EMT Practice Test

1. Question Content...

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Question1: The cockpit of an airplane is a more complex example of a collection of instruments that reports information critical to successful air travel. The driver of a car or the pilot of an airplane monitors multiple indicators of performance simultaneously to arrive at the intended destination successfully. At any given point in the journey, the driver or pilot may focus on one indicator, but overall success depends on the collective performance of the systems represented by the indicators.
This example depicts that dashboard tools that report on the ongoing performance of the critical processes that lead to:

Question2: Which of the following is most likely to be a benefit of concurrent ambulatory surgical case review?

Question3: Patient satisfaction and patient experience-of-care surveys are the most common quantitative measures healthcare organizations use, but they can use other important ___________ to obtain important information from patients and their families to guide improvement work.

Question4: A department director has been asked to compare the productivity of the department with the productivity of similar departments at other facilities.
Which of the following Is the first step of this project?

Question5: Which of the following Is an algorithm that Is designed to classify patients according to their acuity?

Question6: Baldrige's scoring system is based on a __________point scale. Each of seven criteria is assigned maximum value ranging from 85 to 450 maximum points.

Question7: Which of the following Is an essential step in the strategic planning process?

Question8: A healthcare quality professional can conclude that clinical performance measures in disease specific certification programs are best supported by the

Question9: For example, if you are using a survey to gather patient satisfaction feedback by email, you would not send a survey t o ever y patient. You would start by sending surveys t o roughly 50 percent of the patients an see how many are returned. This limited survey allows you to determine the response rate.
Assume that 25 percent of these patients return the surveys. The next task is to determine how representative of the total population these respondents are. To test this question, you need to develop a profile of the total population. Typically, this profile is based on standard demographics such as gender, age, type of visit, payer class, and whether the respondent is a new or returning patient. If the distribution of these characteristics in the sample is similar (within 5 percent) to that found in the total population, you can be comfort able t hat your sample is reasonably representative of the population. If the characteristics of the sample and the population show considerable variation, however, you should adjust your sampling plan. This example clarifies that:

Question10: Medication reconciliation Is described as

Question11: Managed care outcomes related to HEDIS measures are most commonly obtained through

Question12: An organization conducts daily briefing sessions.
Which of the following questions demonstrates a culture of safety?

Question13: Over the past 2 months, a trend has been detected in medication errors. The preferred method of presenting data to the nursing Quality Council will identify the nurse by

Question14: A hospital installed a new patient safety event reporting system. During the failure modes and effects analysis (FMEA), decreased use of the system and complexity of reporting were identified as potential failures.
What should the team use to determine which failure mode to address first?

Question15: Generally, medical record review and prospective data collection are considered the most time-intensive and expensive ways to collect information.
Many reserve these methods for highly specialized improvement projects or use them to answer questions that have:

Question16: When developing objectives for an educational program, the quality professional should recommend

Question17: A random sampling also can be drawn by placing equally sized pieces of paper with a range of numbers on them (e.g., 1 to 100) in a bowl and picking a predetermined number to be the sample.
The problem with simple random samples is that:

Question18: A new urgent care clinic is setting up a quality management system.
Which of the following is the best choice as a process measure to evaluate effective clinical care?

Question19: Why is it important to convene a multidisciplinary team when conducting a failure mode and effects analysis (FMEA)?

Question20: A long-term care facility has experienced an Increase in occupational Injuries among nursing staff and increased patient harm as a result of unsafe patient handling.
Which of the following is the best example of a human factors design solution this facility could Implement?

Question21: Based on the data below, which unit should the quality Improvement coordinator focus on?

Question22: A quality improvement coordinator is asked to develop a training session on team facilitation based on adult learning principles.
Which of the following would be the best approach to include?

Question23: One of the difficult things about quality is explaining how _________ is different from a process or system.

Question24: A number of attributes can characterize the quality of healthcare services. As, there are different groups involved in healthcare, such as physicians, patients and health insurers, tend to attach different levels of importance to particular attributes and as a result define quality care differently.
Which of the following is/are NOT out of those attributes?

Question25: A healthcare quality professional Is doing a study in the emergency room. Every other patient admitted to the department Is Included in the sample.
This sampling technique Is best described as

Question26: Healthcare purchasers and payers are demanding that providers demonstrate their ability to provide high quality patient care at fair prices. Specifically, they are seeking:

Question27: A healthcare organization has recently launched a diabetes center of excellence to address the needs of its patients with advanced diabetes.
The implementation of this program would fall into which of the following types of prevention?

Question28: A patient safety manager is asked to recommend the best action to reduce medication errors at a hospital.
Which of the following is the most appropriate next step?

Question29: Which of the following processes is most cost-effective in preventing unnecessary resource consumption in the hospital?

Question30: A local health center is launching a community health assessment.
What data is recommended to identify the potential needs of the population?

Question31: Using the same operational definition becomes even more critical if you are trying to compare several hospitals or clinics in a system. When national hospitals are made, the operational definition challenge becomes extremely complex. All good measurements begin and end with_____________.

Question32: Experts on delivering superior customer service suggest that healthcare organizations adopt the following set principles EXCEPT:

Question33: A department analyzed Its process for distributing paychecks to employees. The analysis showed there were multiple checkpoints for approval, delays. In processing of the checks, and errors that caused extra work for staff.
Which of the following types of waste were identified during the analysis?

Question34: Which of the following best describes the goal of the Healthy People Initiative?

Question35: 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:

Question36: When continuing unique events, one uses a p-chart. The number plotted on a chart would be either a proportion or a percentage. When counting total events (e.g., the number of falls per patient day each month), one plots a ratio on a u-chart. Examples of attributes data plotted as percentage on p-charts include figures such as:

Question37: A hospital is working to decrease the length of stay for inpatients on a surgical unit.
Which of the following should be measured to document aspects of the process that are non-value added?

Question38: An increased number of outpatient surgery patients present to the emergency department with complaints of pain.
Which would be the best strategy to address these occurrences?

Question39: The primary purpose of a management information system is to:

Question40: A healthcare quality professional receives the following Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey results:

Which of the following should be the next action by the professional?

Question41: The expectation to maintain continuous survey readiness must be supported and driven by the

Question42: After discharge, most patients with a mental health diagnosis have not been compliant with follow-up visits.
Which of the following Is the best way to Improve patient compliance?

Question43: By using a set of statistical tools to understand the fluctuation of a process, management can predict the expected outcome of that process. If the outcome is not satisfactory, management can use associated tools to further understand the elements influencing that process. Six sigma includes process steps which are commonly known as ____________.

Question44: Which of the following is a purpose of a Pareto chart?

Question45: To identify outpatient data sources, the team should consider the following questions EXCEPT:

Question46: Which of the following is the appropriate group to review care delivered by an individual physician to a patient who suffered a serious adverse event?

Question47: For which incident would a process improvement manager be required to perform a root cause analysis (RCA)?

Question48: The quality of amenities of care refers to the characteristics of the setting in which the encounter between patient and clinician takes place, such as:

Question49: The best way a healthcare organization can measure whether it is meeting its goals and targets is to compare its performance:

Question50: A root cause analysts (RCA) was conducted tor an event related to a delayed high-priority alarm response. Alarm fatigue was determined to be a root cause.
Which of the following Is the most appropriate first Intervention?

Question51: Which of the following actions best illustrates an organization has begun the work necessary to achieve the Malcolm Baldrige Award?

Question52: _____________ is the collection of data used to analyze physician practice pattern, utilization of services, and outcomes of care. Its goal is to improve physician performance through accounts through accountability feedback and to decrease practice variations through adherence to evidence-based standards of care.

Question53: Which Is a source of data tor analyzing staff flu vaccination trends for an accountable care organization?

Question54: The initial step in clinical pathway development is review of

Question55: A nursing home has established a quality indicator to accomplish a 5% reduction in falls. A guideline has been developed and implemented. After six months, the goal has not been reached. The next action steps should include

Question56: An organization Is looking for a creative approach at Improving heart failure outcomes to reduce readmissions. Several clinician's express concerns that nothing can be done to Improve this. Two clinicians recommend a set of clinical practice guidelines recently developed by a specialty organization.
Which of the following would the two clinicians be considered?

Question57: Employees involved in quality circles are encouraged to develop ideas for improvement or request management efforts to propose solutions for adoption.
The aims of the quality circle activities are all of the following EXCEPT:

Question58: A performance improvement team was formed to reduce the inappropriate ordering of two expensive lab tests. The goal was to reduce the rate of inappropriate ordering of Test A by 20% and Test B by 5%.
The results of the pilot group showed a 30% drop in Test A orders and a 3% drop in Test B orders.
What additional information would be of most benefit to gain final administrative approval to implement the change organization-wide?

Question59: A surgeon's wound infection rate is 32%. Further examination of which of the following data will provide the most useful information in determining the cause of this surgeon's infection rate?

Question60: A skilled nursing facility has implemented a process to address delays in diagnostic test result availability to the ordering provider.
Which of the following measurements will best document improvement in this process?

Question61: Prior to implementing a new patient service, the healthcare quality professional should recommend

Question62: Following evaluation of the compounding process used by a pharmacy, the batch compounding consistently yields 12% more drug than Is needed. The excess Is stored until used or expired.
Which of the following types of waste should be recorded when reporting this finding?

Question63: Sampling is a key that healthcare professionals need to develop. If a process does not generate a lot of data, you probably will analyze all the occurrences of an event and not need to consider sampling.
Sampling usually is not required when the measure is:

Question64: A performance improvement council has been directed to set up a communication plan for spreading an innovative telehealth program throughout the healthcare system.
Which of the following groups must the council include in the communication plan?

Question65: Technology design that prevents a certain action, or requires that another action happen first, is said to have

Question66: In fact, because patients' satisfaction is so influenced by __________________ rather than to the more indiscernible technical ones-health maintenance organizations, hospitals and other health care delivery organizations have come to view the quality of nontechnical aspects of care as crucial to attractions and retaining patients.

Question67: Administrative databases are an excellent source of data for reporting on clinical quality, financial performance, and certain patient outcomes.
Use of administrative database is advantageous for the following reason EXCEPT:

Question68: Patients hospitalized for congestive heart failure should be able to walk farther, have more energy, and experience less shortness of breath following hospital treatment. Patients who undergo total knee replacements should have less knee pain when they talk; have a good range of joint motion; and be able to perform activities of daily living such as walking, doing yard work, and performing normal household chores.
This example shows that:

Question69: The weight of scoring system is based on an emphasis Baldrige places on ___________ and an organization's ability to demonstrate performance and improvement in the following areas:
Product and service outcomes
Customer-focused outcomes
Financial and market outcomes
Workforce-focused outcomes
Process effectiveness outcomes
Leadership outcomes

Question70: Amenities may cover areas as mentioned below EXCEPT:

Question71: What approach should be followed by the healthcare improvement team for the best outcomes?

Question72: A rapid cycle improvement team has met for six months. The team set a clear aim, gathered data, and identified barriers, but has not conducted any tests of change. Team members are also not completing assignments.
Which of the following tools should be used to get the team back on track?

Question73: Crossby's quality improvement process is based on the Absolutes of Quality Management.
Which of the following is/are out of those absolutes?

Question74: Health plan databases are an excellent source of data for quality improvement projects particular projects that have _______________. For many years, health plans have used a variety of means to collect data on their performance, track the management of care received by their numbers and direct program in disease management and care management.

Question75: Based on the chart below, implementing which of the following technologies may have the greatest impact on reducing adverse events related to medication processes?

Question76: If you decided to interview ten patients in your emergency room on a given day and drew conclusions about your emergency services from these people. You have taken limited data and made a huge jump in logic.
This jump is known as:

Question77: Which initiative should a quality professional promote in an organization seeking to optimize value- based reimbursement?

Question78: Efficiency refers how well resources are used in achieving a given result. Efficiency whenever the resources used to produce a given output are _____________.

Question79: The quality manager needs to identify a set of process measures to improve wound care outcomes.
The first step should be to

Question80: ________________ is the degree to difference between survey results when the scales are applied in different settings. Survey scores should reflect differences institutions, where care is presumably different.

Question81: A multi-disciplinary team meets with the goal of reducing Infections In an ambulatory surgery center.
The group Is struggling to gain focus and come to agreement completing an Ishlkawa diagram.
What Is the most likely cause for this challenge?

Question82: 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?

Question83: Which of the following Is an example of a population health strategy?

Question84: The preferred culture in promoting patient safety

Question85: A home health agency's Performance Improvement Committee has decided to base staff educational programs on aggregated occurrence report data. Due to budgetary and time constraints, not every area identified from the data can be addressed.
Which of the following would be most useful to the committee in determining their educational targets?

Question86: A quality professional Is the leader of a team in the storming phase of development.
Which of the following should the quality professional be prepared to do?

Question87: Which of the following Is an example of active surveillance?

Question88: __________ accounts for the different types of patients in institutions. Adjustments should be considered when hospital survey results are being released to the public.

Question89: Payers are more likely to embrace the optimization definition of care which can put them at odds with:

Question90: 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?

Question91: The primary focus of Six Sigma methodology is

Question92: A performance improvement specialist at an ambulatory surgery center is facilitating a Plan-Do- Study-Act Cycle (PDSA) process to improve the rate of hand hygiene amongst surgical post-recovery staff to 90% or above.
Data from the past 12 months are as follows:
Baseline: 60% compliance
Q1: 87% compliance
Q2: 79% compliance
Q3: 91% compliance
Q4: 72% compliance
The specialist is preparing to discuss aggregate results with the Quality Committee. To most accurately convey the results, the specialist highlights the

Question93: Benchmarking is goal directed and promotes performance improvement by all of the following ways EXCEPT:

Question94: Which of the following actions best demonstrates that an organization has begun the work necessary to achieve the Malcolm Baldrige award?

Question95: Which of the following tools provides the best way to display quarterly comparisons of patient satisfaction surveys?

Question96: _________________ 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.

Question97: When recommending a quality improvement project, the quality professional must first consider

Question98: Which of the following types of budgets itemizes the major equipment to be purchased in the next year?

Question99: Organizational size affects the ability to disseminate best practices

Question100: A recent analysis reveals that reimbursement projection Is being negatively Impacted by post- surgical respiratory failure rates.
What Is the first step to address this issue?

Question101: Evaluating data to determine high utilizers of emergency departments and their related characteristics is a strategy that can best help with

Question102: One of the first steps in preparing for an organizational accreditation survey Is to have a quality professional

Question103: Experts on delivering superior customer service suggest that healthcare organizations adopt the following principle/s:

Question104: Which of the following Is true of a clinical pathway?

Question105: Which of the following is the best approach to motivate stakeholders across the care continuum to take action?

Question106: A home healthcare organization is looking to identify third-party endorsed outcome measures for the following areas:
improvement in medication management
improvement in ambulation
improvement in pain
Which organization can best provide this information?

Question107: Which of the following would best facilitate the development of priorities?

Question108: A CEO has directed a quality improvement council to develop objectives to meet an identified goal.
When developing objectives, the council must remember to

Question109: Which of the following is an example of a structural measure?

Question110: A Pareto chart can be used to

Question111: An important responsibility of each team member working on a team project is to

Question112: Once listing posts system is in place, root-cause analyses can be performed to identify particular problems, such as a staff member or medical group that contributes to problems, or problems that are systemic to the delivery of care, such as an antiquated manual appointment system.
Listing post strategies include:

Question113: The collection, analysis, and Interpretation of data for planning, Implementing, and evaluating health programs is

Question114: The percentage of patients with congestive heart failure who are receiving an ACE inhibitor is an example of retrospective measure. The use of ACE inhibitors in the population is indicated for all patients with an ejection fraction of less than 40 percent.
The ejection fraction is not part of the typical administrative database. Sometimes the information is contained:

Question115: Health organizations measure performance to meet multiple internal and external needs and demands. Internal quality improvement literature identifies some fundamental purposes for conducting performance measurement such as:

Question116: __________ is a term applied when the proper clinical car process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug.

Question117: In recent months, the amount of time It takes for Insurance claims to be submitted has increased significantly, resulting in the hospital not being paid in a timely manner.
Which of the following Is the quality professional's best course of action?

Question118: A new pediatric psychiatric unit will open in one year. The utilization coordinator is responsible for developing the utilization management program.
The program's success will depend on which of the following factors?

Question119: Which of the following Is the best approach to prepare care team members tor Interacting with accreditation surveyors?

Question120: Convenience sampling produces a biased sample that is basically a collection of anecdotes that cannot be applied generally to larger populations.
Convenience sampling is also known as:

Question121: Rapid cycle testing is designed to reduce the cycle time of new process implementation from months to days.
To prevent unnecessary delays in testing or implementation, teams or units using rapid cycle testing must remain focused on the testing of solutions and avoid:

Question122: Generally, effective performance measurement benefits organizations in the following way/s EXCEPT:

Question123: While the use of technology may result in fewer medical errors. In order for this strategy to be most effective.
It should be supported by

Question124: Crossing the Quality Chasm provided a blueprint for the future that classified and unified the components of quality through six aims for improvement, chain of effects, and simple rules for redesign of healthcare. The six aims for improvement, viewed also six dimensions of quality.
Which of the following is NOT out of those dimensions?

Question125: Which of the following is the best strategy for executive leaders to improve patient safety within an organization?

Question126: A focused professional practice evaluation (FPPE) Is Initiated

Question127: A healthcare organization had three medication incidents associated with narcotics. None of the events led to permanent loss of function or death, but could be considered near misses.
Which of the following would be the best tool to use to identify influencing factors?

Question128: A data analyst, using a clinical decision support system (administrative database), discovered a higher-than-expected incidence of renal failure (a serious complication) following coronary artery bypass surgery. The rat e was well above 10 percent for the most recent 12 months increased over the last six quarters. However, the clinical decision support system did not contain enough detail to explain whether this complication resulted from the coronary artery bypass graft procedures or was a chronic condition present on admission.
To find the answer, the data analyst use different steps.
This example illustrates:

Question129: When allocating limited resources to meet strategic objectives, management decisions should be driven by

Question130: A hospital has been experiencing a significant Increase in the number of medication errors. The hospital's governing board has adopted barcoding technology with electronic documentation at the point of care.
Which of the following medication errors will most likely be reduced by the Implementation of this technology?

Question131: Which of the following is an example of using human factors engineering to improve patient safety?

Question132: A quality Improvement team has Identified specific changes to Implement for a quality Improvement Initiative. As the next step, the team would like to establish a concrete timeline for implementation.
Which of the following is the best tool to use for this step?

Question133: Where in the process of ensuring correct surgery does a "time-out" take place?

Question134: Which of the following is the best example of population health management?

Question135: The quality Improvement (Ql) specialist recognizes that any documents related to medical peer review are

Question136: During the course of a root cause analysis, the team found the following Items contributed to the error:
* Fatigue and stress leading to Inattention
* Pressure to accomplish more tasks In the same amount of time
* The equipment was designed for right-handed staff
Which of the following best describe these types of causes?

Question137: It involves identification and selection of a patient's medical record or group of records after the patient has been discharged from the hospital or clinic. Many proponents of medical record review believe it to be the most accurate method of data collection.
What is it?

Question138: Multi-voting Is frequently used in which of the following steps of the quality Improvement process?

Question139: Which of the following infection prevention techniques represents a human factors engineering solution?

Question140: A strategy to address social determinants of health would be to

Question141: Case-mix adjustment accounts for the different types of patients in institutions. Adjustment should be considered when hospital survey results are being released to the public.
The characteristics commonly associated with the patient reports on quality of care are all of the following EXCEPT:

Question142: Which of the following is the most effective method to identify adverse events that cause harm to patients?

Question143: Based on this matrix, which of the following ideas should the team address first?

Question144: Healthcare organizations' ability to deliver high-quality, patient-centered care to their members and patients depends in part on their understanding of basic customer service principles and their ability to integrate these principles into clinical settings. Healthcare organizations should pay attention to customer service for several reasons.
Which of the following is NOT out of t hose reasons?

Question145: When groups are asked to evaluate how effective they are with respect to will, ideas and execution, they consistently provide bothersome answers. Self-assessment to hundreds of healthcare professional is administered in United States and abroad.
Most respondents mark:

Question146: Which of the following is the best example of a non-value added step in the healthcare environment?

Question147: _________________ refers to the "degree to which individuals and groups are able to obtain needed services."

Question148: In order to make effective long-term changes, performance Improvement emphasizes the need to study and understand

Question149: A healthcare quality professional has identified a gap In practice from regulatory requirements. The quality professional should

Question150: - Health care provider accountability
- Decision making public reporting
- Organizational evaluation
- National performance improvement goals and activities
These are the performance measures identified by health organizations in order to meet:

Question151: Which of the following most accurately describes medication reconciliation?

Question152: A healthcare organization has decided that the healthcare quality professional will provide performance improvement training to all supervisors. The first step is to

Question153: When prioritizing quality improvement initiatives, which of the following should take the highest priority?

Question154: 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:

Question155: Limitations of health plan databases are all of the following EXCEPT:

Question156: Attribute data are discrete whole numbers and not continuous.
Examples of attribute data plotted as ratio data on u-charts include figures such as:

Question157: The American Society for Quality has formed six categories of quality tools.
Which of the following is NOT out of those categories?

Question158: All patients who have been selected to provide feedback should have an equal opportunity to respond. Any situation that makes certain patients less likely to be included in a sample leads to bias.
Survey vendors also can minimize sampling bias through:

Question159: A quality professional needs to select a new project from a list of requests. An organization has determined that new projects should focus on patient safety and cost-reduction.
Which tool would help Identify the project that best meets these criteria?

Question160: The downside to asking nursing staff to perform data collection is that can district nurses from their direct patient care responsibilities.
A better approach would be:

Question161: There is an increased incidence of type 2 diabetes among patients living near a healthcare organization as compared to the state.
Considering social determinants of health, which of the following strategies can be used to address this problem?

Question162: An organization Is Implementing a new electronic medical record and has employed a project manager.
At the first meeting, the project manager observes the following:
* The team estimates It Is one-fourth finished with Identifying benchmark organizations.
* Team members have not yet begun to identify the current state.
- They are halfway through collecting public data, which puts them slightly behind schedule for that task.
Which of the following tools should the quality Improvement project manager recommend?

Question163: In healthcare, many terms call for more precise operational definitions that how do an organization define the terms such as:

Question164: Choosing a small number of items to represent characteristics of the whole is an example of

Question165: Which of the following best describes how a quality professional should conduct an organizational assessment to ensure safe transitions of care?

Question166: The purpose of sentinel event review of never events is to

Question167: Examples of administrative data sources are all of the following EXCEPT:

Question168: __________________ arises from a single or small set of causes that are not part of event or process and therefore can be traced, identified and implemented or eliminated. In general, researchers are interested in this variation because they can link-or-assign variation to a single specific cause and act accordingly.

Question169: 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:

Question170: Either an increase or decrease in rate could be a signal of improvement. In other words, there is no clear direction of improvement for these measures. In this case an observed rate either above or below the expected range is an unfavourable outliner.

Question171: To effectively communicate performance indicator results, information should be disseminated to the

Question172: A healthcare quality professional is conducting a study to determine how many patients contracted influenza despite receiving flu shots.
This study is evaluating

Question173: A positive correlation Is seen in a scatter diagram when

Question174: The increased focus on and mandate for healthcare data place healthcare providers in a different situation than they have known in the past. Providers document such things and, unfortunately, many providers struggle to address the measurement mandate proactively, which leads organizations to assume a defensive posture when external organizations release the data.
Which of the following ways show/s the responses of provider in such cases?

Question175: Which of the following are hardware components that would be included in a computerized management information system?

Question176: A goal of measurement is to collect valid and reliable data that reflects

Question177: Numerous opportunities for improvement exist in every healthcare organization. However, not all improvements are of the same magnitude.
Improvements that are powerful and worthy of organization resources include those:

Question178: The primary purpose of practice guidelines is to

Question179: 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
________________.

Question180: Which of the following regulatory agencies oversee development of electronic clinical quality measures (eCQMs)?

Question181: During a risk assessment, It Is noted that a unit manager and start feel there Is a high risk of aggressive patient behavior toward unit start.
Which of the following steps should a healthcare quality professional take first?

Question182: Although Lean thinking focuses on removing waste and improving flow, it also has some secondary effects such as:

Question183: The data collection phase of the journey consists of two parts: (1) Planning for data collection and (2) The actual data gathering. A well designed data collection strategy should address different analytical questions.
Which of the following is/are the part of planning section for data collection?

Question184: Secondary prevention Is Primarily Intended to

Question185: According to Joint Commission standards, the safety program must include all of the following EXCEPT:

Question186: "Underuse is evidence by the fact that many scientifically sound practices are not used as often they should be. For example, biannual mammography screening in woman ages 40 to 69 has been proven beneficial and yet is performed less than 75 percent of the time." This is the categorization of:

Question187: An organization with a focus on population health may use data to

Question188: The clinic has a goal to reduce the Healthcare Effectiveness Data and Information Set (HEDIS) measure of ' the percent of diabetic patients with a HgA1c greater than 9.0% for accreditation.
Who should be Included on the quality Improvement team?

Question189: Members of a performance improvement team voice complaints about not having as much decision- making authority as they expected.
Which of the following should be developed to decrease the likelihood of such complaints?

Question190: In a quality improvement team, the primary role of the facilitator Is to

Question191: 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:

Question192: An ambulatory pulmonary division is in the final phase of a DMAIC project. The division head asked the team to present the performance of the project.
Which chart demonstrates that change has occurred over time and the process has limited variation?

Question193: _____________ allows for more in-depth exploration of the causes of dissatisfaction and can provide excellent ideas for reengineering services. In addition, its videotapes can be effective at changing the attitudes and beliefs of staff members because the stories participants tell animate the emotional effect of excellent service as well as service failures.

Question194: The performance improvement methodology is a carefully chosen, strategically driven, value based, systematic, organization-wide approach to the achievement of specific, meaningful, high-priority organizational improvements.
The plan should include:

Question195: An improvement project was implemented to expand utilization of primary care services in a rural area where only 5% of residents sought primary care. The team established a goal of 20% of residents using primary care.
The table below shows the results for the four months following implementation of the improvement:
% Residents Using Primary Care Time | %
Baseline | 5% Month 1 | 15% Month 2 | 20% Month 3 | 21% Month 4 | 22%
Which of the following should the quality professional recommend to the organization?

Question196: A healthcare system has multiple medical clinics across a large geographic area.
What is the best way to deliver education to assure continuous survey readiness?

Question197: The primary purpose of an emergency preparedness program is to:

Question198: Reliability is a matter of whether a particular technique applied repeatedly to the same object yields the same results each time. The reliability of a survey is initially addressed within ________________.

Question199: A healthcare quality professional's initial step in the creation of a patient safety program is to

Question200: Honest criticism is hard to take, particularly from a relative, a friend, an acquaintance, or a stranger.
Resistance to lower-than-expected results is common and reasonable. It is not necessarily a sign of complacency or lack of commitment to high-quality, patient entered care.
Most of the resistance comes in any two forms:

Question201: Which of the following is used to assess points of vulnerability within a process?

Question202: The components which support successful implementation of performance improvement programs and attainment of project goals and objective include/s:

Question203: The main purpose of conducting tracers as a part of continuous readiness is to

Question204: Depending upon the direction of a measure's improvement, outlier interpretations can be:

Question205: The ability to report survey results at an actionable level is critical; in most cases, actionable level means:

Question206: A director at a large health system is tasked with building a new population health program.
What is the director's first step?

Question207: Which of the following tools would be used to outline factors leading to a problem or desired outcome?

Question208: Which of the following is the quality professional's first step prior to implementing a new infection prevention protocol in the clinic?

Question209: There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country, California.
Dominican, a 379-bed community hospital, is part of the 41-hospital Catholic Healthcare West system.
"We used to replace ventilator circuit for incubated patients daily because we thought this helped to prevent pneumonia," explained Lee Vanderpool, vice president. ""But the evidence shows that the more you interfere with that device, the more often you risk introducing infection. It turns out it is often better to leave it alone until it begins to become cloudy, or 'gunky,' as the no clinicians say." The hospital staff learned an important lesson from this experience that:

Question210: A healthcare quality professional works in a primary care setting and has been asked to develop a patient safety program.
The first step in program development is to

Question211: To promote staff engagement In a new Initiative, educators should focus on staff

Question212: Which of the following is an effective method to motivate employees to participate in performance Improvement?

Question213: An organization's culture is best assessed by examining the

Question214: Collecting patient __________ data also is becoming a standard evaluation measure in the education and certification of medical, nursing, and allied health students.

Question215: A nurse inadvertently hung an IV medication on the wrong patient's IV pump, but discovered the error prior to initiating the infusion. Patient harm was averted, and the nurse disclosed the error to a healthcare quality professional. The quality professional should

Question216: An organization has a goal to increase profitability of services covered under bundled payments.
Which of the following aspects of quality should a healthcare quality professional recommend as a starting point for an analysis?

Question217: Which of the following would provide the best information to a Quality Council interested in evaluating the effectiveness of quality improvement teams that were chartered during the past year?

Question218: A criterion is considered valid if it

Question219: The health department cited a clinic for storing used instruments improperly. From a quality perspective, which of the following should be done first?

Question220: Measures of central tendency describe the:

Question221: Which part of a job description should be used in a criteria-based performance evaluation?

Question222: What Is the Initial step the quality professional should take when the organization's performance on a patient satisfaction strategic goal Is below the desired performance?

Question223: Which of the following is the role a healthcare quality professional should play in strategic planning?

Question224: The most effective data collection tools follow the _____________ of patient care and medical record documentation, whether the data are collected retrospectively or prospectively.

Question225: Which of the following represents a medically underserved population?

Question226: A provider's Ongoing Professional Practice Evaluation (OPPE) profile is shown below. In this organization, if a provider partially meets or does not meet performance expectations, they are referred to peer review for a Focused Professional Practice Evaluation (FPPE).
Fully Meets: >80% of measures at threshold
Meets: 65% to 80% of measures at threshold
Partially Meets: 40% to 64% of measures threshold
Does Not Meet: <40% of measures at threshold

After reviewing this provider's overall profile, what should the healthcare quality professional suggest?

Question227: The primary purpose of a management information system is to:

Question228: 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.

Question229: The focus for performance Improvement should be

Question230: The following information is available on a health system's performance dashboard:
Employee turnover decreased from 9% to 6%
Reporting of patient safety events and near misses increased 5% Overall patient satisfaction increased from 58% to 61% Which of the following should the quality professional conclude as a result of this information?

Question231: Organizations with a positive safety culture are best characterized by

Question232: The test-retest reliability coefficient is a method to measure instrument reliability.
This method measures the degree of correspondence between:

Question233: An effective method to increase an organization's board of directors engagement in patient safety is to

Question234: A multidisciplinary team has been convened to review delays in laboratory turnaround time between the medicine clinic and the laboratory.
The team's first step in evaluating the issue is to

Question235: For cheing the outcomes our focus of attention is blood pressure of patients with diabetes.
Its criteria and standard can be respectively:

Question236: Quality circles are groups of five to ten employees, with management support, who meet to solve problems and implement new procedures.
The aim/s of quality circle activities is/are:

Question237: The chairperson of the governing body has requested an annual report on improvements in patient care.
The report should include