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.   Contributes to the rising cost of services
B.   Information linked between healthcare facilities
C.   Consistent with current professional knowledge
D.   Helps safeguard providers against malpractice
Question #2
What organization published Crossing the Quality Chasm: A New Health System for the 21st Century?
A.   American Hospital Association
B.   Institute for Healthcare Improvement
C.   Centers for Medicare & Medicaid Services
D.   Institute of Medicine
Question #3
Which of the following best describes a reliable healthcare service?
A.   One that meets customer expectations
B.   One that consistently performs as intended
C.   One that adds value for the customer
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.   Fewer health disparities
B.   Affordable care
C.   Improved satisfaction
D.   Efficient care
Question #5
What are the three primary quality management activities?
A.   Overuse, underuse, and misuse
B.   Goal setting, prioritization, and measurement
C.   Measurement, assessment, and improvement
D.   Quality planning, control, and improvement
Question #6
Who is considered the father of statistical quality control?
A.   W. Edwards Deming
B.   Kaoru Ishikawa
C.   Joseph Juran
D.   Walter Shewhart
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.   Conditions of Participation
C.   The healthcare quality Triple Aim
D.   National Quality Strategy
Question #8
What organization sponsored the first program to improve quality in US hospitals?
A.   Medical Group Management Association
B.   The Joint Commission
C.   Centers for Medicare & Medicaid Services
D.   American College of Surgeons
Question #9
What is one of the core values found in the Baldrige healthcare criteria for performance excellence?
A.   Do no harm
B.   Management by fact
C.   Employee empowerment
D.   Quality control
Question #10
What activity is done to achieve compliance with minimum quality standards in a healthcare organization?
A.   Quality planning
B.   Performance assessment
C.   Performance measurement
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.   Quality assurance methodology
B.   Deming approach to continuous improvement
C.   Synthesis and alignment principle
D.   Pre-Industrial Revolution craft model
Question #13
What factors unique to healthcare delivery inhibit adoption of some industrial quality improvement techniques?
A.   Need for adequately trained and competent staff
B.   Customer expectations for quality and reliability
C.   Regulatory requirements and accreditation standards
D.   Variable conditions and behaviors of patients
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 with private insurance
C.   Percentage of patients educated about their medications
D.   Number of disaster drills conducted annually
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.   Percentage of residents developing a pressure ulcer
C.   Percentage of residents regularly participating in social activities
D.   Number of requests for equipment maintenance
Question #16
What is the first step in constructing a performance measurement?
A.   Establish measurement team
B.   Establish performance goals
C.   Identify topic of interest
D.   Identify data sources
Question #17
What framework is used by an organization to categorize system-level performance measures?
A.   Check sheet
B.   Balanced scorecard
C.   Triple Aim
D.   ORYX project
Question #18
Which external group does NOT establish performance measurement requirements for healthcare organizations?
A.   Centers for Medicare & Medicaid Services
B.   National Committee for Quality Assurance
C.   The Joint Commission
D.   National Quality Forum
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.   Ratio
D.   Average
Question #20
What federal act created incentives for hospitals and providers to adopt electronic health records?
A.   Health Information Technology for Economic and Clinical Health
B.   Patient Protection and Affordable Care Act
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.   Paper records
C.   Excel spreadsheet
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 specifications
C.   Data dictionary
D.   Measure plan
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 not admitted to the hospital
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.   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 #25
What type of healthcare organization uses measures found in the Healthcare Effectiveness Data and Information Set (HEDIS)?
A.   Rehabilitation facility
B.   Home health agency
C.   Urgent care clinic
D.   Health insurance plan
Question #26
What group sponsors the National Guidelines Clearinghouse?
A.   The Joint Commission
B.   Centers for Medicare & Medicaid Services
C.   National Quality Forum
D.   Agency for Healthcare Research and Quality
Question #27
Which of the following is a data-gathering tool used to collect performance measurement data?
A.   Sampling
B.   Check sheet
C.   Dashboard
D.   Scorecard
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 compare current performance to previous performance
B.   To determine if current performance meets performance goals
C.   To determine the level of current performance
D.   To compare current performance to an exemplary organization
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 audience
D.   The information’s intended use
Question #31
Which of the following formats can be used to display measurement data from different time periods?
A.   Pie chart
B.   Scatter diagram
C.   Tabular report
D.   Pareto chart
Question #32
Which of the following statements best represents the philosophy employed by the Pareto principle?
A.   Problems that have a measurable effect on patient outcomes should be corrected.
B.   The majority of quality defects are caused by a small percentage of identifiable problems.
C.   Generally, 80% of quality problems are candidates for improvement actions.
D.   To achieve ideal performance, all quality problems should be investigated.
Question #33
During which phase of quality management are raw data examined to draw conclusions about performance?
A.   Data analytics
B.   Goal setting
C.   Data mining
D.   Performance measurement
Question #34
What type of data display is commonly used to report performance measurement data over time?
A.   Scatter diagram
B.   Histogram
C.   Bar graph
D.   Pareto chart
Question #35
What is revealed by evaluating the difference between a department’s actual and expected performance?
A.   Performance target
B.   Performance goal
C.   Performance gap
D.   Performance trend
Question #36
Which graph is used to display the frequency distribution of measurement data?
A.   Scatter diagram
B.   Line graph
C.   Histogram
D.   Pie chart
Question #37
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?
A.   Histogram
B.   Control chart
C.   Pie chart
D.   Scatter diagram
Question #38
Eliminating wasteful inefficiencies in a process is the primary goal of which performance improvement model?
A.   FADE
B.   Plan-Do-Study-Act
C.   Lean
D.   Rapid cycle improvement
Question #39
For a healthcare process to achieve Six Sigma, what level of quality is expected?
A.   Meets expectations
B.   Minimal waste
C.   No variation
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.   Plan-Do-Check-Act
B.   Plan-Do-Study-Act
C.   Define-Measure-Analyze-Improve-Control
D.   Focus-Analyze-Develop-Execute
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.   Plan
B.   Study
C.   Do
D.   Act
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.   What process do we want to improve?
C.   Who are the key stakeholders?
D.   What changes can we make that will result in improvement?
Question #44
Achieving near-perfect quality is the primary goal of which performance improvement model?
A.   Six Sigma
B.   FOCUS-PDCA
C.   Rapid cycle improvement
D.   Lean
Question #45
What type of flowchart shows the process steps and the people involved in each step?
A.   High-level
B.   Top-down
C.   Workflow
D.   Deployment
Question #46
What reporting format is used to summarize the steps of a performance improvement project?
A.   Gantt chart
B.   Detailed flowchart
C.   Quality storyboard
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.   Decision matrix
B.   Pareto analysis
C.   Flowchart
D.   Questionnaire
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.   Planning matrix
B.   Deployment flow chart
C.   Workflow diagram
D.   Storyboard
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.   Lean thinking
C.   Nominal group technique
D.   Pareto analysis
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.   Inadequate communication between care providers
B.   Too few facilities with advanced information technology
C.   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?
D.   Failure of process safeguards
Question #52
What is the first step of a root cause analysis
A.   Develop risk-reduction strategies
B.   Understand what happened
C.   Report event to the governing board
D.   Identify the contributing factors
Question #53
What is the primary purpose of root cause analysis and failure mode and effect analysis?
A.   Reduce wasteful process steps
B.   Meet Medicare requirements
C.   Evaluate staff performance
D.   Improve patient safety
Question #54
What federally recognized group maintains a database of adverse patient events?
A.   Patient Safety Organization
B.   National Patient Safety Foundation
C.   Quality Improvement Organization
D.   Agency for Healthcare Research and Quality
Question #55
What tactic is a way to improve the reliability of a healthcare process?
A.   Punish staff who make mistakes.
B.   Create redundancies.
C.   Encourage personal discretion.
D.   Add process steps.
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.   Until the project sponsor is confident improvements are permanent
C.   As long as required by the project measurement plan
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.   Reducing inefficiencies
C.   Making failures visible
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.   Effectiveness
B.   Reliability
C.   Compliance
D.   Reliability
Question #59
What is the primary reason for measuring the effectiveness of improvement actions?
A.   Confirm actions are successful
B.   Complete the P-D-S-A improvement cycle
C.   Celebrate success with staff
D.   Comply with Medicare requirements
Question #60
The study of interactions between people, technology, and policy for the purpose of improving work reliability is called what?
A.   Quality assurance
B.   Work systems analysis
C.   Human factors engineering
D.   Six Sigma

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