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Certified Professional in Healthcare Quality Examination

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Total Questions : 813

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Question # 166

A hospital installed a new patient safety event reportingsystem. During the failure modes and effects analysis (FMEA), decreased use of the system and complexity of reporting were identified as potential failures. What should the team use to determine which failure mode to address first?

Options:

A.  

detectability

B.  

frequency of occurrence

C.  

severity

D.  

risk priority number

Discussion 0
Question # 167

Which of the following best describes how a quality professional should conduct an organizational assessment to ensure safe transitions of care?

Options:

A.  

Evaluate processes for discharges and transfers.

B.  

Audit documentation of patient discharge summaries.

C.  

Review patient feedback about transfers to skilled nursing facilities.

D.  

Assess case management discharge and transfer records.

Discussion 0
Question # 168

Which of the following regulatory agencies oversee development of electronic clinical quality measures (eCQMs)?

Options:

A.  

Centers for Medicare and Medicaid Services (CMS)

B.  

DNV GLHealthcare

C.  

Occupational Safety and Health Association (OSHA)

D.  

The Joint Commission (TJC)

Discussion 0
Question # 169

Which of the following is the best strategy for leaders to ensure compliance with changing regulations?

Options:

A.  

Implementing continuous readiness programs that foster a culture of accountability

B.  

Conducting periodic audits to identify improvement opportunities

C.  

Providing just-in-time staff training on regulatory standards

D.  

Benchmarking performance with peer healthcare systems

Discussion 0
Question # 170

An organization’s nursing units report the following needlestick injuries:

Unit

# Needlestick Injuries

# Admissions

A

2

1,000

B

12

800

C

5

752

Which response by leadership demonstrates a culture of safety?

Options:

A.  

Promote a non-punitive response to needlesticks reported

B.  

Evaluate the needle safety device for Unit B

C.  

Congratulate Unit A for fewer needlestick injuries

D.  

Review training records for needlestick prevention

Discussion 0
Question # 171

Prior to discharge, which of the following provides patient information to improve education for heart failure patients?

Options:

A.  

Insurance claims data

B.  

Patient satisfaction surveys

C.  

Electronic health records

D.  

Heart failure registry

Discussion 0
Question # 172

The process used in management in which organizations evaluate aspects of their processes in relation to best practice in order to make improvements is known as:

Options:

A.  

Benchmarking.

B.  

Strategic planning.

C.  

Scientific comparisons.

D.  

Differentiation.

Discussion 0
Question # 173

A quality professional is reviewing identified deficiencies from a regulatory survey. Which of the following deficiencies should the quality professional prioritize for review?

Options:

A.  

A nurse was unable to recall a process related to a high-risk medication

B.  

A per diem provider was found to have an expired certification

C.  

A patient on suicide precautions was left alone in an emergency department room

D.  

Improper hand hygiene practices were noted among several dietary staff members

Discussion 0
Question # 174

Members of a performance improvement team voice complaints about not having as much decision-making authority as they expected. Which of the following should be developed to decrease the likelihood of such complaints?

Options:

A.  

project checklist

B.  

affinity diagram

C.  

interrelationship diagram

D.  

team charter

Discussion 0
Question # 175

When planning a healthcare organization’s performance improvement training, the curriculum is developed considering the needs of which groups?

Options:

A.  

Senior leaders, middle managers, and frontline staff

B.  

Insurance companies, Medicare, and Medicaid

C.  

Licensure, certification, and accrediting agencies

D.  

The governing body and external stakeholders

Discussion 0
Question # 176

A customer complains to the health care quality professional about a service in the organization. Which of the following actions should be taken first?

Options:

A.  

Create a quality improvement team to address the concern

B.  

Refer the issue to the appropriate department

C.  

Direct the customer to put the complaint in writing

D.  

Review patient experience data for the department

Discussion 0
Question # 177

During the initial quality improvement team meeting, ground rules should be established to

Options:

A.  

Educate the team about pathways/guidelines

B.  

Help team members relate to patient needs

C.  

Agree how meetings will be conducted

D.  

Eliminate the need for meeting minutes

Discussion 0
Question # 178

A process that is stable can best be identified through using a:

Options:

A.  

Scatter diagram

B.  

Histogram

C.  

Run chart

D.  

Shewhart chart

Discussion 0
Question # 179

An organization has a goal to increase profitability of services covered under bundled payments. Which of the following aspects of quality should a healthcare quality professional recommend as a starting point for an analysis?

Options:

A.  

efficiency

B.  

safety

C.  

access

D.  

equity

Discussion 0
Question # 180

In a data set, the difference between the highest and lowest observed values is known as the

Options:

A.  

percentile.

B.  

standard deviation.

C.  

range.

D.  

quartile deviation.

Discussion 0
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