EMT Practice Test

1. Question Content...

---

Question1: 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?

Question2: Four surgical centers formed a collaboration to reduce post-operative infection rates. The goal was to reduce infection rates by 20% from baseline.

Which center met the goal?

Question3: 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?

Question4: The trend of a variable over time is best illustrated by a:

Question5: Which of the following tools will best help a quality professional to exhibit project activities and results?

Question6: Which of the following Is an example of a population health strategy?

Question7: A Rapid Process Improvement Team began a new process on January 7 to reduce targeted events per bed day outcome. The team asked the quality analyst to help determine whether the new process was successful and should be continued. Based on the control chart the quality analyst produced, which of the following is the best conclusion?

Question8: 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?

Question9: Which of the following is the most effective means of communicating commitment to patient safety?

Question10: An orthopedic surgery practice has been working on improving patient safety for the last 3 years. The following data table is available:
Which of the following is the most appropriate conclusion about patient safety outcomes?

Question11: The best means of reducing sentinel events In a care delivery system Is

Question12: Which of the following is the best method of determining improvement priorities to benefit the health of the community?

Question13: A pulmonologist is gathering social determinants of health data from their patients. Which of the following best explains the purpose of collecting this data?

Question14: 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?

Question15: 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?

Question16: A recent journal article has identified three new patient safety initiatives. When reviewing these initiatives, the first action of a healthcare quality professional is to:

Question17: 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

Question18: Which of the following is the most effective way to promote a safe transition of care to home for patients leaving a hospital?

Question19: 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?

Question20: A quality professional has been asked to assist with prioritizing quality performance Initiatives In the surgery department. Given the Information In the matrix below, which of the following performance Initiatives should take priority?

Question21: 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?

Question22: In reviewing information offered by the Agency for Healthcare Research and Quality (AHRQ), the quality improvement (QI) specialist recognizes that the three broad aims pursued by the National Quality Strategy are

Question23: 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?

Question24: The most important determinant of quality improvement success is

Question25: A continuous survey readiness program requires which ofthe following?

Question26: 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?

Question27: Based on the chart below, implementing which of the following technologies may have the greatest impact on reducing adverse events related to medication processes?

Question28: 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?

Question29: The focus for performance Improvement should be

Question30: Which of the following would be the best methodology to reduce referral wait time?

Question31: Evaluating data to determine high utilizers of emergency departments and their related characteristics is a strategy that can best help with

Question32: 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?

Question33: Leadership at a facility reviewed and revised business process activities following staff layoffs. The activities were carefully planned, communicated, and implemented according to the plan. One year later, the business is stable but staff morale is very low. Based on the concepts of change theory, this is most likely due to:

Question34: 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?

Question35: The quality professional has been asked to perform chart audits on a population to assess how often hypertension is being addressed by clinicians when hypertensive patients presented to the clinic in the last year. The clinic has over 8,000 patients diagnosed with hypertension. Which of the following would be most appropriate for the quality professional to consider when selecting a sampling methodology?

Question36: The expectation to maintain continuous survey readiness must be supported and driven by the

Question37: An ambulatory pulmonary division is in the finalphase 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?

Question38: Why is it important to convene a multidisciplinary team when conducting a failure mode and effects analysis (FMEA)?

Question39: A physician's profile shows a 4%readmissionrate following outpatient gallbladder surgery, which Is significantly higher than the rate for their peers.
What action should the quality professional take next?

Question40: An effective meeting requires which of the following?

Question41: The office manager of a primary care office reviewed the performance of the providers and noted that one provider has not been completing depression screenings consistently for patients in the previous month. The manager's next action is to:

Question42: Which of the following best describes the goal of the Healthy People Initiative?

Question43: Which of the following is the best example of population health management?

Question44: Which of the following is the best strategy to increase a community's annual influenza vaccination rate?

Question45: Based on this matrix, which of the following ideas should the team address first?

Question46: Which of the following statements most accurately describes health literacy?

Question47: Which of the following Is an example of active surveillance?

Question48: Which of the following strategies promotes timely completion of a quality improvement project?

Question49: The following data are known:

Which of the following accurately describes this chart?

Question50: Which of the following is one purpose of clinical pathways?

Question51: A sentinel event is a situation that reaches the patient and results in either a death, severe or temporary harm, or:

Question52: In aligning an organization's performance Improvement plan with strategic goals, a healthcare quality professional should consider

Question53: Prior to a regulatory or accreditation visit, a healthcare quality professional should:

Question54: 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?

Question55: Choosing a small number of items to represent characteristics of the whole is an example of

Question56: 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

Question57: To determine how much variabilityina process Is due to random variationand how much Is due to uniqueevents, the most appropriate tool would be a

Question58: To best achieve a low rate of harm in spite of inherent risks in healthcare, an organization must:

Question59: 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?

Question60: A root cause analysis (RCA) was conducted for 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?

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

Question62: 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?

Question63: An internal customer of the admission process in a skilled nursing facility is the

Question64: 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

Question65: Which of the following actions will best promote organizational efficiency in managing quality improvement projects?

Question66: Before patient outcome data can be used for benchmarking, the data should be

Question67: 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?

Question68: Using the Information below, which patient population Is at the highest risk tor tailing?

Question69: 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

Question70: When developing objectives for an educational program, the quality professional should recommend

Question71: The median is defined as the

Question72: An initial step to address health disparities within a population is to:

Question73: 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?

Question74: 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?

Question75: A focused professional practice evaluation (FPPE) Is Initiated

Question76: 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?

Question77: 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?

Question78: When recommending a quality improvement project, the quality professional must first consider

Question79: Which of the following best describes the goal of the Healthy People Initiative?

Question80: A quality professional Is the leader of a teaminthe storming phase of development Which of the following should the quality professional be prepared to do?

Question81: When an identified solution requires significant change, the best tool to increase the likelihood of success is a:

Question82: Which of the following represents a medically underserved population?

Question83: Which of the following Is true of a clinical pathway?

Question84: Multi-voting Is frequently usedinwhich of the following steps of the quality Improvement process?

Question85: Which of the following tools would be used to outline factors leading to a problem or desired outcome?

Question86: To effectively communicate performance indicator results, information should be disseminated to the

Question87: 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?

Question88: 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?

Question89: 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

Question90: A goal of measurement is to collect valid and reliable data that reflects

Question91: Accountability for quality ultimately rests with the

Question92: In an improvement project to improve clinic flow, a spaghetti chart is best used to:

Question93: Which of the following is an example of a structural measure?

Question94: Which of the following stages may cause continuous quality improvement teams to dissolve prematurely?

Question95: When allocating limited resources to meet strategic objectives, management decisions should be driven by

Question96: Which of the following approaches best allows an agency to align Its activities with organizational goals?

Question97: In addition to being a good communicator, an essential characteristic of a quality champion is:

Question98: 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?

Question99: What tool displays performance outside of expected values to merit a deeper analysis?

Question100: 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?

Question101: Which of the following is the role a healthcare quality professional should play in strategic planning?

Question102: Technology design that prevents a certain action, or requires that another action happen first, is said to have

Question103: The health department cited a clinic for storing used instruments improperly. From a quality perspective, which of the following should be done first?

Question104: 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?

Question105: A hospital's quality professional notices a high 30-day readmission rate for patients with chronic obstructive pulmonary disease (COPD) exacerbation. What is the quality professional's next best step?

Question106: A performance improvement team is looking at data from similar medical centers to improve patterns of care.
This method of assessment is known as:

Question107: 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?

Question108: Which of the following should be used to show beginning and ending times for an activity along a timeline?

Question109: 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?

Question110: Which of the following is the best strategy for executive leaders to improve patient safety within an organization?

Question111: A key concept in patient safety planning is to design procedures that

Question112: Which management accountability action should be Implemented to ensure continuous readiness tor accreditation survey?

Question113: A health system successfully recruited patients to participate in a newly launched smoking cessation program, but attendance at follow-up visits is low among the Hispanic/Latino community. Which of the following interventions would benefit the program?

Question114: 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?

Question115: 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?

Question116: A physician group with a patient population of 10,000 during the fourth quarter of a year reviewed 100 complaints regarding access to specialty care. During the fourth quarter of the next year, the patient population had grown to 60,000 with 360 complaints regarding access to specialty care. The group has a target goal of five complaints per 1,000 patients. Which of the following should a healthcare quality professional conclude based on the data?

Question117: Which of the following is the best approach to motivate stakeholders across the care continuum to take action?

Question118: The quality manager needs to identify a set of process measures to improve wound care outcomes. The first step should be to

Question119: Which of the following is the best example of a non-value added step in the healthcare environment?

Question120: A hospital is using the above chart to monitor the average length of stay (ALOS) for patients diagnosed with acute myocardial infarction (AMI). Which of the following conclusions should be made?

Question121: A healthcare quality professional has been asked to assess a facility's patient safety culture. Which of the following should be surveyed?

Question122: Which of the following is the most effective method to identify adverse events that cause harm to patients?

Question123: Which of the following actions will most effectively promote safety activities within an organization?

Question124: Which of the following is an example of a social determinant of health used to monitor a quality improvement initiative?

Question125: 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?

Question126: An organization Is shirting paradigms from top-down leadership to participatory management. The process of moving forward Includes the four Identified phases below:
1. gathering baseline data
2. evaluating effectiveness and Improvement
3. making the commitment
4. Implementing the program
Which of the following Is the most logical sequence for these phases?

Question127: A goal of measurement is to collect valid and reliable data that reflects

Question128: To best achieve a low rale of harm In spite of Inherent risks In healthcare, an organization must

Question129: Which of the following tools aids decision-making through organizing tasks, issues, or actions based on agreed-upon criteria?

Question130: A researcher decides to look at every fourth patient admitted each day and record if the IV is properly labeled, starting with a randomly selected patient. This is known as which of the following types of random selection?

Question131: Which of the following presents a set of high-level measures grouped into learning and growth, customer, internal business, and financial?

Question132: A patient safety program can best be enhanced by which of the following technologies?

Question133: Annual evaluation of a quality Improvement process must

Question134: A healthcare quality professional has the following data on a hospital's surgical site infection rates:
Procedure
Hospital Infection Rate
95% Confidence Interval
State Mean Infection Rate
Total Hip Replacement
0.4%
0.2%-0.6%
0.9%
Total Knee Replacement
1.1%
0.8%-1.2%
1.0%
ACL Reconstruction
1.5%
1.4%-1.6%
1.5%
Total Shoulder Replacement
1.3%
1.0%-1.6%
0.9%
Which procedure is the best area for focused quality improvement?

Question135: Managed care outcomes related to HEDIS measures are most commonly obtained through

Question136: Accountable care organizations (ACOs) utilize "hot spotting" as a population health tool to:

Question137: Which of the following tools should be used to determine the root cause of variations in a process?

Question138: X quality professional is reviewing medication adherence data for patients with type 2 diabetes. Based on the table below, which neighborhood should be prioritized for additional interventions?
| Percent of Patients with Type 2 Diabetes Not Taking Medications for 30+ Days | | --- | --- | | Neighborhood | Year 1 | Year 2 | | A | 5% | 10% | | B | 43% | 42% | | C | 20% | 40% | | D | 38% | 44% |

Question139: 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?

Question140: When working with a new quality Improvement team, the quality professional should stress the importance of

Question141: A team has completed several tests of change and has arrived at a recommendation. In order to facilitate change, which of the following should occur first?

Question142: Which of the following best describes the purpose of the nominal group technique?

Question143: 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?

Question144: 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?

Question145: Which of the following is the quality professional's first step prior to implementing a new infection prevention protocol in the clinic?

Question146: Which of the following most accurately describes medication reconciliation?

Question147: Which of the following infection prevention techniques represents a human factors engineering solution?

Question148: Which of the following are the three primary quality management activities?

Question149: When prioritizing quality improvement initiatives, which of the following should take the highest priority?

Question150: The purpose of sentinel event review of never events is to

Question151: Which of the following is an example of an alternative payment model (APM)?

Question152: 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?

Question153: A local health center is launching a community health assessment. What data is recommended to identify the potential needs of the population?

Question154: A criterion is considered valid if it

Question155: 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?

Question156: 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

Question157: One of the first steps in preparing for an organizational accreditation survey Is to have a quality professional

Question158: 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

Question159: A quality improvement team has been trained on writing SMART aim statements. Below are the team's aim statements:
* Reduce adverse drug events in critical care by 10% within 12 months.
* Reduce the time from 911 call to intervention for cardiac complaints by 15%.
* Reduce 30-day readmissions from 20% to 15%.Which of the following key elements in aim development appears to have been lost after the training?

Question160: A long-term care facility has experienced an Increaseinoccupational 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?

Question161: An organization that demonstrates a culture of safety

Question162: The main goal of a clinical pathway/guideline Is lo

Question163: An organization's preventable fall goal is not to exceed greater than 25% of its total falls. Which units below meet this goal?

Question164: A nursing unit has collected the following data:

Which of the following is the best method to display this data?

Question165: A 300-bed healthcare organization has decided to apply for accreditation with a new accreditation body. The accreditation readiness coordinator should first

Question166: A recent Journal article has Identified three new patient safety Initiatives. When reviewing these Initiatives, the first action of a healthcare quality professional Is to

Question167: Which of the following Is an algorithm that Is designed to classify patients according to their acuity?

Question168: Which of the following should the team do next?

Question169: A managed care peer review committee should obtain which of the following first?

Question170: 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?

Question171: Which of the following best describes how a quality professional should conduct an organizational assessment to ensure safe transitions of care?

Question172: 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?

Question173: 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?

Question174: A Pareto chart can be used to

Question175: A continuous quality improvement team has proposed a major change in the billing process for home health service. Staff acceptance of the change is best facilitated by:

Question176: A healthcare quality professional's initial step in the creation of a patient safety program is to

Question177: Through routine collection of incident reports, an increase in medication errors was noted over a period of 6 months on 2 nursing units. Which of the following is the best method of displaying the data to illustrate this finding?

Question178: 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?

Question179: Education sessions were held to improve bar code medication administration (BCMA) performance. Six months after completion of education, an analysis showed continued BCMA improvement. What is the key to sustaining this improvement?

Question180: Which ofthe following quality ImprovementToolsIs best for risk assessment of a new or modified process?

Question181: 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

Question182: Which of the following tools would best display nosocomial infection rates over time?

Question183: The chairperson of the governing body has requested an annual report on improvements in patient care. The report should include

Question184: Which of the following is an effective method to motivate employees to participateinperformance Improvement?

Question185: A performance improvement coordinator is having difficulty keeping a new team focused on its goal of decreasing patient waiting times. To understand why the team process is not working, the team leader should initially assess the