Certified Professional in Healthcare Quality Examination
Last Update Oct 16, 2024
Total Questions : 309
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When recommending a quality improvement project, the quality professional must first consider
Which of the following is used to assess points of vulnerability within a process?
A hospital has been experiencing a significant Increase in the number of medication errors. The hospital's governing board has adopted barcoding technology with electronic documentation at the point of care. Which of the following medication errors will most likely be reduced by the Implementation of this technology?
Which of the following payment systems carries the most financial risk for a provider?
Which of the following actions best demonstrates that an organization has begun the work necessary to achieve the Malcolm Baldrige award?
An organization has Implemented a quality improvement project. The goal is a mean compliance rate of 90%. The results of observations are found in the table below:
Which focus area presents the greatest opportunity for the organization?
Prior to implementing a new patient service, the healthcare quality professional should recommend
A quality professional needs to select a new project from a list of requests. An organization has determined that new projects should focus on patient safety and cost-reduction. Which tool would help Identify the project that best meets these criteria?
A health system in an underserved area seeks to improve medication adherence in patients with hypertension. One of the barriers identified is patients with limited English proficiency. Which of the following solutions will best improve medication adherence?
Which of the following tools would best display nosocomial infection rates over time?
A quality improvement team has been trained on writing SMART aim statements. Below are the team’s aim statements:
Reduce adverse drug events in critical care by 10% within 12 months.
Reduce the time from 911 call to intervention for cardiac complaints by 15%.
Reduce 30-day readmissions from 20% to 15%.Which of the following key elements in aim development appears to have been lost after the training?
A skilled nursing facility has implemented a process to address delays in diagnostic test result availability to the ordering provider. Which of the following measurements will best document improvement in this process?
Even when appropriate processes are in place, errors can occur. Understanding this, leaders coordinating a patient safety program should focus on
A physician's profile shows a 4% readmission rate following outpatient gallbladder surgery, which Is significantly higher than the rate for their peers.
What action should the quality professional take next?
A CEO has directed a quality improvement council to develop objectives to meet an identified goal. When developing objectives, the council must remember to
A healthcare quality professional can conclude that clinical performance measures in disease specific certification programs are best supported by the
Which of the following presents a set of high-level measures grouped into learning and growth, customer, internal business, and financial?
A provider’s Ongoing Professional Practice Evaluation (OPPE) profile is shown below. In this organization, if a provider partially meets or does not meet performance expectations, they are referred to peer review for a Focused Professional Practice Evaluation (FPPE).
Fully Meets: >80% of measures at threshold
Meets: 65% to 80% of measures at threshold
Partially Meets: 40% to 64% of measures threshold
Does Not Meet: <40% of measures at threshold
After reviewing this provider’s overall profile, what should the healthcare quality professional suggest?
A healthcare organization has recently launched a diabetes center of excellence to address the needs of its patients with advanced diabetes. The implementation of this program would fall into which of the following types of prevention?
Which of the following should a healthcare plan use to collect satisfaction data from its health plan members?
The main purpose of conducting tracers as a part of continuous readiness is to
A department director has been asked to compare the productivity of the department with the productivity of similar departments at other facilities. Which of the following Is the first step of this project?
An orthopedic surgery practice has been working on improving patient safety for the last 3 years. The following data table is available:
Which of the following is the most appropriate conclusion about patient safety outcomes?
Which of the following regulatory agencies oversee development of electronic clinical quality measures (eCQMs)?
Data for an organization's annual Influenza vaccine administration yields the following results:
What is the median for the organization's annual vaccine count?
An emergency department's quality improvement report for the first quarter showed the following data:
Which of the following additional information should be included in this report for each month?
The consensus-building group of diverse stakeholders who reviews and endorses measures for public reporting in the U.S. is known as the
Which of the following could be used as an outcome measure during indicator development?
When working with a new quality Improvement team, the quality professional should stress the importance of
The expectation to maintain continuous survey readiness must be supported and driven by the
A performance Improvement team has been formed and assigned to reduce wait time from clinic check-In to seeing a provider. Which tool would be most useful for the team to create at the first meeting?
Which of the following Is the best approach to prepare care team members tor Interacting with accreditation surveyors?
A department analyzed Its process for distributing paychecks to employees. The analysis showed there were multiple checkpoints tor approval, delays In processing of the checks, and errors that caused extra work for staff. Which of the following types of waste were identified during the analysis?
To effectively communicate performance indicator results, information should be disseminated to the
Multi-voting Is frequently used in which of the following steps of the quality Improvement process?
A healthcare organization wishes to develop an education plan for quality and patient safety. Based on adult learning principles, the planned education Is most likely to be effective when
Choosing a small number of items to represent characteristics of the whole is an example of
A healthcare quality professional Is assisting an organization with evaluating patient safety actions that will prevent errors of omission. Which of the following systems will most likely be effective?
A study was performed to compare quality outcomes between case/care managed groups and non-case/care managed groups tor elective coronary artery bypass. The results are as follows:
What is the median length of stay (or non-case/care managed patients?
An interdisciplinary team met to review readmission rates at a health system. Issues were identified with communication across care providers. The team is interested in improving the coordination of care process and is now reviewing four candidates to serve in the role of process champion:
Of the four candidates, which represents the most effective choice to serve as a process champion?
The chairperson of the governing body has requested an annual report on improvements in patient care. The report should include
A nurse inadvertently hung an IV medication on the wrong patient’s IV pump, but discovered the error prior to initiating the infusion. Patient harm was averted, and the nurse disclosed the error to a healthcare quality professional. The quality professional should
An outpatient medical clinic wants to test whether a relationship exists between two factors: lack of available transportation and the number of times patients do not keep appointments. Which of the following tools should be used?
Which of the following strategies promotes timely completion of a quality improvement project?
To assess compliance with quality standards, a healthcare organization needs
The clinic has a goal to reduce the Healthcare Effectiveness Data and Information Set (HEDIS) measure of ' the percent of diabetic patients with a HgA1c greater than 9.0% for accreditation. Who should be Included on the quality Improvement team?
An improvement project was implemented to expand utilization of primary care services in a rural area where only 5% of residents sought primary care. The team established a goal of 20% of residents using primary care. The table below shows the results for the four months following implementation of the improvement:
% Residents Using Primary Care
Time | %
Baseline | 5%
Month 1 | 15%
Month 2 | 20%
Month 3 | 21%
Month 4 | 22%
Which of the following should the quality professional recommend to the organization?
An effective method to increase an organization’s board of directors engagement in patient safety is to
Which management accountability action should be Implemented to ensure continuous readiness tor accreditation survey?
Which of the following is the best approach to motivate stakeholders across the care continuum to take action?
Which of the following tools would be used to outline factors leading to a problem or desired outcome?
The hospital administration has requested data to support an initiative to reduce barriers to healthcare In the community. Which of the following Information Is most appropriate for the quality professional to provide for initial planning?
Which of the following best describes how a quality professional should conduct an organizational assessment to ensure safe transitions of care?
Which of the following is an example of using human factors engineering to improve patient safety?
A root cause analysts (RCA) was conducted tor an event related to a delayed high-priority alarm response. Alarm fatigue was determined to be a root cause. Which of the following Is the most appropriate first Intervention?
A healthcare quality professional Is doing a study in the emergency room. Every other patient admitted to the department Is Included in the sample. This sampling technique Is best described as
After discharge, most patients with a mental health diagnosis have not been compliant with follow-up visits. Which of the following Is the best way to Improve patient compliance?
A quality improvement professional believes that their MRSA facility rates are high. What should the quality improvement professional do first?
A CEO and chief nursing officer have requested a new quality initiative to reduce patient falls. One of the first steps in starting this new quality Improvement Initiative should include
An extended care facility measures the percent of time a comprehensive exam is completed within 96 hours of admission. This is an example of which of the following types of measure?
Which of the following tools provides the best way to display quarterly comparisons of patient satisfaction surveys?
A quality professional has been asked to assist with prioritizing quality performance Initiatives In the surgery department. Given the Information In the matrix below, which of the following performance Initiatives should take priority?
What Is the Initial step the quality professional should take when the organization's performance on a patient satisfaction strategic goal Is below the desired performance?
A director at a large health system is tasked with building a new population health program. What is the director’s first step?
A healthcare quality professional is conducting a study to determine how many patients contracted influenza despite receiving flu shots. This study is evaluating
A healthcare organization had three medication incidents associated with narcotics. None of the events led to permanent loss of function or death, but could be considered near misses. Which of the following would be the best tool to use to identify influencing factors?
Before patient outcome data can be used for benchmarking, the data should be
An organization's preventable fall goal is not to exceed greater than 25% of its total falls. Which units below meet this goal?
Which of the following is an example of a social determinant of health used to monitor a quality improvement initiative?
Before patient outcome data can be used for benchmarking, the data should be
Each department in a hospital self-monitors and reports hand hygiene data each quarter. Results typically fall within the 58-72% range, with the exception of Respiratory Therapy, which consistently reports 100% compliance. Which of the following steps should a healthcare quality professional take next?
A performance improvement team was formed to reduce the inappropriate ordering of two expensive lab tests. The goal was to reduce the rate of inappropriate ordering of Test A by 20% and Test B by 5%. The results of the pilot group showed a 30% drop in Test A orders and a 3% drop in Test B orders. What additional information would be of most benefit to gain final administrative approval to implement the change organization-wide?
Each department in a hospital self-monitors and reports hand hygiene data each quarter. Results typically fall within the 58-72% range, with the exception of Respiratory Therapy, which consistently reports 100% compliance. Which of the following steps should a healthcare quality professional take next?
Evaluating data to determine high utilizers of emergency departments and their related characteristics is a strategy that can best help with
A patient safety program can best be enhanced by which of the following technologies?
TESTED 16 Oct 2024
