CPHQ Test Questions Flashcards
The utilization management committee is reviewing length-of-stay data for a particular procedures. In comparing data by physician, which of the following statistics will be most useful?
A. Mean
B. Median
C. Mode
D. Range
mean; often used to describe average length of stay for comparison and is used with the standard deviation to understand the variability around the mean
When a team evaluating the use of restraints starts to discuss a liability claim related to a patient, the facilitator should
A. Redirect the Team
B. Consult the Risk Manager
C. Request the medical record
D. Review team ground rules
A. Redirect the team; redirection is needed to move team back on topic and towards performance improvement effort
Training is being determined based on treatment record review results. The following weighted results are available:
Category: Item Weight: Compliance %
Assessment 1.5 90%
Communication 0.5 75%
Care Plan 1.5 80%
Notes 1.0 75%
Discharge 1.0 80%
Care Plan; ranked by weight and non-compliance (weight*(100%-compliance%), Care Plan is highest weighted rank
Control Chart with 8 points above or below the center line shows:
A. Process improvement
B. No process improvement
C. Evidence of trend
D. Evidence of an outlier
Process improvement
Generic screening is an example of risk:
A. Evaluation
B. Reduction
C. Prevention
D. Identification
Identification
Failure modes can be prioritized by calculating the criticality index. Which of the following three categories are normally used to calculate a criticality index?
A. probability, likelihood, and criticality
B. frequency, severity, and ease of detection
C. effectiveness, risk and priority
D. response, evidence and outcome
Frequency, severity, & ease of detection
Which of the following is the best tool to begin an investigation into the causes of laboratory labeling errors?
A. Affinity diagram
B. Prioritization Matrix
C. Flow chart
D. Histogram
Flow Chart
A healthcare quality professional has been asked to examine a new method of reviewing adverse events in an organization. It has been decided that a system of triggers will be established to alert the Quality Council of a potential problem. The best example of a trigger that should be set with a threshold of zero is a:
A. Medical record not reviewed by a physician
B. staff member not using proper handwashing technique
C. near miss from failure to perform a “time-out”
D. patient complaint regarding wait times
Near miss from failure to perform a “time-out”; other choices are not adverse events
Which of the following obstetrical outcomes will result in a morbidity review?
A. normal deliveries
B. neonatal deaths
C. post-delivery septicemia
D. cesarean sections
Post-delivery septicemia (morbidity= disease, mortality=death)
Data collected about surgical cases shows significant delays. Further analysis shows the following: Staff surgeon not available as leading cause
A.
B. Provide the service chief with further analyses of surgeon-specific data
C.
D. Form a multidisciplinary team to develop recommendations for improvement
Volatility in nursing workload is less likely to be reported that other sources of waste because:
A. Nurses are unlikely to complain.
B. It can only be perceived through the use of advanced metrics.
C. It is less observable.
D. It takes place infrequently.
It is less observable
Techniques of utilization management include all of the following EXCEPT:
A. Case management
B. Demand management
C. Peer Review
D. Disease management
Peer review
Which of the following accreditation organization provides voluntary accreditation to health & human service organizations, such as behavioral health, medical rehabilitation, opioid treatment programs, and youth services?
A. CARF
B. DNV
C. TJC
D. AAAHC
CARF
Preadmission services should based admission criteria on:
A. Age & gender
B. Insurance coverage
C. Possible diagnosis
D. Prognosis
Possible diagnosis
Which theorist’s change model differs from traditional models due to its focus on the human aspect?
A. Kotter’s
B. Galpin’s
C. Lewin’s
D. DeWeaver & Gillespie’s
Galpin (Human Side of Change model)
Because of a doctor’s poor handwriting, a prescription must be reworked before it leaves the pharmacy. Which of the following is true?
A. The doctor should be reprimanded.
B. The pharmacy should incorporate barcoding.
C. The prescription should not count towards the pharmacy’s yield.
D. The error should be reported to the FDA.
The prescription should not count towards the pharmacy’s yield.
In LEAN, only the processes that are completed without rework or repair are considered part of the yield.
One advantage of the kaizen approach to DMAIC implementation is that:
A. It replicates the project-team approach.
B. All team members are involved in all phases of the process.
C. It can be performed while employees complete their normal tasks.
D. It is accomplished in about a week.
It is accomplished in about a week.
This success refutes argument that 6-sigma is costly and time consuming, but all other operations cease during that week.
One of the consequences of successful application of the theory of constraints is:
A. Major system changes
B. Fewer employees
C. The creation of new constraints
D. Capital improvements
The creation of new constraints
Before the start of a performance improvement process, the healthcare quality management professional should do all of the following EXCEPT:
A. Develop outcome measurements to determine the results of the performance improvement process
B. Assist in developing projects for performance improvement teams to complete during the process.
D. Create educational opportunities for employees and staff members to learn about and apply performance improvement results.
D. Participate in establishing priorities for the activities that will occur during the performance improvement process.
Create educational opportunities for employees and staff members to learn about and apply performance improvement results.
Which of the following can be defined as “a set of measures and data that give managers and administrators a quick yet comprehensive overview of performance:?
A. Process measurement
B. Balanced scorecard
C. Dashboard
D. Six Sigma
Balanced scorecard (dashboard less quick/comprehensive)
The highest level of measurement is:
A. Interval
B. Nominal
C. Ordinal
D. Ratio
Ratio (ratio scale has absolute zero)
Which of the following is a patient safety goal identified by The Joint Commission?
A. Cut service times in emergency departments.
B. Apply Six Sigma principles to sentinel events.
C. Improve the effectiveness of caregiver communications.
D. Establish strong customer service numbers among patients.
Improve the effectiveness of caregiver communications.
Which of the following is NOT mandatory in a generic medication dispensing program?
A. The active ingredient must be the same.
B. The chemical composition must be the same.
C. The salt form must be the same.
D. The dosage form must be the same.
The salt form must be the same.
In general, how many steps should a failure modes and effects analysis take in each direction?
A. 1
B. 2
C. 5
D. 10
2
After ID cause of error, could id cause of that error, but don’t go too far down this hypothetical path
All of the following are factors that influence sample size EXCEPT:
A. purpose of research
B. population size
C. Level of confidence desired
D. Power analysis
Power analysis (tool to determine appropriate sample size, but not factor that influences sample size)
The healthcare quality management professional should work to integrate performance improvements into all areas of a healthcare facility’s governance EXCEPT:
A. Bylaws
B. Committee meetings
C. Administrative policies
D. Facility procedures
Committee meetings
Which organization conducts surveys on patient safety culture?
A. AHRQ
B. TJC
C. NAHQ
D. NQF
AHRQ
A hospital’s medication system is vast, and various elements of it fall within the purview of several different departments. One important step towards reducing errors in this system is to:
A. Make each department responsible for the system as a whole
B. Have each department use the same self-assessment tools
C. Give a single person responsibility for overseeing the entire system.
D. Simplify it.
Give a single person responsibility for overseeing the entire system.
The system limits of a process typically are base don the average and standard deviation of the:
A. Yield and error rate
B. Duration and validity
D. Yield and duration
D. Validity and yield
Yield and duration
The frequency of errors in a particular process would best be displayed in a(n):
A. Matrix diagram
B. Pareto chart
C. Affinity diagram
D. Histogram
Pareto chart
What is the management term for a comprehensive expression of an organization’s identity and purpose?
A. Vision statement
B. Mission statement
C. Cultural statement
D. Organizational statement
Mission statement
According to the change theory (Lewin, Schein), the first stage, motivation to change (unfreezing), may be characterized by:
A. Overriding of defensive actions
B. Change in perceptions of self and relationships
C. Identification of needed changes
D. Survival anxiety and learning anxiety
Change in perceptions of self and relationships (motivation to change-unfreezing; desire to change- unfrozen; development of permanent change- refreezing)
What is one advantage of a voluntary error reporting system over a mandatory error reporting system?
A. Mandatory systems are only targeted at very narrow areas of practice.
B. Voluntary systems eliminate the need for communication between healthcare organizations.
C. Voluntary systems elicit more reports from front-line practitioners.
D. Mandatory systems discourage the reporting of non-fatal errors.
Voluntary systems elicit more reports from front-line practitioners.
Which of the following documented orders could lead to error?
A. MS 10mg IV stat
B. Insulin Glulisine 70 units TID 15 minutes before each meal
C. Levothyroxine 112 mcg daily
D. Cogentin 0.5 mg BID
MS 10mg IV stat (MS could be interpreted as two different drugs)
What is the most important element of a disaster/emergency preparedness plan?
A. Readily available information and practice drills
B. Transfer protocols
C. Triage
D. Chain of command
Readily available information and practice drills
Which of the following was designed for doctors and nurses to ensure that they are treating the correct patient with the correct medicine, at the correct dose, in order to avoid medical errors?
A. Patient armbands
B. BCMA
C. MRNs
D. JCI
BCMA Barcode medication administration
To comply with OSHA regulations, a healthcare worker exposed to HIV though a needlestick must be monitored after exposure for at least:
A. 12 months
B. 8 months
C. 6 months
D. 3 months
3 months
If present-on-admission indicators for diagnoses have been frequently overlooked for patients because of inadequate data collection and evaluation, the most likely impact for the organization is:
A. Negligible impact
B. Misclassification as complications
C. Inadequate patient care
D. Decreased patient satisfaction
Misclassification as complications
How many individuals usually form a quality circle?
A. 1-2
B. 3-4
C. 5-10
D. 10-15
10-15 (essentially a quality committee)
Which of the following indicates one primary responsibility of the healthcare quality management professional in linking risk management with a facility’s overall performance improvement goals?
A. Complete a risk management assessment, and integrate this assessment with performance improvement activities for the facility
B. Detail risk prevention activities for the facility, and identify opportunities for updating or redefining performance improvement goals
C. Review the major causes of risk within the facility, and develop a performance improvement program to reduce or eliminate them
D. Assemble a performance improvement team to address potential risk within the facility and present the administration with recommended changes.
Complete a risk management assessment, and integrate this assessment with performance improvement activities for the facility
If the load and the mix of a testing laboratory are leveled, the result will be:
A. decrease in capacity
B. reduction in cost
D. increase in capacity and/or reduction in cost
D. increase in capacity or an increase in cost
increase in capacity and/or reduction in cost (leveling, aka smoothing, reduces the volatility of the workload and makes it possible for lab to process more samples, reduce the costs of operation, or both. The mix of a lab is the composition and diversity of the samples, while load is the volume of samples).
The type of outcomes data that includes measure of longevity and cost-effectiveness is:
A. Clinical
B. Perception
C. Integrative
D. Physiological
Integrative
Which of the following is a structure designed to help facilitate team or group pursuit of specific goals and objectives?
A. Management
B. Organization
C. Intelligent design
D. Delegation
Organization
