Ragava International Statistical Institute - Global Healthcare Training

1.) The appropriateness of care is

Primary a focus of utilization management

A key dimension of quality care

Equivalent to case management

The degree to which healthcare services are coherent & unbroken

2.) A medication is ordered for a diabetic patient. Its capacity to improve health status, as a dimension of quality or performance, is its

Effectiveness

Potential

Appropriateness

Efficacy

3.) If, in the continuous quality improvement process, we increase our emphasis on customer satisfaction and outcomes of care, which two dimensions of quality /performance must be incorporated into all quality management activities?

Availability and respect/caring

Respect/caring and competency

Effectiveness and respect/caring

Continuity and competency

4.) The quality professional can best facilitate the development of a quality culture in an organization by

Assessing the organizations readiness to commit to change

Designing a long range plane for cultural transformation

Encouraging leaders to commit to a culture of excellence

Leading the cultural transformation redesign team

5.) The task of setting up an ambulatory care setting QM/QI program that focuses on outcomes as a measure of treatment effectiveness is difficult because

The patient remains in control of treatment

Patient care outcomes are determined by the payer

There are no required medical records

Expected outcomes for ambulatory conditions are too obvious

6.) In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one the following indicators?

The patients will express overall satisfaction with clinic facilities

The contract lab will provide results within 24 hours of sample delivery

The staff complies with all infection control policies and procedures

Newly diagnosed hypertensive patients are controlled within 6 months

7.) The perception of quality by a patient receiving care in an ambulatory healthcare center is influenced most by

The physical environment

Caring staff and physician

New technology

The physicians technical competence

8.) Total quality management philosophy assumes that

Most problems with service delivery result from systems difficulties

Frequent inspection is necessary to improve quality

Most problems with service delivery result from difficulties with individuals

Top management leadership in quality activities disenfranchises employees

9.) A potential conflict between the philosophy of total quality management and quality improvement in healthcare is the challenge in Demings Principles to

Eliminate numerical goals for management

Cease dependence on inspection

Constantly improve every process

Break down barriers between staff areas /departments

10.) What is the most important relationship between structure, process and outcome as types of indicator of quality?

Interdependent: Structure directly affects both process and outcome

Causal: Structure leads to process and process leads to outcome

Relational: useful for comparisons, but not causal

There is no relationship; they are categorized used to group indicators.

11.) Which of the following best describes the successful outcome of the quality improvement process?

Customer satisfaction

Enhanced communication

Employee empowerment

Improved Statistical data

12.) 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

13.) The major difference between traditional quality assurance activities and the expanded quality improvement /performance improvement activities is the QI/PI focus on

People and competency

Analysis of data

Performance measures

System and processes

14.) The centerpiece of outcomes management in healthcare is

The measurement of the patients functionality and quality of life

Morbidity and mortality

Data reliability

Finance impact

15.) Common causes of problems in processes refer to

One-time situations

Temporary situations

Acute situations

Chronic situations

16.) Review of the timeliness of high risk screening for diabetes addresses which focus?

Outcome of care

Process of care

Structure of care

Administrative procedure

17.) Under the quality improvement paradigm, which statement is incorrect?

The focus is on the competency of individual practitioners

The focus on the efficacy and effectiveness of processes

The focus is on the patient

The focus is on organization performance

18.) Within the context of total quality management philosophy, communication of quality is

The responsibility of top management leaders

Delegated to the Quality Management Department

An internal organizational, not community, issue

Independent of process budgets or costs.

19.) The team working on a improvement plan using Rapid Cycle. After they pilot the program, analyzed data and determined that the action is effective. What is the next step?

Spread the change among staff

Set goals

Change the aim of the project

Implement QIP

20.) For CQI to be successful, who must be included in staff:

Department supervisor

Administrator

Facilitator

Staff

21.) For CQI to be successful who must be included in staff:

Administrator

Person performing process

Quality management representative

Department supervisor

22.) Who is responsible for providing CQI direction

Facilitator

Quality council

Leader

Team

23.) Who is responsible for quality improvement with organization

Quality manager

Frontline staff

Everyone within organization

Chief executive officer

24.) Who is responsible for creating and monitoring the implementation of improvement project work plan and time line?

Sponsor

Team leader

Team facilitator

Quality council

25.) Who is ultimately responsible for the effective implementation of the quality program:

Governing body

CEO

All staff

The CFO

26.) Most effective way to integrate performance improvement through the organization:

Continuous monitoring

Quality teams

Employees

Champions

27.) In an integrated delivery system, the success of the quality strategy is most dependent on the effectiveness of the

Information system

QI team process

Case management process

Patient care management system

28.) Which of the following element must be present in order to evaluate effectiveness of healthcare organization quality improvement program?

Integrated data collection

Quantified objective

Well defined organization culture

Well educated medical staff

29.) In health care organization, the quality department developed an indicator to measure the commitment of the staff to myocardial infarction guidelines. This indicator measure:

Process

Structure

Culture

Outcome

30.) The phrase intensive analysis as used in quality /performance improvement

Applies only to peer review

Is an automatic indication of a problem

Means the trigger is never set at 0%

Includes all defined sentinel events

31.) Which of the following is not a requirement for an organization wide QM program?

Quality management activities include the use of performance measures inn peer review activities

Peer review problems are resolved and opportunities for improvement are taken

Reports to the governing body include the findings from peer review activities

The effectiveness of the program, including peer review, is evaluated.

32.) When the surgeons at sunrise ambulatory surgery center determine that action must be taken to resolve scheduling problems in the operating room, the first task should be to:

Write a letter to each surgeon involved

Form a team of interested surgeons

Refer the issue to administration

Refer the issue to an interdisciplinary QI team

33.) action by the quality professional is an example of data

Collection

Analysis

Tabulation

Reporting

34.) For quality improvement team to deal effectively with conflict, it is important to appoint which of the following to its membership?

Risk manager

Human resources representative

Facilitator

Senior leader

35.) Meaningful quality process measures must be

Relevant and valid

Publicly reported and explainable

Relevant and explainable

Valid and publicly reported

36.) A quality council has started a performance improvement team to reduce medication errors. The team has been meeting for several months and progress has been very low. Which of the following is the most important factor for the quality council to assess with the team leader?

Composition of the team

Number of medication errors since team was started

Team members ability to interpret graphs

Length of team meetings

37.) To reduce the incidence of ventilator associated pneumonia (VAP) in a critical care unit, who should be included on a quality improvement team?

Intensivist, ICU nurse, and respiratory therapist

Primary care physician, infection control nurse, and surgeon

ICU manager, respiratory therapist, and pharmacist

Pharmacist, intensivist, and infection control nurse

38.) Implementation quality management approach

All staff

Quality manager

Leader

Front line staff

39.) One major difference between traditional quality assurance and quality improvement is that quality improvement:

Stresses peer review, while QA focuses on the customer

Focuses on the individual while QA focuses on the process

Stress management by objective while QA stresses team management

Focuses on the process while QA focuses on individual performance

40.) The physical difference between quality assurance and continuous quality improvement is a shift focus from:

Retrospective review to concurrent screening

Individual faults to focus on customer satisfaction

Identify poor performance to good performance

Short term gain to long term one

Practice Question / PI_Part 3

1.) The appropriateness of care is

2.) A medication is ordered for a diabetic patient. Its capacity to improve health status, as a dimension of quality or performance, is its

3.) If, in the continuous quality improvement process, we increase our emphasis on customer satisfaction and outcomes of care, which two dimensions of quality /performance must be incorporated into all quality management activities?

4.) The quality professional can best facilitate the development of a quality culture in an organization by

5.) The task of setting up an ambulatory care setting QM/QI program that focuses on outcomes as a measure of treatment effectiveness is difficult because

6.) In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one the following indicators?

7.) The perception of quality by a patient receiving care in an ambulatory healthcare center is influenced most by

8.) Total quality management philosophy assumes that

9.) A potential conflict between the philosophy of total quality management and quality improvement in healthcare is the challenge in Demings Principles to

10.) What is the most important relationship between structure, process and outcome as types of indicator of quality?

11.) Which of the following best describes the successful outcome of the quality improvement process?

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

13.) The major difference between traditional quality assurance activities and the expanded quality improvement /performance improvement activities is the QI/PI focus on

14.) The centerpiece of outcomes management in healthcare is

15.) Common causes of problems in processes refer to

16.) Review of the timeliness of high risk screening for diabetes addresses which focus?

17.) Under the quality improvement paradigm, which statement is incorrect?

18.) Within the context of total quality management philosophy, communication of quality is

19.) The team working on a improvement plan using Rapid Cycle. After they pilot the program, analyzed data and determined that the action is effective. What is the next step?

20.) For CQI to be successful, who must be included in staff:

21.) For CQI to be successful who must be included in staff:

22.) Who is responsible for providing CQI direction

23.) Who is responsible for quality improvement with organization

24.) Who is responsible for creating and monitoring the implementation of improvement project work plan and time line?

25.) Who is ultimately responsible for the effective implementation of the quality program:

26.) Most effective way to integrate performance improvement through the organization:

27.) In an integrated delivery system, the success of the quality strategy is most dependent on the effectiveness of the

28.) Which of the following element must be present in order to evaluate effectiveness of healthcare organization quality improvement program?

29.) In health care organization, the quality department developed an indicator to measure the commitment of the staff to myocardial infarction guidelines. This indicator measure:

30.) The phrase intensive analysis as used in quality /performance improvement

31.) Which of the following is not a requirement for an organization wide QM program?

32.) When the surgeons at sunrise ambulatory surgery center determine that action must be taken to resolve scheduling problems in the operating room, the first task should be to:

33.) action by the quality professional is an example of data

34.) For quality improvement team to deal effectively with conflict, it is important to appoint which of the following to its membership?

35.) Meaningful quality process measures must be

36.) A quality council has started a performance improvement team to reduce medication errors. The team has been meeting for several months and progress has been very low. Which of the following is the most important factor for the quality council to assess with the team leader?

37.) To reduce the incidence of ventilator associated pneumonia (VAP) in a critical care unit, who should be included on a quality improvement team?

38.) Implementation quality management approach

39.) One major difference between traditional quality assurance and quality improvement is that quality improvement:

40.) The physical difference between quality assurance and continuous quality improvement is a shift focus from: