Guide (New 2024) Actual NAHQ CPHQ Exam Questions
CPHQ Exam Dumps Pass with Updated 2024 Certified Exam Questions
NEW QUESTION # 65
A more proactive posture would be to develop an organization-wide approach to quality measurement that meets both internal and external demands.
This approach is:
- A. A task that should be completed at once
- B. A task that should be completed through a series of related activities
- C. Not a task that can be completed once, rather a journey that has many potential pitfalls and detours
- D. A task that should be done in chunks of improvement process
Answer: C
NEW QUESTION # 66
The manager's perspective on quality differs markedly from that of clinicians and patients on:
- A. Equity, access and technical performance
- B. Responsiveness to patient preferences
- C. Efficiency, effectiveness and access
- D. Efficiency, cost effectiveness and equity
Answer: D
NEW QUESTION # 67
The distinction between inpatient and outpatient data is an important consideration in planning the data collection process because:
- A. Both A and B
- B. The data sources may be different
- C. Mixing of data may or may not be reliable
- D. Approaches to data collection may be different
Answer: A
NEW QUESTION # 68
An organization has Just experienced a wrong site surgery. A quality leader was asked to conduct a review to understand how the process failed. The best quality Improvement tool to use In developing a shared understanding of the current process Is which of the following?
- A. stratification chart
- B. flowchart
- C. Ishlkawa diagram
- D. matrix diagram
Answer: B
Explanation:
A flowchart is a type of diagram that represents a workflow or process, showing the steps as boxes of various kinds, and their order by connecting them with arrows. This diagrammatic representation illustrates a solution model to a given problem. Flowcharts are used in analyzing, designing, documenting, or managing a process or program in various fields12. In the context of a wrong site surgery, a flowchart can help visualize the entire process, identify potential points of failure, and understand how different steps in the process are interrelated.
This makes it an effective tool for developing a shared understanding of the current process.
NEW QUESTION # 69
A CEO and chief nursing officer have requested a new quality initiative to reduce patient falls. One of the first steps in starting this new quality Improvement Initiative should include
- A. researching evidence-based guidelines.
- B. Implementing post-fall huddles on all units.
- C. training the staff on the proper falls screening protocol.
- D. evaluating baseline data to determine the cause of falls.
Answer: D
Explanation:
* A quality improvement initiative is a systematic and data-driven approach to enhance the quality and safety of healthcare services and outcomes12.
* One of the first steps in starting a new quality improvement initiative is to define the problem and measure the current performance123. This involves collecting and analyzing baseline data to understand the magnitude, frequency, and variation of the problem, as well as the potential causes and contributing factors123.
* Evaluating baseline data to determine the cause of falls (option B) is therefore a crucial step in designing and implementing a quality improvement initiative to reduce patient falls. This will help to identify the gaps between the current and desired states, prioritize the areas of improvement, and set measurable and realistic goals and objectives123.
* Training the staff on the proper falls screening protocol (option A) is an important intervention to prevent falls, but it is not the first step in starting a quality improvement initiative. Training should be based on the evidence and best practices, and tailored to the specific needs and characteristics of the staff and the patients124. Training should also be evaluated for its effectiveness and impact on the outcomes124.
* Researching evidence-based guidelines (option C) is another essential component of a quality improvement initiative, but it is not the first step either. Evidence-based guidelines provide recommendations for the prevention and management of falls, based on the best available scientific evidence and expert consensus45 . Researching evidence-based guidelines should be done after defining the problem and measuring the current performance, and before developing and testing the interventions123.
* Implementing post-fall huddles on all units (option D) is a valuable strategy to improve the communication and learning from falls, and to prevent future falls . However, it is not the first step in starting a quality improvement initiative. Post-fall huddles should be part of the implementation and evaluation phases of the quality improvement cycle, and should be aligned with the goals and objectives of the initiative123 . References: 1: [Quality Improvement Essentials Toolkit] 2: [Quality Improvement Made Simple] 3: [The Model for Improvement] 4: The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities 5: Preventing Falls in Hospitals : Clinical Practice Guidelines : [Post-Fall Huddles: A Quality Improvement Project] : [Post-Fall Huddles: A Strategy to Reduce Falls and Improve Patient Safety] : 1 : 2 : 3 : 4 : 5
NEW QUESTION # 70
Quota sampling was developed in the late 1930s and used extensively by the Gallup organization. Babbie (1979)
describes the steps involved in developing a quota sample. All of the following are out of those steps EXCEPT:
- A. When all the sample elements are so weighted, the overall data should provide a reasonable representation of the
majority of the samples - B. Once the matrix has been created and a relative proportion assigned to each cell in the matrix, data are collected
from persons having all the characteristics of a given cell - C. Develop a matrix describing the characteristics of the target population. This may entail knowing the proportion of
male and female; various age, racial and ethnic proportions; as well as the education and income levels of the
population - D. All persons in a given cell are then assigned a weight
appropriate to their proportion of the total
Answer: A
NEW QUESTION # 71
A healthcare quality professional Is doing a studyinthe emergency room. Every other patient admitted to the department Is Includedinthe sample. This sampling technique Is best described as
- A. quota.
- B. cluster.
- C. systematic.
- D. stratified.
Answer: C
Explanation:
* Systematic sampling is a probability sampling method where researchers select members of the population at a regular interval (or k) determined in advance12.
* In this case, the healthcare quality professional is selecting every other patient admitted to the emergency room, which means the interval k is 2.
* This sampling technique is simpler and more straightforward than random sampling, and can cover a wide study area13.
* However, it also introduces some potential biases, such as over- or under-representation of certain patterns, depending on the order of the population13.
* Therefore, systematic sampling should only be used when the population order is random or random-like, such as alphabetical or numerical12.
* If the population order is cyclic or periodic, such as alternating between genders or age groups, systematic sampling may result in a non-representative sample12. References: 1: Dimensions of service quality in healthcare: a systematic review ofliterature 2: Systematic Sampling | A Step-by-Step Guide
* with Examples 4: What is systematic sampling? 3: Systematic Sampling: Advantages and Disadvantages
NEW QUESTION # 72
Six sigma (3.4 defects per million) is a system for improvement developed over time by Hewlett-Paard, Motorola,
General Electric, and others in the 1980s and 1990s. The aim of six sigma is:
- A. To counter the wastage of activities
- B. To remove bloages in process
- C. To reduce variations (eliminate defects) in processes
- D. To control and analyze the related and unrelated activities
Answer: C
NEW QUESTION # 73
The syndrome of stockpiling is proven to be ineffective and inefficient. It also creates quality issues. This approach provides little value to the data collection effort and is one of the biggest mistake quality improvement teams make.
Rather than provide a rich source of information, this approach unnecessarily derives up:
- A. Create data management issues
- B. Overwhelms the quality improvement teams with too much information
- C. The cost of data collection
- D. All of the above
Answer: D
NEW QUESTION # 74
_________________ standards denote level of quality that can be reached under the best conditions, typically conditions similar to those under which efficacy is determined. These standards are especially useful as a reference points being evaluated should set as a benchmark.
- A. Minimal standards
- B. Achievable standards
- C. Something in between
- D. Optimal standards
Answer: D
NEW QUESTION # 75
A focused professional practice evaluation (FPPE) Is Initiated
- A. annually for all providers on staff.
- B. during the survey corrective action period.
- C. at the discretion of the chief medical officer (CMO).
- D. when new privileges are granted.
Answer: D
Explanation:
A Focused Professional Practice Evaluation (FPPE) is a process used to assess a practitioner's competence in performing specific privileges, including new ones1234. This process is initiated when a practitioner is granted new privileges1234. The FPPE process is designed to ensure that practitioners can competently perform the privileges requested at the organization1. It is also used when there is a question about a currently privileged practitioner's ability to provide safe, high-quality patient care1. The FPPE process mustbe predefined and consistently implemented for all newly requested privileges1. The period of FPPE begins at the time privileges are granted1.
References: 1234
NEW QUESTION # 76
The problem with using readily available, convenient data is that the data usually do a poor job of answering the questions necessary to access performance. Ten years ago this "good enough" approach to data collection might have been acceptable. Today, however, because of the increasing demand to demonstrate effectiveness of care and efficiency of healthcare processes, this mind set is not acceptable.
Performance quality and excellence do not occur because organizations do what they have always done or what is convenient.
Most healthcare observers agree that:
- A. Quality improvement efforts definitely end up with a positive result
- B. Industry does not need perpetuation of status quo
- C. Once you have resolved the issues, the data collection should go smoothly
- D. Specific measures should not be used in data collection
Answer: B
NEW QUESTION # 77
In every survey, some people agree to be respondents but do not answer every question. Although non-response to
individual questions is usually low, occasionally it can be high and can affect estimates. Categories of patients
mentioned below selected to be in the sample; do not actually provide data. Which of the following is odd one?
- A. Patients asked to provide data who are unable to perform the task required of them (e.g., people who are too ill to
respond to a survey or whose reading and writing skills preclude them from filling out self-administered
questionnaires) - B. Patients do not truly provide demographic information
- C. Patients the data collection procedures do not reach, thereby not giving them a chance to answer questions
- D. Patients asked to provide data who refuse to do so (do not respond to the survey)
Answer: B
NEW QUESTION # 78
The primary purpose of an emergency preparedness program is to
- A. Conduct evaluations of emergency training
- B. Manage the consequences of disasters that disrupt the facility's ability to provide care
- C. Provide evaluations of semi-annual evacuation drills
- D. Prevent internal disasters that disrupt the facility's ability to provide care and treatment
Answer: B
NEW QUESTION # 79
Some argue that administrative data are less reliable than data gathered by chart review. However, administrative
data can be just as reliable as data from chart review when they are properly cleaned and validated, the indicator
definitions are clear and concise, and measures from the CR system were validated using approach/es:
- A. Chart review performed for the joint commission core measures
- B. Comparison to similar measures in standalone database
- C. All of these
- D. Chart review using an appropriate sampling methodology
Answer: C
NEW QUESTION # 80
Quality improvement approaches are derivatives and models of the ideas and theories developed by thought leaders and include all of the following EXCEPT:
- A. Associate for process improvements
- B. Baldrige criteria
- C. ISO 2001
- D. PDCA/PDSA
Answer: C
NEW QUESTION # 81
A healthcare organization has Introduced an Initiative to Increase lung cancer screenings for Its patient population with a history of smoking. This screening would fall into which of the following types of prevention?
- A. quaternary
- B. primary
- C. secondary
- D. tertiary
Answer: C
Explanation:
The initiative to increase lung cancer screenings for a patient population with a history of smoking falls under secondary prevention123. Secondary prevention aims to reduce the impact of a disease or injury that has already occurred2. This is done by detecting and treating disease or injury as soon as possible to halt or slow its progress2. In the context of healthcare, screenings are a common form of secondary prevention123. They allow for early detection of diseases like lung cancer, especially in high-risk groups such as smokers123. Early detection can lead to more effective treatment and better health outcomes123.
References: 1
https://www.iwh.on.ca/what-researchers-mean-by/primary-secondary-and-tertiary-prevention
NEW QUESTION # 82
In earlier formulations, responsiveness to patients' preferences was just one of the factors seen as determining the quality of patient clinician interpersonal relationship. But, now it is translated into many factors.
Which of the following is out of such factors? (Choose three.)
- A. Respect for patients' preferences
- B. Respect for patients' expressed needs
- C. Respect for Respect for patient's convenience
- D. Respect for patients' values
Answer: A,B,D
NEW QUESTION # 83
In general, as the amounts spent on providing services for a particular condition grow, diminishing returns set in meaning that each unit of expenditure yield ever-smaller benefits until a point where
________________.
- A. perfection is within the reach of all individuals
- B. No additional benefits accrue from adding more care
- C. There is displacement of more useful care
- D. Additional benefits are too small to justify the added costs
Answer: B
NEW QUESTION # 84
He used his understanding of statistics to design tools to respond to variation. Following his arrival at Western Electric
Co. in 1924, Shewhart introduced the concepts of common cause, special cause variation and statistical control. He
designed these concepts to assist Bell Telephone of repairs within its transmission systems. Who is he?
- A. Walter Shewhart
- B. W. Edwards Deming
- C. Josph M. Juran
- D. Armand Shewhart
Answer: A
NEW QUESTION # 85
The separate services of Pharmacy and Nursing are having difficulty developing an action plan for medication errors.
Pharmacy Services states that Nursing Services causes the majority of the problems related to errors, while Nursing
Services states the opposite. The quality professional's role in resolving this problem is to:
- A. Assign the task to an uninvolved manager
- B. Refer the problem to the facility wide quality council
- C. Provide them with directives on how to solve the problem
- D. Facilitate discussion between the groups to enable them to assume ownership of their portions of the problem
Answer: D
NEW QUESTION # 86
The manager's perspective on quality differs markedly from that of clinicians and patients on:
- A. Equity, access and technical performance
- B. Responsiveness to patient preferences
- C. Efficiency, effectiveness and access
- D. Efficiency, cost effectiveness and equity
Answer: D
NEW QUESTION # 87
An alternative to a walk-through is a similar technique called ___________. A staff member asks permission to
accompany a patient through the visit and take notes on patients' experience.
- A. Patient graphing
- B. Patient profiling
- C. Patient counselling
- D. Patient shadowing
Answer: D
NEW QUESTION # 88
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