MOA 192 - Quality and Performance » Fall 2022 » Final Exam
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Question #1
Which of the following is one aspect of the definition of healthcare quality?
A.
Consistent with current professional knowledge
B.
Contributes to the rising cost of services
C.
Helps safeguard providers against malpractice
D.
Information linked between healthcare facilities
Question #2
What organization published Crossing the Quality Chasm: A New Health System for the 21st Century?
A.
Institute of Medicine
B.
Institute for Healthcare Improvement
C.
American Hospital Association
D.
Centers for Medicare & Medicaid Services
Question #3
Which of the following best describes a reliable healthcare service?
A.
One that meets customer expectations
B.
One that adds value for the customer
C.
One that consistently performs as intended
D.
One that is provided in a timely manner
Question #4
Which of the following is one of the three broad aims of the National Quality Strategy?
A.
Affordable care
B.
Efficient care
C.
Fewer health disparities
D.
Improved satisfaction
Question #5
What are the three primary quality management activities?
A.
Overuse, underuse, and misuse
B.
Measurement, assessment, and improvement
C.
Quality planning, control, and improvement
D.
Goal setting, prioritization, and measurement
Question #6
Who is considered the father of statistical quality control?
A.
Kaoru Ishikawa
B.
Walter Shewhart
C.
Joseph Juran
D.
W. Edwards Deming
Question #7
What quality program is managed by the National Institute of Standards and Technology in the US Commerce Department?
A.
Conditions of Participation
B.
The healthcare quality Triple Aim
C.
Baldrige National Quality Program
D.
National Quality Strategy
Question #8
What organization sponsored the first program to improve quality in US hospitals?
A.
Centers for Medicare & Medicaid Services
B.
American College of Surgeons
C.
Medical Group Management Association
D.
The Joint Commission
Question #9
What is one of the core values found in the Baldrige healthcare criteria for performance excellence?
A.
Quality control
B.
Do no harm
C.
Management by fact
D.
Employee empowerment
Question #10
What activity is done to achieve compliance with minimum quality standards in a healthcare organization?
A.
Quality planning
B.
Performance measurement
C.
Performance assessment
D.
Quality assurance
Question #11
The Medicare program’s quality management requirements for healthcare facilities are found in what regulations?
A.
Hospital standardization program
B.
Accreditation standards
C.
Conditions of Participation
D.
State licensing documents
Question #12
Until the 1970s, healthcare quality activities were primarily based on which management system?
A.
Synthesis and alignment principle
B.
Pre-Industrial Revolution craft model
C.
Quality assurance methodology
D.
Deming approach to continuous improvement
Question #13
What factors unique to healthcare delivery inhibit adoption of some industrial quality improvement techniques?
A.
Regulatory requirements and accreditation standards
B.
Need for adequately trained and competent staff
C.
Variable conditions and behaviors of patients
D.
Customer expectations for quality and reliability
Question #14
Which of the following is a structure measure used to evaluate hospital performance?
A.
Rate of patient falls in various units
B.
Percentage of patients educated about their medications
C.
Number of disaster drills conducted annually
D.
Percentage of patients with private insurance
Question #15
What is a process measure of staff performance in a nursing home?
A.
Number of records lacking documentation of resident’s allergies
B.
Number of requests for equipment maintenance
C.
Percentage of residents developing a pressure ulcer
D.
Percentage of residents regularly participating in social activities
Question #16
What is the first step in constructing a performance measurement?
A.
Establish performance goals
B.
Establish measurement team
C.
Identify data sources
D.
Identify topic of interest
Question #17
What framework is used by an organization to categorize system-level performance measures?
A.
Balanced scorecard
B.
ORYX project
C.
Triple Aim
D.
Check sheet
Question #18
Which external group does NOT establish performance measurement requirements for healthcare organizations?
A.
National Quality Forum
B.
National Committee for Quality Assurance
C.
Centers for Medicare & Medicaid Services
D.
The Joint Commission
Question #19
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 #20
What federal act created incentives for hospitals and providers to adopt electronic health records?
A.
National Quality Strategy
B.
Medicare Access and CHIP Reauthorization
C.
Health Information Technology for Economic and Clinical Health
D.
Patient Protection and Affordable Care Act
Question #21
What is the data source for an e-measure?
A.
Patient surveys
B.
Excel spreadsheet
C.
Paper records
D.
Electronic database
Question #22
What document does The Joint Commission require hospitals create to describe each data element captured electronically?
A.
Data attributes
B.
Measure plan
C.
Measure specifications
D.
Data dictionary
Question #23
What is the denominator for the performance measure “percentage of home health patients admitted to the hospital”?
A.
Total number of home health patients not admitted to the hospital
B.
Total number of hospitalized patients
C.
Total number of home health patients
D.
Total number of home health patients admitted to the hospital
Question #24
Which of the following is a process measure of performance in a hospital intensive care unit?
A.
Number of complaints received from family members
B.
Percentage of staff using hand cleaner when entering patient room
C.
Percentage of patients on ventilators who develop pneumonia
D.
Percentage of patients on ventilators who develop pneumonia
Question #25
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.
Urgent care clinic
D.
Home health agency
Question #26
What group sponsors the National Guidelines Clearinghouse?
A.
The Joint Commission
B.
Agency for Healthcare Research and Quality
C.
Centers for Medicare & Medicaid Services
D.
National Quality Forum
Question #27
Which of the following is a data-gathering tool used to collect performance measurement data?
A.
Sampling
B.
Dashboard
C.
Scorecard
D.
Check sheet
Question #28
Which of the following is a patient experience measure for a hospital?
A.
Percentage of patients completing preadmission forms
B.
Percentage of patients reporting pain was well controlled
C.
Percentage of patients developing a urinary tract infection
D.
None of the above
Question #29
What does an organization use benchmarking for?
A.
To determine the level of current performance
B.
To compare current performance to an exemplary organization
C.
To compare current performance to previous performance
D.
To determine if current performance meets performance goals
Question #30
Which of the following factors is NOT considered when selecting a format for displaying measurement data?
A.
The measurement time frame
B.
The need for improvements
C.
The information’s intended use
D.
The audience
Question #31
Which of the following formats can be used to display measurement data from different time periods?
A.
Scatter diagram
B.
Pie chart
C.
Tabular report
D.
Pareto chart
Question #32
Which of the following statements best represents the philosophy employed by the Pareto principle?
A.
Generally, 80% of quality problems are candidates for improvement actions.
B.
To achieve ideal performance, all quality problems should be investigated.
C.
The majority of quality defects are caused by a small percentage of identifiable problems.
D.
Problems that have a measurable effect on patient outcomes should be corrected.
Question #33
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
Question #34
What type of data display is commonly used to report performance measurement data over time?
A.
Pareto chart
B.
Bar graph
C.
Histogram
D.
Scatter diagram
Question #35
What is revealed by evaluating the difference between a department’s actual and expected performance?
A.
Performance gap
B.
Performance goal
C.
Performance target
D.
Performance trend
Question #36
Which graph is used to display the frequency distribution of measurement data?
A.
Line graph
B.
Pie chart
C.
Histogram
D.
Scatter diagram
Question #37
A.
Histogram
B.
Pie chart
C.
Control chart
D.
Scatter diagram
Question #38
Eliminating wasteful inefficiencies in a process is the primary goal of which performance improvement model?
A.
Rapid cycle improvement
B.
FADE
C.
Plan-Do-Study-Act
D.
Lean
Question #39
For a healthcare process to achieve Six Sigma, what level of quality is expected?
A.
No variation
B.
Meets expectations
C.
Minimal waste
D.
Free of defects
Question #40
Which step follows the assessment phase in the quality management cycle?
A.
Measurement
B.
Evaluation
C.
Improvement
D.
Planning
Question #41
Six Sigma projects commonly involve which of these steps?
A.
Focus-Analyze-Develop-Execute
B.
Plan-Do-Study-Act
C.
Define-Measure-Analyze-Improve-Control
D.
Plan-Do-Check-Act
Question #42
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?
A.
Act
B.
Do
C.
Study
D.
Plan
Question #43
What is the first question asked during a FOCUS-PDCA project?
A.
What process do we want to improve?
B.
What changes can we make that will result in improvement?
C.
Who are the key stakeholders?
D.
How will we know that a change is an improvement?
Question #44
Achieving near-perfect quality is the primary goal of which performance improvement model?
A.
Rapid cycle improvement
B.
Six Sigma
C.
FOCUS-PDCA
D.
Lean
Question #45
What type of flowchart shows the process steps and the people involved in each step?
A.
High-level
B.
Workflow
C.
Deployment
D.
Top-down
Question #46
What reporting format is used to summarize the steps of a performance improvement project?
A.
Detailed flowchart
B.
Quality storyboard
C.
Gantt chart
D.
Balanced scorecard
Question #47
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?
A.
Flowchart
B.
Decision matrix
C.
Questionnaire
D.
Pareto analysis
Question #48
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?
A.
Flowchart
B.
Stakeholder analysis
C.
Histogram
D.
Affinity diagram
Question #49
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?
A.
Storyboard
B.
Deployment flow chart
C.
Workflow diagram
D.
Planning matrix
Question #50
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?
A.
Force field analysis
B.
Pareto analysis
C.
Lean thinking
D.
Nominal group technique
Question #51
According to The Joint Commission in 2015, which of the following was one of the most common root causes of sentinel events in healthcare organizations?
A.
Too few facilities with advanced information technology
B.
Failure of process safeguards
C.
Inadequate communication between care providers
D.
According to The Joint Commission in 2015, which of the following was one of the most common root causes of sentinel events in healthcare organizations?
Question #52
What is the first step of a root cause analysis
A.
Develop risk-reduction strategies
B.
Identify the contributing factors
C.
Understand what happened
D.
Report event to the governing board
Question #53
What is the primary purpose of root cause analysis and failure mode and effect analysis?
A.
Improve patient safety
B.
Reduce wasteful process steps
C.
Meet Medicare requirements
D.
Evaluate staff performance
Question #54
What federally recognized group maintains a database of adverse patient events?
A.
Quality Improvement Organization
B.
Patient Safety Organization
C.
National Patient Safety Foundation
D.
Agency for Healthcare Research and Quality
Question #55
What tactic is a way to improve the reliability of a healthcare process?
A.
Create redundancies.
B.
Encourage personal discretion.
C.
Add process steps.
D.
Punish staff who make mistakes.
Question #56
How long after an improvement project has ended should measurement data be gathered to determine the project’s success?
A.
As long as required by the project measurement plan
B.
Six months after process improvements have been implemented
C.
Once the Medicare requirements for QAPI have been met
D.
Until the project sponsor is confident improvements are permanent
Question #57
When an IT system alerts the physician to a potential incompatibility when a new drug is prescribed for a patient, how is the system helping to prevent mistakes?
A.
Making failures visible
B.
Standardizing the process
C.
Mitigating harm
D.
Reducing inefficiencies
Question #58
The number of actions that achieve intended results divided by the total number of actions is measuring what aspect of performance?
A.
Effectiveness
B.
Compliance
C.
Reliability
D.
Reliability
Question #59
What is the primary reason for measuring the effectiveness of improvement actions?
A.
Comply with Medicare requirements
B.
Confirm actions are successful
C.
Complete the P-D-S-A improvement cycle
D.
Celebrate success with staff
Question #60
The study of interactions between people, technology, and policy for the purpose of improving work reliability is called what?
A.
Work systems analysis
B.
Quality assurance
C.
Human factors engineering
D.
Six Sigma
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