Ragava International Statistical Institute - Global Healthcare Training

1.) In preparing for a meeting, what should be sent to the team members in advance?

Agenda with all attachments

Agenda with key information requiring a decision at the meeting

Just the agenda, because members will lose the other information

Agenda and the confidential information, because guests will attend the meeting

2.) An organizations data demonstrate an increase in the number of patient falls, the healthcare quality professional should recommend:

Convening a focus group of medical staff to discuss fall risk

Revising the fall risk assessment tool

Sharing the data with the staff to provide feedback

Increasing staffing on weekends and nights

3.) Which of the following monitors provides patient outcome information?

Healthcare-acquired infection rate

Nursing care documentation compliance

Antibiotic therapy discontinuation compliance

Equipment malfunction rate

4.) In order to introduce performance improvement concepts throughout the organization, a healthcare quality professional should consider implementing all of the following steps except:

Distributing a newsletter containing applicable quality topics

Providing lectures regarding quality topics

Meeting with each department head on a regular basis

Mandating staff participation in self-study activities on quality

5.) The major drawback of using raw numbers to present the result of quality monitoring is that they:

Lack proper reference points for interpretation

Cannot be graphed

May be used for focused review

Only measure compliance to established criteria

6.) Primary purpose of integration of financial & quality management:

Develop physician profiles

Identify potential cash flow problem

Identify problem in resource management

Determine medical necessity of treatment

7.) Continuous education programs is usually a function of which of the following:

Human resources

Quality improvement

UM

Budgeting

8.) A healthcare organization implementing ongoing performance improvement, which of the following would most likely benefit the PI goals of the organization?

A system selected by middle & senior management resulting from proposals by consultants

Cross functional processes evaluated by multidisciplinary teams with support of management

Discrete systems relevant to monitored by individual department

Comprehensive process developed, implemented & monitored by the QM department

9.) The .. annual evaluation of QI process must

Be accomplished by healthcare quality professional

Document all problems identified in care /service

Be based on organizational objectives

Survey all departments & teams

10.) Developing educational training program in QI, What component should be included:

Quality definition & principles

Performance appraisal results

Discussion of incidents

Individual focus of activities

11.) Quality improvement activities should be considered for all except:

Compatibility with facilities mission

Ease of development of data collection tool

Processes that are high volume for the facility

Findings from patient satisfaction surveys

12.) What can the Quality Council provide to ensure highest efficiency of a performance improvement team:

Facilitate and recorder

Indicators and data analysis

Empowerment and training

Standards and procedures

13.) For CQI to be successful who must be included in staff?

Administrator

Person performing process

Quality management representative

Department supervisor

14.) A performance improvement program for supervisors should include

Rapid cycle process

Results of FMEA

Budget variance reporting

Review of patient falls

15.) Hospital agency conducted a satisfaction survey of all 200 patients currently receiving pain management service. When asked if they were satisfied with their pain management, 170 said yes and 30 said No. In this case, the healthcare quality professional should:

Review all dissatisfied persons for similarities

Collect more data to ensure statistical significance

Discontinue monitoring because 85% satisfaction rate is excellent

Continue monitoring because 15% dissatisfaction rate is acceptable

16.) Problem solving, cross functional understanding, expanded area of expertise, gain in status & power and increase the span of knowledge are all examples of:

The benefits of teams

Resource requirements

Customer expectations

Strategic alliance

17.) To integrate performance improvement with the organization planning, there must be alignment between:

Performance improvement teams and human resources

Strategic and improvement objectives

Measuring and monitoring performance results

Quality control processes and systems

18.) Quality teams can be an important component in an organizations quality/performance improvement program by providing an avenue for:

Reporting to the governing body

Credentialing and re-appointment

Staff involvement

Administrative support

19.) The best indicator used by an ambulatory setting to measure its outcome is:

Number of admissions to the hospital

Number of surgeries claim data

Number of dispensed drugs

Patient satisfaction score

20.) According to Deming the continuous quality improvement applied in HR

Story board outcome of quality improvement

ABOLISHING Abandonment traditional annual performance appraisal

Practicing in community improvement project

Automatic annual wages pay increase

21.) The quality improvement council to develop objectives to meet an identified goal. When developing the objectives, the council should remember to:

State the end result of that outcome

Keep the objective specific to the short term

Use the plan do check act (PDCA) for continuous improvement

Tie the objective to financial performance

22.) Reaching consensus is often used in performance improvement. The team consensus

Support by all member

A majority vote of those present

Unanimous agreement

Everyone being totally satisfied

23.) When introducing continuous quality improvement into organization the chief executive officer must first:

Assess the organization readiness for change

Obtain funding from the governing board

Educate supervisors in CQI principles

Reach consensus with the staff

24.) Performance improvement plan (order or arrange), 1.Gathering baseline data,2.Evaluate effectiveness & improvement, 3.Make commitment,4.Implementation:

2-1-3-4

3-1-4-2

1-2-3-4

3-4-1-2

25.) Quality teams can be an important component in an organization quality practitioner avenue for:

Credentialing and reappointment

Administrative support

Staff involvement

Reporting to the governing body

26.) A performance measure that records the number of well-child visits within the first fifteen months of life in the reporting year is a measure of

Structure

Process

Outcome

Process and outcome

27.) The performance indicator total unscheduled inpatient admissions following ambulatory procedure within 48 hours is a measure of

Structure

Process

Outcome

Process and outcome

28.) The number of designated women receiving breast cancer screening (mammograms) in the reporting year measures

Process

Clinical outcome

Process outcome

Process and clinical outcome

29.) Measuring the time it takes a nurse to perform a procedure address which of the following aspects of care?

Monitoring

Process

Outcome

Structure

30.) The number of productive hours worked by nursing staff with direct patient care responsibilities per patient day is a

Structural measure

Process measure

Outcome measure

Composite measure

31.) One of the aims is the treatment of severe community-acquired pneumonia is to maintain an oxygen saturation of >94% or 88 -92% in patients with chronic obstructive airway disease. Ensuring adequate oxygenation for this condition is a

Process and outcome measure

Structure measure

Process measure

Outcome measure

32.) In an improvement project to reduce the wait times in an Emergency room, the time taken to be assessed by a physician is

A process measure

An outcome measure

A structure measure

Not a suitable measure

33.) In implementing a care bundle for the management of acute myocardial infarction, the recording of the extent to which smoking cessation counseling is provided is a measure of

Structure

Process

Outcome

Process and outcome

34.) Monitoring phlebitis associated with IV insertions by nurses in the Surgical Intensive Care Unit addresses which focus?

Outcome of care

Process of care

Structure of care

Administrative procedure

35.) Monitoring the specific organization and content requirements of a medical record system is a review of which focus?

Outcome of care

Process of care

Structure of care

Administration of care

36.) Which of the following is an example of outcome measure?

Average length of stay / compliance with laboratory standards

Mortality rate / surgical infection rate

Medication dispense error

Laboratory turn around

37.) In continuous quality improvement programs, surveys are essential to determine which of the following

Population demographics

Customer needs

Performance standards

Effective management

38.) A quality council has received the following requests for establishing performance improvement teams, maintenance: overtime reductions, dietary: meal delivery process, housekeeping: room turnaround times, Biomedical: identification of malfunctioning equipment and HR: competency assessments. Which of the following should the quality council do first?

Review patient satisfaction to verify problem areas

Prioritize the requests

Obtain CEO approval

Determine the leaders

39.) Which of the following is most commonly omitted from the quality assessment and improving?

Reporting results of studies in a timely manner

Determining the effectiveness of actions taken

Defining criteria

Delegating data collection activities

40.) The annual evaluation of QI process must

Be accomplished by healthcare quality professional

Document all problems identified in care and service

Be based on organizational objectives

Survey all departments and teams

41.) In a health care organization, chief executive officer requested the most effective recommendations to assess the organization readiness. Which of the following method should health care quality professional recommend first?

Administer survey to evaluate organization culture

Review pf performance up result

Contact a quality consultant to conduct a review

Walk through organization

42.) The most effective way for healthcare quality professional to communicate quality improvement activities to the medical staff is by:

Developing professional relationships

Inviting medical staff to an in-service on quality tools

Evaluating physician participation on quality teams

Providing outcome data at medical staff meeting

43.) Role of quality council in performance improvements:

Support of organization

Monitoring team performance

Establish duties and responsibilities

Minutes

44.) A nursing home has established a quality indicator to accomplish a 5% reduction in falls. Guideline has been developed and implemented, after 6 month, the goal has been reached. The next action steps should include:

Continuing to measure outcome monthly and re-evaluate 3 month

Measuring employee competency on understanding and use of the guideline

Providing feedback on a weekly basis rather than displaying data over time

Revising annual evaluation to include compliance with fall prevention guideline

Practice Question / PI_Part 2

1.) In preparing for a meeting, what should be sent to the team members in advance?

2.) An organizations data demonstrate an increase in the number of patient falls, the healthcare quality professional should recommend:

3.) Which of the following monitors provides patient outcome information?

4.) In order to introduce performance improvement concepts throughout the organization, a healthcare quality professional should consider implementing all of the following steps except:

5.) The major drawback of using raw numbers to present the result of quality monitoring is that they:

6.) Primary purpose of integration of financial & quality management:

7.) Continuous education programs is usually a function of which of the following:

8.) A healthcare organization implementing ongoing performance improvement, which of the following would most likely benefit the PI goals of the organization?

9.) The .. annual evaluation of QI process must

10.) Developing educational training program in QI, What component should be included:

11.) Quality improvement activities should be considered for all except:

12.) What can the Quality Council provide to ensure highest efficiency of a performance improvement team:

13.) For CQI to be successful who must be included in staff?

14.) A performance improvement program for supervisors should include

15.) Hospital agency conducted a satisfaction survey of all 200 patients currently receiving pain management service. When asked if they were satisfied with their pain management, 170 said yes and 30 said No. In this case, the healthcare quality professional should:

16.) Problem solving, cross functional understanding, expanded area of expertise, gain in status & power and increase the span of knowledge are all examples of:

17.) To integrate performance improvement with the organization planning, there must be alignment between:

18.) Quality teams can be an important component in an organizations quality/performance improvement program by providing an avenue for:

19.) The best indicator used by an ambulatory setting to measure its outcome is:

20.) According to Deming the continuous quality improvement applied in HR

21.) The quality improvement council to develop objectives to meet an identified goal. When developing the objectives, the council should remember to:

22.) Reaching consensus is often used in performance improvement. The team consensus

23.) When introducing continuous quality improvement into organization the chief executive officer must first:

24.) Performance improvement plan (order or arrange), 1.Gathering baseline data,2.Evaluate effectiveness & improvement, 3.Make commitment,4.Implementation:

25.) Quality teams can be an important component in an organization quality practitioner avenue for:

26.) A performance measure that records the number of well-child visits within the first fifteen months of life in the reporting year is a measure of

27.) The performance indicator total unscheduled inpatient admissions following ambulatory procedure within 48 hours is a measure of

28.) The number of designated women receiving breast cancer screening (mammograms) in the reporting year measures

29.) Measuring the time it takes a nurse to perform a procedure address which of the following aspects of care?

30.) The number of productive hours worked by nursing staff with direct patient care responsibilities per patient day is a

31.) One of the aims is the treatment of severe community-acquired pneumonia is to maintain an oxygen saturation of >94% or 88 -92% in patients with chronic obstructive airway disease. Ensuring adequate oxygenation for this condition is a

32.) In an improvement project to reduce the wait times in an Emergency room, the time taken to be assessed by a physician is

33.) In implementing a care bundle for the management of acute myocardial infarction, the recording of the extent to which smoking cessation counseling is provided is a measure of

34.) Monitoring phlebitis associated with IV insertions by nurses in the Surgical Intensive Care Unit addresses which focus?

35.) Monitoring the specific organization and content requirements of a medical record system is a review of which focus?

36.) Which of the following is an example of outcome measure?

37.) In continuous quality improvement programs, surveys are essential to determine which of the following

39.) Which of the following is most commonly omitted from the quality assessment and improving?

40.) The annual evaluation of QI process must

41.) In a health care organization, chief executive officer requested the most effective recommendations to assess the organization readiness. Which of the following method should health care quality professional recommend first?

42.) The most effective way for healthcare quality professional to communicate quality improvement activities to the medical staff is by:

43.) Role of quality council in performance improvements:

44.) A nursing home has established a quality indicator to accomplish a 5% reduction in falls. Guideline has been developed and implemented, after 6 month, the goal has been reached. The next action steps should include: