NAHQ CPHQ Practice Test
True Correct Answer: The governing body is responsible for setting policy, financial and strategic
direction, quality of care, and setting goals and objectives
A. True
B. False
False Correct Answer: The governing body is responsible for implementing strategies and collecting
measurements of quality indicators.
A. True
B. False
d. 80% Correct Answer: According to TJC (2012), how many serious medical errors involved
miscommunication between caregivers when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
True Correct Answer: Observation and documentation of interpersonal and communication skills is an
example of an FPPE.
A. True
B. False
True Correct Answer: An example of criteria that might be tracked for OPPE is morbidity and mortality
data
A. True
B. False
True Correct Answer: Examples of data for physician profiles include data representing major service
lines, patient safety issues, and outpatient information
A. True
B. False
b. Be a visible participant in the process Correct Answer: A CQO has the responsibility for education and
implementation of a quality improvement process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
a. Meet all regulatory requirements Correct Answer: When a healthcare org is contracting with an
outside provider for services, the subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
, c. Have an active risk management program
d. Have a competitively priced service
a. Purpose of the request Correct Answer: A healthcare quality professional is developing a policy
regarding access to physician quality files. In addition to the date and name of the person requesting the
information, which of the following should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
b. Assess practitioner competency Correct Answer: Physician profiles should be reviewed at the time of
reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval
a. Setting goals and objectives Correct Answer: Which of the following is the first step in the strategic
planning process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
a. Set goals, measure performance, provide coaching and feedback, reward and recognize positive
efforts Correct Answer: If someone in your organization is resisting and not willing to make the change,
what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback, reward and recognize positive
efforts
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
a. Provide education and training in new skills and use of various management techniques Correct
Answer: If someone in your organization is resisting and not able to perform change, what is the best
strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations Correct Answer: If someone in your organization is resisting
change and lack knowledge about what is required, what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations
True Correct Answer: The governing body is responsible for setting policy, financial and strategic
direction, quality of care, and setting goals and objectives
A. True
B. False
False Correct Answer: The governing body is responsible for implementing strategies and collecting
measurements of quality indicators.
A. True
B. False
d. 80% Correct Answer: According to TJC (2012), how many serious medical errors involved
miscommunication between caregivers when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
True Correct Answer: Observation and documentation of interpersonal and communication skills is an
example of an FPPE.
A. True
B. False
True Correct Answer: An example of criteria that might be tracked for OPPE is morbidity and mortality
data
A. True
B. False
True Correct Answer: Examples of data for physician profiles include data representing major service
lines, patient safety issues, and outpatient information
A. True
B. False
b. Be a visible participant in the process Correct Answer: A CQO has the responsibility for education and
implementation of a quality improvement process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
a. Meet all regulatory requirements Correct Answer: When a healthcare org is contracting with an
outside provider for services, the subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
, c. Have an active risk management program
d. Have a competitively priced service
a. Purpose of the request Correct Answer: A healthcare quality professional is developing a policy
regarding access to physician quality files. In addition to the date and name of the person requesting the
information, which of the following should be included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
b. Assess practitioner competency Correct Answer: Physician profiles should be reviewed at the time of
reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval
a. Setting goals and objectives Correct Answer: Which of the following is the first step in the strategic
planning process?
a. Setting goals and objectives
b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
a. Set goals, measure performance, provide coaching and feedback, reward and recognize positive
efforts Correct Answer: If someone in your organization is resisting and not willing to make the change,
what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback, reward and recognize positive
efforts
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
a. Provide education and training in new skills and use of various management techniques Correct
Answer: If someone in your organization is resisting and not able to perform change, what is the best
strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations
c. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations Correct Answer: If someone in your organization is resisting
change and lack knowledge about what is required, what is the best strategy to take?
a. Provide education and training in new skills and use of various management techniques
b. Communicate what, why, how, when and who of change process, present positive outlook, have clear
focus and goal for change and expectations
