CPHQ Exam Quiz 2
The term "performance" as used in healthcare quality improvement activities refers to:
A. Interactive series of process steps
B. Statement of expectation
C. Effective execution of functions & processes
D. Demonstration during accreditation surveycorrect answerC
A key physician/licensed independent practitioner QM function is:
A. Determination of what constitutes a deviation from an accepted standard of care
B. Researching criteria options for peer review
C. Determination of data collection methodology
D. Tabulation of peer review datacorrect answerA
Of the following conclusions concerning a licensed independent practitioners care drawn from org
QM/QI activities would most likely be used during:
A. Case management
B. Re-privileging
C. Productivity management
D. Initial privilegingcorrect answerB
The most effective way to ensure patient safety as a dimension of performance is to:
A. Sponsor a hotline
B. Focus on processes/minimize blame
C. Encourage patients & families to identify risks
D. Have leaders who commit to & foster a safe culturecorrect answerD
The responsibility to reduce risks of endemic & epidemic healthcare associated infection is vested in:
A. An interdisciplinary team
B. A qualified infection control practitioner
C. The organization
D. A qualified infection control attending physiciancorrect answerC
,A trend has developed over the past year indicating that an internal medicine physician has significant
difficulty treating patients with out of control diabetes. After 10 months of peer case review & meetings
what additional actions may be appropriate?
A. A letter
B. Required consultation for all of the physicians diabetic patients
C. Medical education
D. Summary suspension of privilegescorrect answerB
In any QM approach how can you best evaluate the effectiveness of action taken?
A. Formulate a new special study
B. Interview staff
C. Do nothing
D. Use the same performance measures to remonitor the processcorrect answerD
The Baldrige Healthcare Criteria for Performance Excellence establish standards for:
A. An award
B. Corporate compliance
C. A certification
D. An accreditationcorrect answerA
Based on most QI standards, those responsible to prioritize data collection to monitor org wide
performance are:
A. The Quality Counsel
B. The leaders
C. The most knowledgeable
D. The most experiencedcorrect answerB
The phrase intensive analysis as used in QM/QI :
A. Applies only to peer review
B. Includes all defined sentinel events
C. Is an automatic indication of a problem
D. Means the trigger is never set at 0%correct answerB
Occurrence or event reporting is an example of:
A. Generic screening
, B. Peer review
C. Root cause analysis
D. Special studycorrect answerA
A surgeon refuses to accept his postop site infection data & high rate for joint cases over the last year.
What additional step may be necessary?
A. Present data to all surgeons
B. Do nothing
C. Have peers review all cases
D. With the medical director show the surgeon the data compared to peerscorrect answerD
A hospital has decided to add indicators to measure performance for 10 diagnoses not previously
assessed. How can QM help them prioritize?
A. Provide volume & complication data
B. Just say no
C. Provide cost per case data
D. Provide liability claims datacorrect answerA
In order to resolve scheduling problems in the OR the first task should be to:
A. Write a letter
B. Form a team of surgeons
C. Refer the issue to an interdisciplinary QI team
D. Refer the issue to administrationcorrect answerD
According to the QI process theory & quality/performance improvement standards it's best to select a
QI project that:
A. Has the greatest potential to improve patient outcomes
B. Is the CEOs ongoing quality or cost concern
C. Is limited in scope of time
D. Has the greatest potential to save moneycorrect answerA
In setting up an outcome oriented study of appendectomies its most important to look at:
A. Patient age
B. Admitting diagnosis, surgeon, pathology report, condition at discharge
C. Admitting physician, H&P, LOS, discharge instructions, PN or nursing notescorrect answerB
The term "performance" as used in healthcare quality improvement activities refers to:
A. Interactive series of process steps
B. Statement of expectation
C. Effective execution of functions & processes
D. Demonstration during accreditation surveycorrect answerC
A key physician/licensed independent practitioner QM function is:
A. Determination of what constitutes a deviation from an accepted standard of care
B. Researching criteria options for peer review
C. Determination of data collection methodology
D. Tabulation of peer review datacorrect answerA
Of the following conclusions concerning a licensed independent practitioners care drawn from org
QM/QI activities would most likely be used during:
A. Case management
B. Re-privileging
C. Productivity management
D. Initial privilegingcorrect answerB
The most effective way to ensure patient safety as a dimension of performance is to:
A. Sponsor a hotline
B. Focus on processes/minimize blame
C. Encourage patients & families to identify risks
D. Have leaders who commit to & foster a safe culturecorrect answerD
The responsibility to reduce risks of endemic & epidemic healthcare associated infection is vested in:
A. An interdisciplinary team
B. A qualified infection control practitioner
C. The organization
D. A qualified infection control attending physiciancorrect answerC
,A trend has developed over the past year indicating that an internal medicine physician has significant
difficulty treating patients with out of control diabetes. After 10 months of peer case review & meetings
what additional actions may be appropriate?
A. A letter
B. Required consultation for all of the physicians diabetic patients
C. Medical education
D. Summary suspension of privilegescorrect answerB
In any QM approach how can you best evaluate the effectiveness of action taken?
A. Formulate a new special study
B. Interview staff
C. Do nothing
D. Use the same performance measures to remonitor the processcorrect answerD
The Baldrige Healthcare Criteria for Performance Excellence establish standards for:
A. An award
B. Corporate compliance
C. A certification
D. An accreditationcorrect answerA
Based on most QI standards, those responsible to prioritize data collection to monitor org wide
performance are:
A. The Quality Counsel
B. The leaders
C. The most knowledgeable
D. The most experiencedcorrect answerB
The phrase intensive analysis as used in QM/QI :
A. Applies only to peer review
B. Includes all defined sentinel events
C. Is an automatic indication of a problem
D. Means the trigger is never set at 0%correct answerB
Occurrence or event reporting is an example of:
A. Generic screening
, B. Peer review
C. Root cause analysis
D. Special studycorrect answerA
A surgeon refuses to accept his postop site infection data & high rate for joint cases over the last year.
What additional step may be necessary?
A. Present data to all surgeons
B. Do nothing
C. Have peers review all cases
D. With the medical director show the surgeon the data compared to peerscorrect answerD
A hospital has decided to add indicators to measure performance for 10 diagnoses not previously
assessed. How can QM help them prioritize?
A. Provide volume & complication data
B. Just say no
C. Provide cost per case data
D. Provide liability claims datacorrect answerA
In order to resolve scheduling problems in the OR the first task should be to:
A. Write a letter
B. Form a team of surgeons
C. Refer the issue to an interdisciplinary QI team
D. Refer the issue to administrationcorrect answerD
According to the QI process theory & quality/performance improvement standards it's best to select a
QI project that:
A. Has the greatest potential to improve patient outcomes
B. Is the CEOs ongoing quality or cost concern
C. Is limited in scope of time
D. Has the greatest potential to save moneycorrect answerA
In setting up an outcome oriented study of appendectomies its most important to look at:
A. Patient age
B. Admitting diagnosis, surgeon, pathology report, condition at discharge
C. Admitting physician, H&P, LOS, discharge instructions, PN or nursing notescorrect answerB
