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.   Helps safeguard providers against malpractice
B.   Contributes to the rising cost of services
C.   Consistent with current professional knowledge
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 for Healthcare Improvement
B.   American Hospital Association
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 consistently performs as intended
B.   One that is provided in a timely manner
C.   One that meets customer expectations
D.   One that adds value for the customer
Question #4
Which of the following is one of the three broad aims of the National Quality Strategy?
A.   Efficient care
B.   Affordable care
C.   Improved satisfaction
D.   Fewer health disparities
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.   Joseph Juran
B.   Kaoru Ishikawa
C.   W. Edwards Deming
D.   Walter Shewhart
Question #7
What quality program is managed by the National Institute of Standards and Technology in the US Commerce Department?
A.   National Quality Strategy
B.   Conditions of Participation
C.   The healthcare quality Triple Aim
D.   Baldrige National Quality Program
Question #8
What organization sponsored the first program to improve quality in US hospitals?
A.   The Joint Commission
B.   American College of Surgeons
C.   Centers for Medicare & Medicaid Services
D.   Medical Group Management Association
Question #9
What is one of the core values found in the Baldrige healthcare criteria for performance excellence?
A.   Do no harm
B.   Employee empowerment
C.   Quality control
D.   Management by fact
Question #10
What activity is done to achieve compliance with minimum quality standards in a healthcare organization?
A.   Quality assurance
B.   Quality planning
C.   Performance assessment
D.   Performance measurement
Question #11
The Medicare program’s quality management requirements for healthcare facilities are found in what regulations?
A.   State licensing documents
B.   Hospital standardization program
C.   Conditions of Participation
D.   Accreditation standards
Question #12
Until the 1970s, healthcare quality activities were primarily based on which management system?
A.   Synthesis and alignment principle
B.   Deming approach to continuous improvement
C.   Pre-Industrial Revolution craft model
D.   Quality assurance methodology
Question #13
What factors unique to healthcare delivery inhibit adoption of some industrial quality improvement techniques?
A.   Customer expectations for quality and reliability
B.   Need for adequately trained and competent staff
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.   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.   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.   Identify topic of interest
B.   Establish measurement team
C.   Identify data sources
D.   Establish performance goals
Question #17
What framework is used by an organization to categorize system-level performance measures?
A.   ORYX project
B.   Balanced scorecard
C.   Check sheet
D.   Triple Aim
Question #18
Which external group does NOT establish performance measurement requirements for healthcare organizations?
A.   National Committee for Quality Assurance
B.   The Joint Commission
C.   National Quality Forum
D.   Centers for Medicare & Medicaid Services
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.   Absolute number
C.   Percentage
D.   Ratio
Question #20
What federal act created incentives for hospitals and providers to adopt electronic health records?
A.   Medicare Access and CHIP Reauthorization
B.   Health Information Technology for Economic and Clinical Health
C.   Patient Protection and Affordable Care Act
D.   National Quality Strategy
Question #21
What is the data source for an e-measure?
A.   Excel spreadsheet
B.   Patient surveys
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.   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 home health patients not admitted to the hospital
B.   Total number of home health patients admitted to the hospital
C.   Total number of hospitalized patients
D.   Total number of home health patients
Question #24
Which of the following is a process measure of performance in a hospital intensive care unit?
A.   Percentage of patients on ventilators who develop pneumonia
B.   Percentage of patients on ventilators who develop pneumonia
C.   Percentage of staff using hand cleaner when entering patient room
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.   Health insurance plan
B.   Rehabilitation facility
C.   Urgent care clinic
D.   Home health agency
Question #26
What group sponsors the National Guidelines Clearinghouse?
A.   Centers for Medicare & Medicaid Services
B.   Agency for Healthcare Research and Quality
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.   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 developing a urinary tract infection
B.   Percentage of patients reporting pain was well controlled
C.   Percentage of patients completing preadmission forms
D.   None of the above
Question #29
What does an organization use benchmarking for?
A.   To compare current performance to previous performance
B.   To compare current performance to an exemplary organization
C.   To determine if current performance meets performance goals
D.   To determine the level of current performance
Question #30
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 #31
Which of the following formats can be used to display measurement data from different time periods?
A.   Pie chart
B.   Pareto chart
C.   Tabular report
D.   Scatter diagram
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.   Problems that have a measurable effect on patient outcomes should be corrected.
C.   The majority of quality defects are caused by a small percentage of identifiable problems.
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.   Performance measurement
D.   Data mining
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 trend
B.   Performance target
C.   Performance goal
D.   Performance gap
Question #36
Which graph is used to display the frequency distribution of measurement data?
A.   Pie chart
B.   Histogram
C.   Line graph
D.   Scatter diagram
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.   Scatter diagram
B.   Pie chart
C.   Histogram
D.   Control chart
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.   No variation
B.   Free of defects
C.   Minimal waste
D.   Meets expectations
Question #40
Which step follows the assessment phase in the quality management cycle?
A.   Improvement
B.   Evaluation
C.   Planning
D.   Measurement
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.   Act
B.   Plan
C.   Study
D.   Do
Question #43
What is the first question asked during a FOCUS-PDCA project?
A.   What changes can we make that will result in improvement?
B.   How will we know that a change is an improvement?
C.   What process do we want to improve?
D.   Who are the key stakeholders?
Question #44
Achieving near-perfect quality is the primary goal of which performance improvement model?
A.   Six Sigma
B.   Rapid cycle improvement
C.   Lean
D.   FOCUS-PDCA
Question #45
What type of flowchart shows the process steps and the people involved in each step?
A.   Workflow
B.   Deployment
C.   High-level
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.   Balanced scorecard
D.   Gantt chart
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.   Flowchart
B.   Stakeholder analysis
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.   Workflow diagram
B.   Deployment flow chart
C.   Planning matrix
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.   Pareto analysis
B.   Lean thinking
C.   Nominal group technique
D.   Force field 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.   Failure of process safeguards
B.   Inadequate communication between care providers
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.   Too few facilities with advanced information technology
Question #52
What is the first step of a root cause analysis
A.   Report event to the governing board
B.   Identify the contributing factors
C.   Understand what happened
D.   Develop risk-reduction strategies
Question #53
What is the primary purpose of root cause analysis and failure mode and effect analysis?
A.   Meet Medicare requirements
B.   Evaluate staff performance
C.   Improve patient safety
D.   Reduce wasteful process steps
Question #54
What federally recognized group maintains a database of adverse patient events?
A.   Agency for Healthcare Research and Quality
B.   Patient Safety Organization
C.   National Patient Safety Foundation
D.   Quality Improvement Organization
Question #55
What tactic is a way to improve the reliability of a healthcare process?
A.   Add process steps.
B.   Create redundancies.
C.   Encourage personal discretion.
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.   Until the project sponsor is confident improvements are permanent
C.   Once the Medicare requirements for QAPI have been met
D.   Six months after process improvements have been implemented
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.   Mitigating harm
B.   Reducing inefficiencies
C.   Standardizing the process
D.   Making failures visible
Question #58
The number of actions that achieve intended results divided by the total number of actions is measuring what aspect of performance?
A.   Compliance
B.   Effectiveness
C.   Reliability
D.   Reliability
Question #59
What is the primary reason for measuring the effectiveness of improvement actions?
A.   Complete the P-D-S-A improvement cycle
B.   Comply with Medicare requirements
C.   Confirm actions are successful
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.   Six Sigma
B.   Quality assurance
C.   Human factors engineering
D.   Work systems analysis

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