Ragava International Statistical Institute - Global Healthcare Training

1.) Healthcare quality professionals facilitating the assessment of the impact of the organizations culture on quality should evaluate, at the very least, the organizations degree of compliance with:

The budget

Mission and vision statements

The strategic plan

Policies and procedures

2.) The key leadership skills needed for redesign efforts include

Communication, negotiation, systems thinking

Communication, contacting, democratic style

Planning, measurement, analysis

Planning, finance, systems thinking

3.) The organizations involved in the redesign must each commit to

Preserving their culture

Incremental change

Fundamental change

Their own leaders

4.) All of the following are ways through which any organization leadership can enhance the spread of quality culture within the organization EXCEPT:

Develop mission and vision statements

Assign quality professionals to lead the process of cultural transformation

Adopt flexible management styles

Develop quality initiatives

5.) Evidence Based Quality Management promotes:

Culture of Excellence

Culture of free from Medical & Medication errors

Culture of no punishment

Culture of cooperation

6.) Just culture means

Culture of no abuse

Blame free culture

Quality culture

A culture of timeliness

7.) The National Quality Forum (NQF) endorses safe practices to assess and develop organizational patient safety cultures. One of the most important elements needed to create the culture is

Identifying safety risks and interventions to reduce events

Measuring patient satisfaction after a risk intervention

Leadership from external suppliers assisting in the cultures structure

Training patients to abide by the safety cultures requirements

8.) The most effective role of a healthcare quality professional as a facilitator of change to quality culture in the organization is:

Education of leaders

Education of staff

Evaluation of performance

Deigning processes

9.) Best to ensure success of quality improvement in the organization:

Education level of quality leaders

People skills of facility leaders

Culture of the organization

Number of Accreditation/certification

10.) The way to emphasize the importance of learning from mistakes and near misses in order to reduce errors in the future is known as:

Root cause analysis

Meetings

Fair and just culture

High quality of care

11.) A hospital generally has a unique structure comprised of a triangle which three entities make up the triangle?

Governing body, administration, finance

Administration, department managers, medical staff

Governing body, administration/management, medical staff

Administration, medical staff, nursing

12.) The leadership style that is said to motivate employees, and that optimizes the introduction of change, is

Autocratic

Consultative

Participatory

Democratic

13.) The key to creating sustained value in the organization is to

Delegate policy-making and oversight to the quality council

Develop a strategy that drives from the vision, strategic goals and cost-benefit analysis

Adopt an organizational ethics policy and code linked to mission, vision, and values

Act on predictive performance measures aligned to strategic goals and department objectives

14.) The person/group legally responsible for maintaining quality patient care is the

Governing body

Quality improvement council

Chief executive officer

Medical/professional staff

15.) Hospital medical/professional staff by laws

Relate only to members

Are subject to governing body approval

Are required only if the staff is departmentalized

Are required only if the facility is not incorporated

16.) Organization wide functions refer to

Key governance, management, clinical, and support activities

Functions of the governing body

Cross-functional team activities

Legal and fiduciary obligations to patients

17.) The authority and responsibility of each level of the organization with respect to quality management mechanisms must be specified in the

Administrative policies and procedures

Medical/professional staff bylaws

Corporate bylaws

Organizational plan for the provision of patient care

18.) In participative management the manager

Relinquishes decision-making responsibility to the staff

Retains the final decision-making responsibility

Presents a final decision to the staff

Permits staff participation only with noncritical issues

19.) Which of the following statements refers only to strategic planning and not to the former traditional master planning?

Planning focuses primarily on producing new services

Planning begins with the statement of mission

Planning is an integral part of management

Planning ignores the political environment of the organization

20.) The best evidence of the incorporation of quality planning into the organization wide strategic planning process might be

Successful quality initiatives

The organization wide plan for provision of patient care

The quality management/quality improvement plan

The quality management/quality improvement budget

21.) Which of the following is the best way to determine if a quality improvement initiative successful?

Present findings to the quality council

Conduct a retrospective review

Compare outcomes with pre-established goals

Survey patients and customers

22.) Strategic planning is best described as

A long-term focus, projecting the present into the future

A set of top-level performance measures

A statement of mission, vision, and values

An ongoing look into the future

23.) Which of the following best describe vision statement?

It is used as a marketing strategy

It is define the structure of the institution

It describe organization strategic plans

It reflect the organization culture

24.) The mission statement of the organization describes

Where the organization is going

The purpose of the organization

The strategic direction of the organization

The long-term goals of the organization

25.) In an organization wide QI model, the person or group usually accountable for continuously assessing and improving performance at the department level is the

Cross-functional QI team

Quality council

Department director

Department team

26.) Strategic leadership is linked to success in meeting

Budget requirements

Intended objectives

Governing body policy

Contract requirements

27.) In a crisis situation, when a manager must make a rapid decision, the most effective leadership style is

Consultative

Participatory

Autocratic

Democratic

28.) In the quality based strategic planning model

Representatives from each active QI team form the strategic planning team

The steering council leads strategic planning as an ongoing activity

Licensed independent practitioners lead the strategic planning effort and formulate the performance measures

Input from management staff is the key assessment activity

29.) As a performance measurement system, the key value of the balanced scorecard concept is its ability to

Serve as comparative report card with like organizations

Focus the organization on financial measures of survival and success

Encompass all the organizations clinical and non-clinical measures

Align measurement with the vision and strategy of the organization

30.) Which of the following statements about the balanced scorecard is false:

It is a strategic performance management tool

It presents a mixture of financial and non-financial measures

The overall score on the balanced scorecard gives a summary of the organizations performance

Each measure in the balanced score card has a target

31.) In the balanced scorecard, the perspective that measures human, informational, and operational capital is

Operational/internal

Financial

Innovation and growth

Customer

32.) Healthcare quality program had prepared a balanced scorecard that displayed patient satisfaction was 98%, financial target has been met, medication error had been increased by 30% and heart surgery rate decreased 3%, what additional information the governing body may ask for?

Type of medication error

Heart surgery case

Patient satisfaction data

Review patient complaint

33.) The best way to facilitate leadership education about the role of ethics in the organization is understand that

Each leaders personal value system drives decision making

The organizations written code of ethics drives decision making

The organization can have both good and bad ethics

Accountability for organizational ethics is primarily internal, not public

34.) Leadership during a lengthy period of crisis in the organization is

Based on the leaders position in the organization

A participative activity performed by anyone committed to lead

Dependent on a set of personal characteristics

An autocratic style with decisions made solely by the leader

35.) You understand that the most effective quality champions are

The strategic decision makers

Participants on the QI council

Committed to the mission, vision, and values

Governing body members active in the community

36.) In the clinical area, which of the following criteria is most consistent with your understanding of a key quality champion?

Long-term relationship with the organization

Experience with data analysis

A leadership position

Best practices

37.) The organizations governing body and CEO are being urged to make a commitment to culture of quality. The ideal role of the healthcare quality professional is to serve as the:

Quality champion

Facilitator

Visionary

Data expert

38.) If leadership is the critical success factor for an effective patient safety program, what is the first key responsibility of leaders?

Provide resources

Set strategic goals

Establish the value system

Designate a champion

39.) The concept of organizational responsibility is most important to the field of healthcare quality because it holds the organization responsible for

Maintaining confidentiality of all documents

Requiring physicians to carry adequate malpractice insurance

Maintaining a process to identify deficiencies in the provision of care

Ensuring that peer review physicians have no conflict of interest in cases being reviewed

40.) Which of the following best describes an organizational vision statement