Which of the following is the most effective way to integrate performance improvement con-
cepts throughout an organization?
A. quarterly newsletters
B. Monthly lectures
C. quality teams
D. continuous monitoring - ANSWER Quality teams include participation by front-line
staff, which allows direct integration of performance improvement into practice.
Domain: Organizational Leadership
Which of the following is the best example of an outcome measure?
A. availability of computers
B. pathway compliance
C. mortality rate
D. laboratory turnaround - ANSWER Mortality rate - an outcome measure is used to de-
termine how the system or improvement project impacts the patient.
Domain: Health Data Analytics
The quality improvement directory is responsible for the coordination of accreditation sur-
vey activities. Responsibilities will most likely include:
A. facilitating self-assessments of compliance with standards, communicating new require-
ments to pertinent parties, and distributing the agenda for the survey.
B. educating staff to all standards, writing the survey report, and completing the survey ap-
plication.
1
,C. developing a protocol for a mock survey, conducting unannounced surveys, and challeng-
ing the survey report.
D. preparing for unannounced surveys, disseminating the survey report, and developing
new standards - ANSWER facilitating self-assessments of compliance with standards,
communicating new requirements to pertinent parties, and distributing the agenda for the
survey - these are essential functions for overseeing the accreditation process.
Domain: Organizational Leadership
Generic screening is an example of risk__________
A. evaluation
B. reduction
C. prevention
D. identification - ANSWER Identification is the first step in disease management/ risk
management
Domain: Patient Safety
A medication error occurred and resulted in a severe adverse outcome. In addition to in-
forming the patient and/or family, a healthcare quality professional should ______
A. perform a regression analysis
B. implement new technology
C. reassign the employees involved
D. conduct a root cause analysis - ANSWER Conduct a root cause analysis - exploration of
system and process issues should be the primary function of a root cause analysis.
Domain: Patient Safety
According to continuous quality improvement principles, which of the following concepts is
most important?
2
, A. financial impact
B. constancy of purpose
C. resistance of change
D. performance of individuals - ANSWER Constancy of purpose
Domain: Organizational Leadership
One difference between continuous quality improvement and traditional quality assurance is
that quality improvement always
A. requires the application of statistical process control
B. excludes monitoring and evaluation of care provided
C. focuses on systems or processes
D. addresses potential problems - ANSWER focuses on systems or processes - quality im-
provement is focused on systems, processes, and groups to improve. Quality assurance is fo-
cused on monitoring problem areas or individuals.
Domain: Organizational Leadership
Which of the following should a Quality Council provide to best ensure success of perfor-
mance improvement teams?
A. facilitator and recorder
B. empowerment and training
C. indicators and a data analyst
D. standards and procedures - ANSWER Empowerment and training - these are two key
elements for ensuring success for the teams
Domain: Organizational Leadership
3
cepts throughout an organization?
A. quarterly newsletters
B. Monthly lectures
C. quality teams
D. continuous monitoring - ANSWER Quality teams include participation by front-line
staff, which allows direct integration of performance improvement into practice.
Domain: Organizational Leadership
Which of the following is the best example of an outcome measure?
A. availability of computers
B. pathway compliance
C. mortality rate
D. laboratory turnaround - ANSWER Mortality rate - an outcome measure is used to de-
termine how the system or improvement project impacts the patient.
Domain: Health Data Analytics
The quality improvement directory is responsible for the coordination of accreditation sur-
vey activities. Responsibilities will most likely include:
A. facilitating self-assessments of compliance with standards, communicating new require-
ments to pertinent parties, and distributing the agenda for the survey.
B. educating staff to all standards, writing the survey report, and completing the survey ap-
plication.
1
,C. developing a protocol for a mock survey, conducting unannounced surveys, and challeng-
ing the survey report.
D. preparing for unannounced surveys, disseminating the survey report, and developing
new standards - ANSWER facilitating self-assessments of compliance with standards,
communicating new requirements to pertinent parties, and distributing the agenda for the
survey - these are essential functions for overseeing the accreditation process.
Domain: Organizational Leadership
Generic screening is an example of risk__________
A. evaluation
B. reduction
C. prevention
D. identification - ANSWER Identification is the first step in disease management/ risk
management
Domain: Patient Safety
A medication error occurred and resulted in a severe adverse outcome. In addition to in-
forming the patient and/or family, a healthcare quality professional should ______
A. perform a regression analysis
B. implement new technology
C. reassign the employees involved
D. conduct a root cause analysis - ANSWER Conduct a root cause analysis - exploration of
system and process issues should be the primary function of a root cause analysis.
Domain: Patient Safety
According to continuous quality improvement principles, which of the following concepts is
most important?
2
, A. financial impact
B. constancy of purpose
C. resistance of change
D. performance of individuals - ANSWER Constancy of purpose
Domain: Organizational Leadership
One difference between continuous quality improvement and traditional quality assurance is
that quality improvement always
A. requires the application of statistical process control
B. excludes monitoring and evaluation of care provided
C. focuses on systems or processes
D. addresses potential problems - ANSWER focuses on systems or processes - quality im-
provement is focused on systems, processes, and groups to improve. Quality assurance is fo-
cused on monitoring problem areas or individuals.
Domain: Organizational Leadership
Which of the following should a Quality Council provide to best ensure success of perfor-
mance improvement teams?
A. facilitator and recorder
B. empowerment and training
C. indicators and a data analyst
D. standards and procedures - ANSWER Empowerment and training - these are two key
elements for ensuring success for the teams
Domain: Organizational Leadership
3
