Management and Communication (14 exam questions)

Question 1

Process measure

Answer 1

Focus on a process or the steps in a process that lead to a specific outcome (Ex: compliance with aseptic technique for dressing change)

Question 2

Outcome measures

Answer 2

indicates the result of performance of function or process (Ex: SSI, VAP)

Question 3

SWOT Analysis

Answer 3

Strength, Weakness, Opportunities, Threats

Question 4

Six sigma and lean approach

Answer 4

Analysis type. Six sigma focuses on precision and accuracy that leads to data driven decisions. Lean focused on lead, efficiency and elimination of “waste”. DMAIC= define, measure, analyze, improve, control

Question 5

Gap Analysis

Answer 5

Used to determine steps necessary to take to move from a current state to desired future state, based on identified gaps in process.

Compares best practices with current practices

Question 6

Failure Mode Effect Analysis (FMEA)

Answer 6

Proactive, preventative approach to identify potential failures and opportunities for error

Question 7

Check sheets

Answer 7

Type of measurement tool.
-Documents for real time data collection
-used when data is observed and collected repeatedly at the same place or by the same person

Question 8

Run chart

Answer 8

• Graphs that display observed data in a time sequence
• are analyzes to find anomalies int he data- suggest shifts in a process over time or factors that may influence variability of process

Question 9

Histograms

Answer 9

Graph showing visual representation of distribution of data (bars touching)

Question 10

Statistical Process Control charts

Answer 10

used to determine whether or not a process is in a state of statistical control. (have upper and lower control limits)

Monitor process of care, facilitate the determination of variation, monitor outcomes

Question 11

Cause and Effect or “fishbone” diagram

Answer 11

take event or piece of info and work backwards to determine cause. Usually have causes grouped into major categories

Question 12

Pareto chart

Answer 12

• contains bars and line graph. Bars= individual values represented in descending order, line = cumulative total
• used to highlight the most important among a set of factors

Question 13

Numerator

Answer 13

event being measured

Question 14

denominator

Answer 14

population at risk

Question 15

Risk adjustment

Answer 15

Statistical process for reducing, removing or clarifying the influences of confounding factors that differ among comparison groups. Used most frequently with outcome measures

Question 16

Stratification

Answer 16

form of risk adjustment- classifying data into subgroups based on one or more characteristic (ex: age, gender)

Question 17

Mission statement

Answer 17

defines what the program is, why it exists, its reason for being.
The mission statement should define who your primary customers are, identify the products and services you produce, and describe the distinctive features of your program.

Question 18

Legitimate power

Answer 18

is based upon the perception that the leader has a right to exercise influence because of the leader’s: Title or position within the organization

refers to the ability to administer to another certain feelings of obligation or the notion of responsibility.

Question 19

Antibiogram is prepared by

Answer 19

Lab

Many hospital laboratories routinely perform antimicrobial
susceptibility testing on bacterial pathogens. Cumulative susceptibility
testing results are often organized into a summary table, or antibiogram,
which may be used by clinicians, pharmacists, infection control personnel,
and microbiologists as a reference guide to community or hospital-specific
resistance patterns. Antibiograms lend information that can be used to raise
awareness of resistance problems, support the use of optimal empiric therapy,
and identify opportunities to reduce inappropriate antibiotic usage and to
ascertain success of such efforts. Antibiograms are generally prepared by the
laboratory according to the Clinical Laboratory Standards Institute guidelines.

Question 20

develops,
implements, monitors, and enforces standards for the safety, effectiveness,
and labeling of all drugs and biologics, including food, blood and blood
products, medical and radiological devices, antimicrobial products, and
chemical germicides used in conjunction with medical devices

Answer 20

FDA

Question 21

Each year in the United States, what percentage of hospitalized patients develop HAIs?

Answer 21

4%

1 in 25 patients in the US will get an HAI each year.

Most common to least common HAI =
pna (22%)
SSI (22%)
GI (17%)
Urinary tract (13%)
CLABSI (10%)

Top orgs leading to HAI=
C diff (12%)
Staph (11%)
Klebsiella (10%)
E. Coli (9%)
Enterococcus (9%)
Pseudomonas (7%)

Question 22

Failure mode and effects analysis (FMEA) is used to examine
adverse events and identify what went wrong and what might
prevent it from happening again. Which statement best describes
the mode element of FMEA?

Answer 22

The way of operating or using a system or process,
or a way or manner in which a thing is done.

A failure mode generally describes
the way the failure occurs and its impact on a process. Any step in a process
can fail, and each failure may have many failure mode.

Question 23

Return on investment (ROI)

Answer 23

Provide a synopsis of the investment and direct and indirect
costs, including factors such as capital expenses, depreciation,
and inflation.

ROI is a financial ratio intended to measure the benefit obtained from an investment. A high ROI means the investment
gains compare favorably to investment cost. As a performance measure, ROI is
used to evaluate the efficiency of an investment or to compare the efficiency
of a number of different investments.

Question 24

APIC competency model. After passing CIC what level are you at?

Answer 24

Proficient

Question 25

Which of the following terms refers to patient harm that is the result of treatment by the healthcare system rather than from the health condition of the patient? a. Adverse event b. Dire consequence c. Unanticipated event d. Sentinel event

Answer 25

A. Adverse event Rationale: An adverse event is an unintended consequence of healthcare or services that results in a negative patient outcome (e.g., infection or physical or psychological injury). Incidents such as patient falls or improper administration of medications are also considered adverse events even if there is no permanent effect on the patient.

Question 26

The objective in developing a business plan for leadership is to:

Answer 26

Demonstrate whether the expanded program will be worth the investment A business plan is formal statement of a set of business goals, the reasons they are believed attainable, and the plan for reaching those goals. Business plans are decision-making tools and cost and revenue estimates are central to any business plan for deciding the viability of the planned venture

Question 27

A newly hired Infection Prevention Manager is addressing program deficits that occurred during the months the facility sought to fill the vacant position. The new manager must focus on many specific tasks, including working closely with others to clarify roles and responsibilities. This type of management approach is known as: a. Charismatic b. Situational c. Functional d. Motivational

Answer 27

C Functional Rationale: Functional management is the most common type of organizational management. A functional manager is a person who has management authority over an organizational unit—such as a department— within a business, company, or other organization. Functional managers have ongoing responsibilities and are not usually directly affiliated with project teams, other than ensuring that goals and objectives are aligned with the organization’s overall strategy and vision.

Question 28

sentinel event

Answer 28

death, permanent harm or severe temporary harm- need RCA