Performance Improvement Quiz
Which of the following are predefined statements of the criteria against which the performance of a healthcare organization will be assessed during a voluntary review process? Accreditation standards Clinical practice guidelines Government regulations Licensure requirements
Accreditation standards
Which of the following brainstorming techniques requires team members to write their ideas on sticky notes and organize them into logical groupings? Affinity grouping Nominal group technique Multivoting technique Unstructured brainstorming
Affinity grouping
Wildcat Hospital is comparing its performance data with the performance data of the other hospitals of similar size within their region. What is this process called? Affinity grouping Benchmarking Data abstracting Flowcharting
Benchmarking
Which technique is used to generate a large number of creative ideas from a PI team? Brainstorming Check sheets Dashboard Scorecard
Brainstorming
A PI team is trying to identify the events and factors that led to a recent adverse event. Which quality improvement tool would allow the team to identify the various factors that contributed to the problem? Affinity grouping Cause-and-effect diagram Forcefield analysis Structured brainstorming
Cause-and-effect diagram
Which of the following tools is used to record and compile observations and occurrences? Brainstorming Check sheets Dashboard Scorecard
Check sheets
Which of the following is the process of managing the legal and administrative aspects of the healthcare organization's response to injury claims? Case management Discharge planning Claims management Utilization management
Claims management
Which of the following are detailed step-by-step guides used by healthcare practitioners to make clinical decisions related directly to patient care? Accreditation standards Clinical practice guidelines Government regulations Licensure requirements
Clinical practice guidelines
In order to participate in the Medicare program, healthcare providers must comply with federal regulations known as which of the following? Conditions of Participation HIPAA HITECH ISO 9001 certification
Conditions of Participation
Performance monitoring is data driven and organizations need access to data in order to make important decisions. One way to provide real-time data and important information that can be monitored at a glance is to use which of the following? Benchmark Dashboards Pareto chart Time ladder
Dashboards
Which of the following is a standardized set of data points or elements common to a patient population that can be identified in the health record and used in clinical process monitoring? Check sheets Data abstracts Flow charts Clinical protocols
Data abstracts
Which of the following is a tool that uses standard symbols in order to display detailed information about a process? Run chart Dashboard Flow chart Benchmark
Flow chart
Which of the following is a tool used to display data generated through brainstorming and identifies specific drivers and barriers to an organizational change? Cause-and-effect diagram Fishbone diagram Nominal group technique Force-field analysis
Force-field analysis
Which of the following is an example of an internal customer for a hospital? DNV GL State health department Laboratory department Third-party payer
Laboratory department
Which of the following organizations focuses its accreditation activities on health plans and outpatient provider organizations? Centers for Medicare and Medicaid Services DNVL GL Joint Commission National Committee on Quality Assurance
National Committee on Quality Assurance
The Joint Commission scores healthcare organizations on compliance with specific _______________ in order to set standards that can prevent negative outcomes. Multivoting techniques National Patient Safety Goals Financial indicators Affinity groupings
National Patient Safety Goals
Which of the following documents the results of care for individual patients as well as for specific types of patients grouped by diagnostic category? Accreditation standards Clinical practice guidelines Care maps Outcome measures
Outcome measures
The responsibilities of the PI department include which of the following? Resolving legal issues related to a sentinel event Participating in regular meetings across the organization and providing training on quality and PI Creating the policies for departments in terms of identifying all the potential quality issues throughout the healthcare organization
Participating in regular meetings across the organization and providing training on quality and PI
The process of comparing the outcomes of an organization, work unit, or employee against pre-established performance plans and standards is referred to which of the following? Case management Performance measurement Systems thinking Utilization management
Performance measurement
_______________ measure the steps in a process and tasks people or devices do, from conducting appropriate tests, to making a diagnosis, to carrying out treatment. Accountable indicators Process indicators Outcome indicators Structure indicators
Process indicators
In order for healthcare organizations to make informed decisions about the PI process, they must be able to rely on which of the following? Reliable data Effective time ladders Knowledgeable patient advocates Consistent claims management
Reliable data
The basic functions of healthcare risk management programs are similar for most organizations and should include which of the following? Reporting of claims, initial investigation of claims, protection of primary and secondary health records, negotiation of settlements, management of litigation's, and use of information for claim's resolution in performance management activities. Risk acceptance, risk avoidance, risk reduction or minimization, and risk transfer. Safety management, security management, claims management, technology management, and facilities management. Risk identification and analysis, loss prevention and reduction, and claims management.
Risk identification and analysis, loss prevention and reduction, and claims management
Healthcare organizations use this tool to present quality metrics that enable leadership to visualize what has been accomplished through quality initiatives. This report is called a _______________. Run chart Time ladder Check sheet Scorecard
Scorecard
Which of the following is an occurrence with an undesirable outcome that resulted, or could have resulted, in a life-threatening injury to a patient, medical staff, or employees? Common-cause variation Medication reconciliation Sentinel event Special-cause variation
Sentinel event
Run charts and process control charts are two common _______________ techniques. Multivoting Nominal group Statistics-based modeling Time ladder
Statistics-based modeling
Which of the following is the quality indicator that measures the attributes of a healthcare setting such as the adequacy of organizational policies and procedures? Financial indicator Outcome indicator Process indicator Structure indicator
Structure indicator
Which of the following allows people to think about patterns and interrelationships between work units within the organization in order to uncover ineffective patterns? Case management Performance measurement Systems thinking Utilization management
Systems thinking
One of the fundamental principles of performance improvement is that the problem is usually the system, which means _______________. The electronic health record needs to be updated. The system is a set or related and highly interdependent components. The inputs of data into the system are the problem with the process. The outputs of the system are the problem with the process.
The electronic health record needs to be updated
What are three important functions of utilization management? Case management, discharge planning, and risk management Discharge planning, risk management, and incident response Incident response, risk management, and incident response Utilization review, case management, and discharge planning
Utilization review, case management, and discharge planning