EMT Practice Test

1. Question Content...

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Question1: A quality professional was asked to assist with strategic planning. Which of the following should have the primary impact on the quality and performance improvement goals?

Question2: A study was performed to compare quality outcomes between case/care managed groups and non-case/care managed groups tor elective coronary artery bypass. The results are as follows:

What is the median length of stay (or non-case/care managed patients?

Question3: An important responsibility of each team member working on a team project is to

Question4: An organization recently completed an analysis of safety events from the last year. The majority of events were related to the following:
* provider order transcription errors (5%)
* wrong medication given to the patient (12%)
* adverse reaction related to medication allergies (7%)
* Inappropriate medication dose administered (10%)
* delayed antibiotic administration (10%)
Which of the following would be most helpful to enhance patient safety In this organization?

Question5: Which of the following is an effective method to motivate employees to participateinperformance Improvement?

Question6: The expectation to maintain continuous survey readiness must be supported and driven by the

Question7: An internal customer of the admission process in a skilled nursing facility is the

Question8: Based on the chart below, implementing which of the following technologies may have the greatest impact on reducing adverse events related to medication processes?

Question9: 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

Question10: 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

Question11: A patient safety program can best be enhanced by which of the following technologies?

Question12: Annual evaluation of a quality Improvement process must

Question13: An extended care facility measures the percent of time a comprehensive exam is completed within 96 hours of admission. This is an example of which of the following types of measure?

Question14: The healthcare quality professional has been asked to participate in the organizations population health program related to cost and utilization.

Based on this Information, what Is the next action the quality professional should take?

Question15: 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?

Question16: Practice guidelines should be based on

Question17: Which of the following is the most effective method to identify adverse events that cause harm to patients?

Question18: The safety reporting system being used by an organization cannot produce reports or information in a usable format. After evaluating the existing system and other products on the market, which of the following should the quality professional do before making recommendations to leadership?

Question19: Which of the following is the key responsibility of a healthcare quality professional in all types of facilities and organizations?

Question20: The desired outcome of peer review Is to

Question21: 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?

Question22: A team has been working together for six months to improve a patient outcome, and the desired result has not been achieved. An assessment of team effectiveness was conducted and revealed the following:

The healthcare quality professional should recommend

Question23: Prior to implementing a new patient service, the healthcare quality professional should recommend

Question24: 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?

Question25: In a data set, the difference between the highest and lowest observed values is known as the

Question26: Which of the following is the best approach to motivate stakeholders across the care continuum to take action?

Question27: A patient safety manager provided training on hand hygiene guidelines. The clinical manager Is confident that staff are following the guidelines. Which of the following Is the best method to evaluate the current compliance with the guidelines?

Question28: A nursing director for a unit in a cancer hospital Is reviewing and assessing outcomes data in the following scatter diagram:

The relationship between the incidence of infection and the decrease in staffing targets is

Question29: Which of the following tools Is most effective in assisting an organization seeking to evaluate the current culture of safety?

Question30: A managed care peer review committee should obtain which of the following first?

Question31: The strategic plan for an organization calls for expansion of information technology. The following information is available:

If equal weight is given to each consideration, which of the following options should be the primary choice?

Question32: An organization conducts daily briefing sessions. Which of the following questions demonstrates a culture of safety?

Question33: An effective meeting requires which of the following?

Question34: For which incident would a process improvement manager be required to perform a root cause analysis (RCA)?

Question35: A healthcare quality professional wants to find out whether the community served Is satisfied with the care provided. The organization serves patients who live within a 10-mile radius. The healthcare quality professional mails a survey to households within 3 miles of the organization. What type of bias has been Introduced?

Question36: In a healthcare organization Implementing ongoing performance Improvement (PI), which of the following will most likely benefit the PI goals of the organization?

Question37: 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 painWhich organization can best provide this information?

Question38: An organization has compiled the scatter plots below:

Based on these plots, which of the following conclusions can be made by the quality professional?

Question39: Which of the following presents a set of high-level measures grouped into learning and growth, customer, internal business, and financial?

Question40: An ambulatory care practice has reviewed data to identify patients with multiple visits to the emergency room within the last six months. The population health management technique for this type of data review is called

Question41: Which of the following regulatory agencies oversee development of electronic clinical quality measures (eCQMs)?

Question42: A healthcare quality Improvement team is working on an action plan to address medication system defects.
Based on the data from the chart below, what would be the next step?

Question43: A healthcare quality professional has identified a gap In practice from regulatory requirements. The quality professional should

Question44: A healthcare quality professional is conducting a study to determine how many patients contracted influenza despite receiving flu shots. This study is evaluating

Question45: Which of the following Is true of a clinical pathway?

Question46: Which of the following is used to assess points of vulnerability within a process?

Question47: A strategy to address social determinants of health would be to

Question48: An organization Is evaluating the data used to measure compliance with medication reconciliation by clinic.
Three abstractors have been assigned to collect the data. The compliance data by abstractor and unit are below:

Based on this table, which of the following Is the best next step to evaluate accuracy and reliability ol the data?

Question49: 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?

Question50: Which of the following tools would best display nosocomial infection rates over time?

Question51: Which of the following should a healthcare plan use to collect satisfaction data from its health plan members?

Question52: Managed care outcomes related to HEDIS measures are most commonly obtained through

Question53: The primary purpose of practice guidelines is to

Question54: A healthcare organization wishes to develop an education plan for quality and patient safety. Based on adult learning principles, the planned education Is most likely to be effective when

Question55: Which tool Is used to Identify resources needed to complete a project?

Question56: Which of the following data sources can be used to assess a population's health status?

Question57: Which ofthe following quality ImprovementToolsIs best for risk assessment of a new or modified process?

Question58: A healthcare quality professional receives complaints from numerous patients that the registration process is inefficient. Which of the following should be used to best identify customer expectations, perceptions, and improvement opportunities?

Question59: An organization has implemented a quality improvement project. The goal is a mean compliance rate of 90%.
The results of observations are found in the table below:

Which focus area presents the greatest opportunity for the organization?

Question60: A continuous survey readiness program requires which ofthe following?

Question61: Which of the following would best facilitate the development of priorities?

Question62: A healthcare quality professional Is facilitating the establishment of a Quality Council for an outpatient surgery center. The following positions have been selected for membership: medical director, CEO. and CFO.
Which of the following Is the most appropriate Individual to add?

Question63: Which management accountability action should be Implemented to ensure continuous readiness tor accreditation survey?

Question64: Leadership at an outpatient multi-specialty clinic Is working toward becoming a high-re I lability organization. In the past week, there have been three medication errors with high-risk medications in the procedure area. Which of the following responses by leadership Is consistent with high-reliability principles?

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

Question66: 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?

Question67: A health system in an underserved area seeks to improve medication adherence in patients with hypertension.
One of the barriers identified is patients with limited English proficiency. Which of the following solutions will best improve medication adherence?

Question68: The quality manager needs to identify a set of process measures to improve wound care outcomes. The first step should be to

Question69: A key concept in patient safety planning is to design procedures that

Question70: Choosing a small number of items to represent characteristics of the whole is an example of

Question71: The preferred culture in promoting patient safety

Question72: 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

Question73: The quality Improvement (Ql) specialist recognizes that any documents related to medical peer review are

Question74: 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?

Question75: The quality manager needs to identify a set of process measures to improve wound cate outcomes. The first step should be to

Question76: In recent months, the amount of time It takes for Insurance claimsto be submitted has increased significantly, resulting in the hospital not being paidina timely manner. Which of the following Is the quality professional's best course of action?

Question77: Which of the following Is an algorithm that Is designed to classify patients according to their acuity?

Question78: 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

Question79: Analysis has shown that there Is a significant delay in receiving laboratory results In the emergency room. A cross-functional team Is assigned the task of Improving laboratory reporting time. Which of the following Is the next step the team should take?

Question80: During development of a clinical pathway, a quality professional should

Question81: 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?

Question82: Which of the following is one purpose of clinical pathways?

Question83: 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?

Question84: 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?

Question85: Accountability for quality ultimately rests with the

Question86: 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?

Question87: A long-term care facility Is Interestedinanalyzing data to determine If there Is a relationship between the number of medications residents are prescribed and the number of falls the residents experience. Which of the following quality tools Is most appropriate to help the long-term care facility understand the data?

Question88: Even when appropriate processes areinplace, errors can occur. Understanding this, leaders coordinating a patient safety program should focus on

Question89: Based on the data below, which unit should the quality Improvement coordinator focus on?

Question90: To determine how much variabilityina process Is due to random variationand how much Is due to uniqueevents, the most appropriate tool would be a

Question91: Which of the following represents a medically underserved population?

Question92: Which of the following is the best example of a patient-centered approach in healthcare?

Question93: 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?

Question94: When prioritizing quality improvement initiatives, which of the following should take the highest priority?

Question95: Which of the following most accurately describes medication reconciliation?

Question96: A performance Improvement team has been formed and assigned to reduce wait time from clinic check-In to seeing a provider. Which tool would be most useful for the team to create at the first meeting?

Question97: The main goal of a clinical pathway/guideline Is lo

Question98: The health department cited a clinic for storing used instruments improperly. From a quality perspective, which of the following should be done first?

Question99: A quality professional is creating a training session for clinical leaders about quality improvement. Which of the following should be incorporated into the training?

Question100: 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

Question101: 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?

Question102: The best means of reducing sentinel events In a care delivery system Is

Question103: To assess compliance with quality standards, a healthcare organization needs

Question104: 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?

Question105: Which of the following is the most effective method to identify adverse events that cause harm to patients?

Question106: Multi-voting Is frequently usedinwhich of the following steps of the quality Improvement process?

Question107: 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?

Question108: A healthcare quality professional can conclude that clinical performance measures in disease specific certification programs are best supported by the

Question109: A healthcare organization has decided that the healthcare quality professional will provide performance improvement training to all supervisors. The first step is to

Question110: Data from an Incident reporting system compares Incident rates for one facility to similar facilities:

After reviewing the graph, which of the following should be done first?

Question111: Which of the following approaches best allows an agency to align Its activities with organizational goals?

Question112: A department analyzed Its process for distributing paychecks to employees. The analysis showed there were multiple checkpoints tor 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?

Question113: Which of the following is the most effective means of communicating commitment to patient safety?

Question114: Performance Improvement plans are most successful when linked first with

Question115: 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?

Question116: A hospital is considering changing the process of admissions from the emergency department. To support patient safety when this new process is deployed, the healthcare quality professional should suggest which of the following actions during the design stage of the process?

Question117: One of the first steps in preparing for an organizational accreditation survey Is to have a quality professional

Question118: A hospital Is anticipating an accreditation survey In the next four months, and the quality director forms a team to ensure compliance with current requirements. This indicates the hospital Is

Question119: Which of the following Is an example of active surveillance?

Question120: A healthcare organization has been providing cardiac care to patients. Leaders are interested in seeing how their outcomes compare with other organizations that are providing similar care. Which of the following types of programs should this organization consider participating in?

Question121: An organization's culture is best assessed by examining the

Question122: Which initiative should a quality professional promote in an organization seeking to optimize value-based reimbursement?

Question123: An organization that demonstrates a culture of safety

Question124: Which of the following provides support and subject matter expertise (or organizations that self-report sentinel events?

Question125: The purpose of sentinel event review of never events is to

Question126: An emergency department's quality Improvement report for the first quarter showed the following data:

What was the approximate overall problem rate for March?

Question127: An interdisciplinary learn met to review readmission rates at a health system. Issues were identified with communication across care providers. The team is interested in improving the coordination of care process and is now reviewing four candidates to serve in the role of process champion:

Of the four candidates, which represents the most effective choice to serve as a process champion?

Question128: A healthcare quality professional Is assisting an organization with evaluating patient safety actions that will prevent errors of omission. Which of the following systems will most likely be effective?

Question129: A hospital received 50 Incident reports describing falls that occurred within aone-monthperiod. Which of the following actions should be taken?

Question130: When reporting infection control indicators to a governing body, a healthcare quality professional should demonstrate improvement with which of the following tools?

Question131: 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?

Question132: An organization has Implemented a quality improvement project. The goal is a mean compliance rate of 90%.
The results of observations are found in the table below:

Which focus area presents the greatest opportunity for the organization?

Question133: Before patient outcome data can be used for benchmarking, the data should be

Question134: Organizations with a positive safety culture are best characterized by

Question135: 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?

Question136: Each department in a hospital self-monitors and reports hand hygiene data each quarter. Results typically fall within the 58-72% range, with the exception of Respiratory Therapy, which consistently reports 100% compliance. Which of the following steps should a healthcare quality professional take next?