PRE-ASSESSMENT: ANALYTICAL METHODS OF
HEALTH LEADERS (RAO2) (PRAO) QUESTIONS
WITH 100% CORRECT!!
The quality improvement team is reviewing quarterly incident reports and evaluating the effect of Six Sigma
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strategies on the quantity of medication errors over the past two years. The team hypothesizes a continuous
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reduction in medical errors for each quarter. The sample consists of patient clinical and demographic
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characteristics. Unfortunately, causation cannot be determined from the data available. Which research
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method should be used to test the team's hypothesis? - ANS ✔✔ - Time-series
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A hospital researcher has access to one year of hospital emergency department claims data. The researcher
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is investigating the association of race on the timeliness of delivery of care. The sample includes
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information on patient demographics, insurance information, and emergency department factors. Due to
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patient confidentiality, the sample does not include patient clinical information and outcomes. Which
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research method should be used? - ANS ✔✔ - Cross-sectional
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A policy analyst is interested in determining if the prospective payment system (PPS) has improved hospital
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efficiency over time during the past ten years. The sample for analysis consists of ten years of data after the
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introduction of the PPS and includes measures of efficiency and other relevant control variables. The
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analyst hypothesizes that hospital efficiency should have increased each year after the PPS was
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implemented. Which research method should the analyst use? - ANS ✔✔ - Time-series
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Which type of data analysis could be used in quantitative research? - ANS ✔✔ - Reporting the distribution
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of results or outcomes
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What is a characteristic of qualitative research methods? - ANS ✔✔ - Introduces subjectivity to data
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collection
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Many physician practices now utilize an electronic health record (EHR) system that includes a secure
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messaging feature. Some of these practices have extended their contact with patients by conducting virtual
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visits between people with diabetes and nurses who are certified diabetes educators. The remote technology
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includes the ability to monitor blood glucose data to determine if these values are within goal range. After
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six months, the results of the blood glucose levels for the group participating in the virtual visits were
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evaluated. Which research method was used? - ANS ✔✔ - Cross-sectional
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A researcher wants to determine whether continuity of care is improved with the use of coordination of care
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documents among primary care physicians and specialists. The researcher decides to review various
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published studies to assess the clinical effectiveness of these documents on patient outcomes. Which
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research method is being used - ANS ✔✔ - Meta-analysis
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The state public health researcher wants to begin a five-year initiative to coordinate immunizations for
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children in the foster care system. The results will be compared to previous years to measure the
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effectiveness of the initiative. Which research method should be used to study this initiative? - ANS ✔✔ -
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Pre/post-study
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Using publicly reported data from Centers for Medicare & Medicaid Services, researchers want to examine
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the relationship between 30-day readmissions and mortality rates for patients with heart failure at five
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facilities. Before this can be done, researchers need to estimate mortality rates and readmission rates from
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heart failure. Which statistical technique should be used to calculate the estimated rates? - ANS ✔✔ -
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Regression analysis
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Researchers want to determine if a particular risk factor or risk factors are associated with the frequency for
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nonelective readmission within 30 days among patients with diabetes in a metropolitan area. The variables
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of interest include age, gender, race/ethnicity, and insurance status. Which statistical technique should be
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used? - ANS ✔✔ - Regression analysis
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A hospital researcher is interested in investigating the association between hospital ownership (i.e.,
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government, investor, and not-for-profit) on overall hospital quality scores. Research MethodsA cross-
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sectional data set of all urban hospitals from eight states is used in this study. The data were obtained from
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various administrative databases: Medicare Hospital Cost Report Information System, the American
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Hospital Association, and the Area Health Resource File. Descriptive statistics are used to summarize the
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data. An ordinary least squares regression is used to test the relationship between ownership status and
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hospital quality while controlling for hospital and market characteristics. Which component is missing from
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these research methods? - ANS ✔✔ - Research design
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A hospital researcher is interested in the association between patient satisfaction and hospital market share.
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The researcher hypothesizes that increased patient satisfaction will lead to an increase in hospital market
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share. Research MethodsA longitudinal study of seven years will be conducted to assess the change in
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hospital market share over time. Urban hospitals from the United States that have more than 100 beds will
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be included in the analysis. The data set will include hospital characteristics and market characteristics.
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Administrative data will be obtained from the American Hospital Association's Annual Survey of Hospitals,
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the Area Health Resources File, and the Hospital Compare website. The variables included in the data set
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will control for other factors that may impact hospital patient satisfaction. Statistical significance will be set
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at α = 0.05 for the analysis. The results of the analysis will be of i - ANS ✔✔ - Analysis plan
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After reviewing a quality report from a large urban hospital, an administrator decided to implement a new
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initiative to improve communication among healthcare professionals. The hospital administrator conducted
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a survey on safety and error prevention that revealed that ineffective or insufficient communication among
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team members is a significant contributing factor to adverse events. Which source of data would have been
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used to highlight patient perception of care? - ANS ✔✔ - HCAHPS scores
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There have been recent complaints at a pharmacy regarding care, wait times, and errors. The administrator
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wants to further examine customer satisfaction rates. After examining more information the administrator
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decides to develop a new patient portal that will allow patients to perform a refill request online. The
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system will also allow patients to request refills via text or mobile devices. Which two sources of data were
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used in the change from the old system to the new system? Choose 2 answers - ANS ✔✔ - Patient wait
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times & Patient satisfaction surveys
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A hospital is experiencing a high rate of nursing turnover during the first year at the hospital. There are
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many theories as to why turnover in this cohort is so high. The chief executive officer (CEO) has asked the
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nursing director to study this further and develop some tactics to improve nursing retention. The director
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plans to gather data, conduct some statistical analysis, and report back to the CEO with an improvement
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plan. Which type of data would the director gather to develop this plan? - ANS ✔✔ - Hospital tenure for
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nurses
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A large urban hospital has implemented a new patient registration system to reduce patient complaints,
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streamline the process, and make it easier to understand. The hospital had been monitoring patient wait
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times for registration prior to implementing this change. Which aspect of wait time was analyzed in the
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application of descriptive statistics applied for this scenario? - ANS ✔✔ - An average of wait times was
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analyzed
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A surgical center is experiencing patient attrition. The center has received bad reviews online. One area of
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complaints is that the center is dirty in common areas. The center conducted a survey to ascertain what the
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major complaints were. The center has decided to outsource its maintenance in an effort to improve patient
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satisfaction scores. The median patient satisfaction scores were determined from the survey. How were
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descriptive statistics applied in this scenario? - ANS ✔✔ - To determine the 50th percentile of patient
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satisfaction scores
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An administrator at an established hospital decided to create a new data collection plan for the quality
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improvement initiative because the former plan was not acceptable. One concern with the old plan was with
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the timeliness of the data and with missing data elements associated with wait times and communication.
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How were descriptive statistics applied in this scenario? - ANS ✔✔ - To identify the average patient
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satisfaction score
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A surgical center is experiencing patient attrition. The center has received bad reviews online. One area of
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complaints is that the center is dirty in common areas. The center conducted a survey to ascertain what the
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major complaints were. The center has decided to outsource its maintenance in an effort to improve patient
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satisfaction scores. The surgical center reviewed patient satisfaction scores before and after outsourcing its
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housekeeping services. Which inferential statistic was applied to arrive at the decision to outsource
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maintenance? - ANS ✔✔ - A t-test
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