CPHQ Practice Questions

A QI manager must decide how to present data that demonstrates the relationship between two process characteristics. Which of the following data display techniques is most appropriate?

Scatter diagram

Frequency distribution can be best displayed through use of

a histogram

Timeliness and compliance of documentation were discussed at a multidisciplinary team meeting. To evaluate the effectiveness of the team's action plan, which of the following would provide the most useful information?

medical record review

Primary purpose of risk management trend analysis is to

identify opportunities for improvements

Deemed status refers to

accreditation equivalency with a CMS survey

The QI director is responsible for coordination of accreditation survey activities. Responsibilities most likely include

facilitating self-assessments of compliance with standards, communicating new requirements to pertinent parties, and distributing the agenda for the survey

Stages of development Quality Improvement teams go through:

forming, performing, norming

Failure modes can be prioritized by calculating the criticality index. Which of the following three categories are normally used to calculate a criticality index?

frequency, severity, and ease of detection

A performance improvement training program for supervisors should include

rapid-cycle process

When considering the use of an external subject matter expert (SME), which of the following characteristics is most crucial?

references of the SME

Quality and technical performance refers to how well current scientific medical knowledge and technology are applied in a given situation. It is usually assessed in terms of:

1) Timeliness and accuracy of the diagnosis 2) Appropriateness of therapy and other medical interventions are performed

A summary of antibiotic usage for the 4th quarter showed that an internal medicine department did not meet pre-established criteria in 82% of the patients reviewed. Following the review, the pharmacy and therapeutics committee should recommend that the results be shared first with the...

Chief of the department

A med error occurred resulting in a severe adverse outcome. In addition to informing the patient and/or family, a healthcare quality professional should:

Conduct a root cause analysis

A doctor fails to administer an indicated test, and the patient's condition deteriorates to the point that he must be admitted to an inpatient facility. This is an example of

Diagnostic error

Which of the following charts would most likely be used first in a root cause analysis?

Flow Chart

Term applied when the proper clinical care process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug

Misuse

First step in preparing for an initial accreditation or certification survey

Review the standards and determine readiness

Attributes to characterize quality of healthcare services:

Technical performance, responsiveness to patient preferences, amenities

Random screening of newborns by neonatology dept has confirmed a high incidence of glucous insufficiency (G6PD) in the local population. Mgmt believes that the cost of testing all newborns would be too high. Which of the following should the healthcare quality professional suggest?

Test only newborns with a family history of G6PD

A 69 year old female admitted for hip replacement is taken to surgery. The patient is identified, the surgical site is marked incorrectly, and equipment/x-rays are present. A near miss most likely identified as a result of

a surgical team "time-out"

A strategy used in brainstorming is that ideas are

all recorded

An outpatient clinic is attempting to measure the quality of a newly developed diabetes disease management program. To accomplish this, laboratory results will be measured overtime. The best way to display the data is to use a

control chart

To avoid misinterpreting variances, which of the following statistical tools should be used?

control chart

In lean thinking, a process step is defined as "value added" if the

customer recognizes the value

In the QI process, performing a cost-benefit analysis would be most useful in

designing solutions and controls

Which of the following should a Quality Council provide to best ensure success of performance improvement teams?

empowerment and training

Team cohesion is est during which of the following stages of team growth?

norming

For a continuous quality improvement team to be successful, who must be included on the team?

person performing the process

A failure mode and effects analysis (FMEA) provides what type of review

proactive

A culture of patient safety in an organization will have been successfully created when

staff members serve as safety advocates

A physician who has a high inpatient mortality rate compared to others in a facility should first be

subjected to more in-depth review of cases