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