achieving near-perfect quality is the primary goal of which performance improvement model?

What is a step common to all performance improvement models?

  

What is an example of a quantitative improvement tool?

A team in the hospital registration department is conducting a Lean project to reduce wasteful steps in the process of preregistering elective admissions. What qualitative improvement tool could the team use to better understand the movement of preadmission paperwork throughout the department?

To improve productivity in the hospital operating room, the manager wants to start scheduling elective surgeries on Saturday. What tool can the manager use to identify strategies for gaining support from individuals who may resist this change?

The hospital respiratory therapy department is conducting a Six Sigma project for the purpose of reducing the incidence of missed treatments. The department’s medical director asks staff members to identify process changes that will result in fewer missed treatments. What qualitative improvement tool could the director use during this brainstorming session to narrow down potential solutions to those most likely to be successful?

What is another name for a fishbone diagram?

What reporting format is used to summarize the steps of a performance improvement project?

A hospital improvement team has brainstormed several potential solutions to the problem of high nursing staff turnover. What tool could the team use to select the solutions most likely to be successful?

What can cause data gathered through the use of patient satisfaction surveys to be unreliable?

  

Staff in an ambulatory surgery center want to streamline the patient admission process. What performance improvement tool would they use to get a better understanding of how patients are currently admitted?

The hospital team charged with reducing the incidence of patient falls has selected four different patient care process changes that need to be implemented. What tool would the team use to document the tasks necessary for making these process changes?

An improvement team in a home health agency wants to streamline the process of discharging patients. The team identifies all the factors that will hinder the success of their improvement plans, as well as those factors that will increase the likelihood of success. The team is using what improvement tool?

What qualitative tool would be used by an improvement team to undercover the root cause of a performance problem?