Summer Special Sale Limited Time 60% Discount Offer - Ends in 0d 00h 00m 00s - Coupon code: 713PS592

CPHQ Certified Professional in Healthcare Quality Examination Questions and Answers

Questions 4

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

Options:

A.

"Do we have available beds in the ICU?"

B.

"Did anything happen last night that could lead to a central line infection?"

C.

"Who is the last person that committed a medication error?"

D.

"What was the patient’s intake and output?"

Buy Now
Questions 5

When analyzing nominal data, the quality professional uses a bar chart to display

Options:

A.

ratios.

B.

frequencies.

C.

distributions.

D.

correlations.

Buy Now
Questions 6

Which of the following is most important to include in a project to reduce post-operative infections?

Options:

A.

evidence-based literature

B.

a multidisciplinary team

C.

staff education

D.

data collection tools

Buy Now
Questions 7

A quality director has been tasked with the responsibility for education and implementation of a new process improvement initiative. To affect the needed change in culture, the quality director should

Options:

A.

Establish training for managers and supervisors

B.

Communicate that the costs are justified by the benefits

C.

Maintain visibility and engage throughout the process

D.

Require regular quarterly reporting on progress

Buy Now
Questions 8

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

Options:

A.

creating a team to revise operations to conform to the Malcolm Baldrige requirements

B.

develop a crosswalk between Malcolm Baldrige and Joint Commission requirements

C.

determine effects on Centers for Medicare and Medicaid Services (CMS) Conditions of Participation.

D.

reviewing the Malcolm Baldrige standards to determine organization alignment

Buy Now
Questions 9

When reviewing the outcome measures of five regional psychiatric centers, variables such as illness severity, comorbid psychiatric and medical diagnoses, and substance-use issues are identified. Which of the following methods best controls for these variables?

Options:

A.

case-mix adjustment

B.

analysis of variance

C.

weighted average

D.

Chi-square test

Buy Now
Questions 10

Which of the following methods best links performance improvement activities with organizational strategic goals?

Options:

A.

Encouraging open lines of communication in the organization.

B.

Setting up a committee to conduct a review of goals.

C.

Monitoring indicators related to the goals.

D.

Requesting departments monitor for areas of wasted resources.

Buy Now
Questions 11

The hospital administration has requested data to support an initiative to reduce barriers to healthcare In the community. Which of the following Information Is most appropriate for the quality professional to provide for initial planning?

Options:

A.

community planning maps showing transportation routes

B.

demographic data showing occupations and housing types of the area

C.

reports from the public health department showing pediatric obesity rates

D.

top 10admission diagnoses and readmission report

Buy Now
Questions 12

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?

Options:

A.

project checklist

B.

affinity diagram

C.

interrelationship diagram

D.

team charter

Buy Now
Questions 13

The ability to safely manage complex tasks in the face of time pressures, quickly identify and contain errors, and bounce back after stressful situations relates to organizational:

Options:

A.

Lean capacity

B.

Resilience

C.

Disaster readiness

D.

Safety rules

Buy Now
Questions 14

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

Options:

A.

actual performance.

B.

desired performance.

C.

potential performance

D.

targeted performance.

Buy Now
Questions 15

To integrate performance improvement with organization planning, there must be alignment between

Options:

A.

Performance improvement teams and human resources

B.

Measuring and monitoring performance results

C.

Quality control processes and systems

D.

Strategic and improvement objectives

Buy Now
Questions 16

A group of clinical staff has identified a new opportunity for improvement. The group is ready to identify a sponsor, and a meeting has been scheduled with the Chief Medical Officer to discuss the possibility for them to serve as the sponsor. What sponsor task should be discussed during the meeting?

Options:

A.

Perform data analysis to identify gaps or opportunities

B.

Influence peers to adopt proposed changes

C.

Demonstrate the ideal process to the staff

D.

Allocate resources to support the team’s work

Buy Now
Questions 17

A pay-for-performance structure includes a payout based on achieving the NCQA Quality Compass® 50th Percentile, plus an additional bonus for achieving the NCQA Quality Compass® 75th Percentile. Individual performance on measures is as follows:

NCQA Measure

Physician A

Physician B

Nurse Practitioner C

Physician Assistant D

50th Percentile

75th Percentile

Diabetic Retinal Eye Exam

75%

80%

60%

63%

65%

70%

Nephropathy

53%

43%

50%

48%

50%

52%

HbA1c Testing

76%

80%

52%

70%

72%

76%

Which provider will not earn pay-for-performance based on reaching either the NCQA Quality Compass® 50th or 75th percentile?

Options:

A.

Physician A

B.

Physician B

C.

Nurse Practitioner C

D.

Physician Assistant D

Buy Now
Questions 18

Which of the following quality Improvement Tools Is best for riskassessment of a new or modified process?

Options:

A.

SWOT analysis

B.

failure mode and effects analysis (FMEA)

C.

force field analysis

D.

5 whys

Buy Now
Questions 19

Which of the following will help determine the health status of a defined population?

Options:

A.

Frequency of chronic disease as reported by patients in a clinic

B.

Rate of preventive health care visits found by reviewing claims data

C.

Percentage of individuals with a higher education degree

D.

Demographics such as age, race/ethnicity, and socioeconomic status

Buy Now
Questions 20

A home health agency’s Performance Improvement Committee has decided to base staff educational programs onaggregated 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?

Options:

A.

force field analysis

B.

control chart

C.

Pareto chart

D.

scattergram

Buy Now
Questions 21

Which of the following is the best disease management approach to reduce hospitalizations for patients with high blood pressure?

Options:

A.

Track the number of hospitalizations for high blood pressure over a six-month period.

B.

Provide home blood pressure monitors to patients with high blood pressure.

C.

Routinely screen patients for high blood pressure.

D.

Educate patients on how to prevent high blood pressure.

Buy Now
Questions 22

When implementing a new process or procedure, which of the following tools should be used to anticipate and prevent potential problems?

Options:

A.

Failure Mode and Effects Analysis

B.

Flow Chart

C.

Root Cause Analysis

D.

Cause and Effect Diagram

Buy Now
Questions 23

A Quality Council has received the following requests for establishing performance improvement teams:

Maintenance: Overtime reductions

Dietary: Meal delivery process

Housekeeping: Room turnaround times

Biomedical: Identification of malfunctioning equipment

Human Resources: Competency assessments

Which of the following should the Quality Council do first?

Options:

A.

Review patient satisfaction to verify problem areas

B.

Obtain CFO approval

C.

Determine team leaders

D.

Prioritize the requests

Buy Now
Questions 24

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:

Options:

A.

Initials

B.

Name

C.

A confidential coding system

D.

A coding system with the key attached to the report

Buy Now
Questions 25

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

Options:

A.

reduce medical waste, use Lean, and achieve equity and better access to care.

B.

reduce complications, reduce readmissions, and improve health outcomes.

C.

better care, healthy people/health communities, and affordable care.

D.

triple aim, reduce utilization, and affordable care.

Buy Now
Questions 26

The degree to which an instrument measures what it is intended to measure is known as

Options:

A.

Regression

B.

Reliability

C.

An indicator

D.

Validity

Buy Now
Questions 27

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

Options:

A.

Discuss safety events with managers at the unit level.

B.

Ensure staff are aware of psychological safety concepts.

C.

Empower staff to take ownership of unit-based safety issues.

D.

Encourage patients to participate in the advisory council.

Buy Now
Questions 28

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?

Options:

A.

examining the new process for stability and variation using a control chart

B.

completing a failure mode and effects analysis (FMEA) of the new process

C.

conducting a root cause analysis to predict errors in the new process

D.

analyzing incident reports from the last year using a Pareto chart

Buy Now
Questions 29

An effective meeting requires which of the following?

Options:

A.

mission statement

B.

planned agenda

C.

recorder's name

D.

written minutes

Buy Now
Questions 30

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

Options:

A.

define goals, assessment, and review results

B.

measurement, assessment, and Improvement of outcomes

C.

assessment, improvement, and strategic planning

D.

review trends, assessment, and stakeholder accountability

Buy Now
Questions 31

Cold-spotting involves identifying populations that

Options:

A.

engage in high-risk behaviors.

B.

lack access to healthcare or other community support.

C.

receive care through state and federally funded programs.

D.

utilize healthcare services frequently.

Buy Now
Questions 32

The best indication of how well staff members apply the performance improvement (PI) process after completing a PI training course is:

Options:

A.

Evidence that staff favorably evaluated the course.

B.

Evidence that staff has initiated PI processes.

C.

Test results upon completion of the course that show 80% correct answers.

D.

Test results 6 months after the course that show 75% correct answers.

Buy Now
Questions 33

A physician challenges the number of healthcare-acquired infections reported for orthopedic surgery. Which of the following will be most effective in demonstrating the validity of the information?

Options:

A.

antibiotic usage by the orthopedic department

B.

criteria used to classify infections

C.

start time of antibiotics for each patient

D.

infection control procedure manual

Buy Now
Questions 34

A long-term care facility Is Interested in analyzing data to determine If there Is arelationship 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?

Options:

A.

Pareto chart

B.

fishbone diagram

C.

histogram

D.

chatter diagram

Buy Now
Questions 35

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

Options:

A.

foster teamwork and good communication at all levels of the organization and conduct training for both of these skill sets.

B.

structure the board agenda so that quality and safety are given the same amount of attention as financial issues.

C.

focus on improvement projects that are important to the medical staff in the organization.

D.

guide them through a recent failure mode and effects analysis (FMEA) that was conducted prior to the launch of a new technology.

Buy Now
Questions 36

Which of the following is the best data source to assess an organization’s culture of safety?

Options:

A.

Adverse event reports

B.

Staff-completed survey results

C.

Workplace injury claims

D.

Patient complaints

Buy Now
Questions 37

An organization’s nursing units report the following needlestick injuries:

Unit

# Needlestick Injuries

# Admissions

A

2

1,000

B

12

800

C

5

752

Which response by leadership demonstrates a culture of safety?

Options:

A.

Promote a non-punitive response to needlesticks reported

B.

Evaluate the needle safety device for Unit B

C.

Congratulate Unit A for fewer needlestick injuries

D.

Review training records for needlestick prevention

Buy Now
Questions 38

Which of the following regulatory agencies overseedevelopment of electronic clinical quality measures (eCQMs)?

Options:

A.

Occupational Safety and Health Association (OSHA)

B.

The Joint Commission (TJC)

C.

Centers for Medicare and Medicaid Services (CMS)

D.

DNV GL Healthcare

Buy Now
Questions 39

A customer complains to the health care quality professional about a service in the organization. Which of the following actions should be taken first?

Options:

A.

Create a quality improvement team to address the concern

B.

Refer the issue to the appropriate department

C.

Direct the customer to put the complaint in writing

D.

Review patient experience data for the department

Buy Now
Questions 40

Several leaders in a healthcare facility have differing opinions regarding the pursuit of alternative certifications and recognitions. The Chief Quality Officer (CQO) has opted to retain an external quality consultant to determine relevance, appropriateness, and readiness for an alternative certification. The most appropriate role for an external consultant is to

Options:

A.

Uncover other opportunities for improvement within the facility

B.

Support the CQO’s choice for alternative certification

C.

Evaluate the facility’s needs, goals, and stakeholder input

D.

Determine the final certification selection

Buy Now
Questions 41

A healthcare organization has Introduced an Initiative to Increase lung cancer screenings for Itspatient population with a history of smoking. This screening would fall into which of the following types of prevention?

Options:

A.

quaternary

B.

primary

C.

tertiary

D.

secondary

Buy Now
Questions 42

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

Options:

A.

Storyboard

B.

Value Stream Map

C.

Gantt Chart

D.

Prioritization Matrix

Buy Now
Questions 43

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

Options:

A.

public health surveillance.

B.

hot-spotting.

C.

syndromic surveillance.

D.

cold-spotting.

Buy Now
Questions 44

Evaluating data to determine high utilizers ofemergency departments and their related characteristics is a strategy that can best help with

Options:

A.

hospital throughput.

B.

culture of safety.

C.

population health management.

D.

high reliability.

Buy Now
Questions 45

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

Options:

A.

when and how the project outcomes will be measured.

B.

how the project aligns with the organization's strategic goals.

C.

who will provide the resources for the quality project.

D.

what departments and stakeholders need to be engaged.

Buy Now
Questions 46

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

Options:

A.

Provide data on performance indicators.

B.

Review and redefine annual objectives.

C.

Develop the vision, mission, and goals.

D.

Identify causes of lost revenue.

Buy Now
Questions 47

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

Options:

A.

performing a root cause analysis on events of harm

B.

providing simulation training for high-risk patient care tasks

C.

having a second person check medication calculations

D.

using checklists to complete complicated tasks

Buy Now
Questions 48

The main purpose of conducting tracers as a part ofcontinuous readiness is to

Options:

A.

identify current gaps in processes of quality and patient safety that need correcting.

B.

prepare staff to be able to speak to the surveyors in a comfortable and easy manner.

C.

teach quality Improvement professionals how to prepare for accreditation surveys.

D.

minimize the number of recommendations for Improvement during an actual survey.

Buy Now
Questions 49

A healthcare quality professional has identified a gap In practice from regulatoryrequirements. The quality professional should

Options:

A.

meet with staff to determine the barriers to compliance.

B.

provide educational training to the manager on the regulatory requirements.

C.

inform the staff that the current practice Is not compliant with regulatory requirements.

D.

Initiate an audit collection tool to determine the rate of noncompliance.

Buy Now
Questions 50

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

Options:

A.

actualperformance.

B.

targeted performance.

C.

potential performance.

D.

desired performance.

Buy Now
Questions 51

Which of the following most accurately describes medication reconciliation?

Options:

A.

identifying and resolving medication discrepancies

B.

creating a list of a patient's prescription medications

C.

monitoring patient adherence to medication regimens

D.

sharing responsibility between pharmacy and nursing

Buy Now
Questions 52

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?

Options:

A.

Request Information on the cost per patient for those discharged to skilled nursing facilities.

B.

Request Information on total number of patients discharged to each location for both quarters.

C.

Analyze the appropriateness of discharges to Inpatient rehabilitation centers.

D.

Analyze the cost differences between patients discharged to home and skilled nursing facilities.

Buy Now
Questions 53

A focused professional practice evaluation (FPPE) Is Initiated

Options:

A.

annually for all providers on staff.

B.

during the survey corrective action period.

C.

at the discretion of the chief medical officer (CMO).

D.

when new privileges are granted.

Buy Now
Questions 54

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

Options:

A.

ensuring timely access to eye examinations for people with diabetes

B.

reducing medication errors in a pharmacy

C.

reducing turn-around times in the emergency department

D.

ensuring accurate medication reconciliation for people in hospice care

Buy Now
Questions 55

A hospital's leadership team has asked the quality professional to review alternative accreditation options for the organization. The quality professional recommends the:

Options:

A.

American Hospital Association

B.

DNV GL Healthcare

C.

National Healthcare Safety Network (NHSN)

D.

National Committee on Quality Assurance (NCQA)

Buy Now
Questions 56

An extended carefacility 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?

Options:

A.

structure

B.

outcome

C.

process

D.

system

Buy Now
Questions 57

Integration of a quality culture within an organization Is best demonstrated by

Options:

A.

reduced adverse outcomes, culture of patient safety, and expansion of services.

B.

mission and vision statements, high patient census, and governing body involvement

C.

physician competence, staff longevity, and high patient satisfaction scores.

D.

leadership rounds. Increased staff satisfaction, and positive patient outcomes.

Buy Now
Questions 58

Which performance improvement tool best evaluates care processes and transitions?

Options:

A.

brainstorming

B.

planning grid

C.

affinity diagram

D.

flow chart

Buy Now
Questions 59

What is the first step in turning an organization’s long-term goals into an operational plan for improvement?

Options:

A.

Determine a framework for improvement.

B.

Decide what qualitative data to use.

C.

Select criteria to improve risk and cost.

D.

Align priorities with the strategic plan.

Buy Now
Questions 60

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

Options:

A.

Force field analysis

B.

Fishbone diagram

C.

Pareto chart

D.

Decision matrix

Buy Now
Questions 61

Leadership is trying to set SMART goals as part of the annual quality plan. Which of the following meets this framework?

Options:

A.

Decrease nosocomial infections by 40% in patient care areas

B.

Decrease readmission rates to the general medicine floors by the end of the fourth quarter

C.

Decrease negative survey results in the radiology department by 20% by the end of the second quarter

D.

Decrease falls with injury in the ICU by 15% by the end of the second quarter

Buy Now
Questions 62

Which of the following payment systems carries the most financial risk for a provider?

Options:

A.

fee for service

B.

capitation

C.

pay for performance

D.

upside-only bundles

Buy Now
Questions 63

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

Options:

A.

Patient-centered medical home

B.

Sharedsavings program

C.

Hospital at home program

D.

Collaborative care model

Buy Now
Questions 64

A department manager wants to improve customer service. In order to gain employee support, the manager should first

Options:

A.

Include customer service in performance reviews

B.

Demonstrate the need for change

C.

Seek authorization of the governing body

D.

Empower the employees

Buy Now
Questions 65

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

Options:

A.

Empower the community to take on its own problem-solving

B.

Form a community coalition tasked with developing local interventions

C.

Contract with pharmaceutical company to distribute vaccines

D.

Review vaccinedistribution data with community leaders

Buy Now
Questions 66

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

Options:

A.

using thePlan-Do-Study-Act cycle of continuous improvement.

B.

stating the end result or desired outcome.

C.

keeping the objectives specific to the short term.

D.

tying the objectives to the organization's financial performance.

Buy Now
Questions 67

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

Options:

A.

training the staff on the proper falls screening protocol.

B.

evaluating baseline data to determine the cause of falls.

C.

researching evidence-based guidelines.

D.

Implementing post-fall huddles on all units.

Buy Now
Questions 68

Which of the following is the best approach tomotivate stakeholders across the care continuum to take action?

Options:

A.

Release national benchmarks.

B.

Develop interactive dashboards.

C.

Publish unblinded outcome reports.

D.

Use patient storytelling.

Buy Now
Questions 69

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

Options:

A.

meet the needs of individual departments.

B.

standardize patient care practices.

C.

make errors non-transparent.

D.

prevent all occurrences.

Buy Now
Questions 70

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

Options:

A.

determining productivity indicators

B.

establishing organizational goals

C.

establishing and controlling a budget

D.

defining organizational structure

Buy Now
Questions 71

A performance improvement team has been examining delays in getting admissions from the emergency department (ED) to the coronary care unit. The team has collected data and determined that a significant number of delays are occurring because cardiologists are not consulting on their patients in the ED in a timely manner. The best way to communicate this information to the cardiologists is to:

Options:

A.

Prepare a letter for the Chief Administrator's signature to all cardiologists, requesting their assistance.

B.

Attend the next cardiologists' meeting to solicit their input.

C.

Forward all delays from the ED to the cardiology peer review committee.

D.

Ask the team leader to e-mail all the cardiologists and describe the problem.

Buy Now
Questions 72

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

Options:

A.

Identify the root causes of the most recent adverse events that have occurred.

B.

submit an electronic application to the organization Identifying a date for survey.

C.

conduct a gap analysis of the identified standards against current practices.

D.

complete a competency examination on the process of writing action plans.

Buy Now
Questions 73

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

Options:

A.

practice guidelines.

B.

regulatory requirements.

C.

compliance committee.

D.

licensing requirements.

Buy Now
Questions 74

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?

Options:

A.

Present action plan to leadership.

B.

Verify data for accuracy.

C.

Conduct a cost analysis.

D.

Initiate the Shewhart cycle.

Buy Now
Questions 75

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?

Options:

A.

Implement another improvement cycle.

B.

Monitor for sustainment.

C.

Assess patient satisfaction with providers.

D.

Disband the improvement team.

Buy Now
Questions 76

A nurse working a second overtime shift accidentally administered an oral medication via the patient's IV line. The facility reported this to the accrediting body as a sentinel event. Which of the following is the best solution to prevent this error from happening again?

Options:

A.

Decrease the amount of overtime hours worked by hospital nurses.

B.

Label syringes "For Oral Use Only" if the medication is to be given orally.

C.

Educate staff on the potential consequences of device misconnections.

D.

Purchase products with design features to prevent misconnections.

Buy Now
Questions 77

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

Which of the following additional information should be included in this report for each month?

Options:

A.

number of incomplete medical records

B.

turnaround time for laboratory results

C.

number of inappropriate admissions

D.

number of X-rays performed

Buy Now
Questions 78

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

Options:

A.

sampling methodology.

B.

outlier identification.

C.

statistical significance.

D.

benchmarking.

Buy Now
Questions 79

Identification of quality Improvement opportunities can best be Identified through

Options:

A.

payor requirements.

B.

patient complaints.

C.

organizational strategic goals.

D.

suggestions for new legal statutes.

Buy Now
Questions 80

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?

Options:

A.

human resources director

B.

medical records director

C.

environmental safety officer

D.

nursing director

Buy Now
Questions 81

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 thresholdAfter reviewing this provider’s overall profile, what should the healthcare quality professional suggest?

Measure

Performance

Threshold

Direction

Timely Medical Record Documentation

95%

90%

Higher

Readmission Rate

13%

10%

Lower

Surgical Site Infection Rate

9%

5%

Lower

Use of Pre-procedure timeouts

100%

100%

Higher

Patient Experience Score (Top Box)

94%

80%

Higher

Clinical Pathway Adherence

81%

70%

Higher

Options:

A.

The provider does not meet expectations; refer to peer review

B.

The provider partially meets expectations; retain privileges

C.

The provider meets expectations; retain privileges

D.

The provider fully meets expectations; do nothing

Buy Now
Questions 82

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

Options:

A.

Allocate funding to prevent disparities related to social determinants of health.

B.

Support health promotion and disease prevention across the lifespan.

C.

Provide each state with individualized plans for Improving vaccination rates.

D.

Reduce the spread of infectious disease and prevent pandemics.

Buy Now
Questions 83

Accountability for quality ultimately rests with the

Options:

A.

governing body.

B.

quality manager.

C.

CEO.

D.

department leader.

Buy Now
Questions 84

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:

CPHQ Question 84

Which focus area presents the greatest opportunity for the organization?

Options:

A.

environment of care

B.

pain management

C.

patient flow

D.

infection prevention

Buy Now
Questions 85

A chart used to display the expected range of variation in a stable process is called a

Options:

A.

Scattergram

B.

Histogram

C.

Run chart

D.

Control chart

Buy Now
Questions 86

A healthcare quality professional is organizing a team to address accuracy of the admission source data collection element. Accuracy of this data element impacts exclusions for various quality scores. The following teams have been proposed:

Team

Sponsor

Leader

Members

A

Chief Financial Officer

Director of Quality

Case Manager, Registration Staff, Coding Manager

B

Chief Executive Officer

Director of Finance

Staff Nurse, Hospitalist, Coding Manager

C

Chief Nursing Officer

Director of Health Information Management

Coding Manager, Emergency Dept. Nurse, Intensivist

D

Chief Medical Officer

Director of Case Management

Clinical Documentation Specialist, Case Manager, Emergency Dept. Intensivist

Which team is most appropriate to address this issue?

Options:

A.

Team A

B.

Team B

C.

Team C

D.

Team D

Buy Now
Questions 87

The staff in the outpatient department complete the morning schedule at varied times. There are multiple factors in the variation such as number of patients, complexity of the cases, and the number of cancellations. To identify common-cause variation affecting the completion of the morning schedules, what type of chart should be utilized?

Options:

A.

pie chart

B.

bar chart

C.

line graph

D.

control chart

Buy Now
Questions 88

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

CPHQ Question 88

What was the approximate overall problem rate for March?

Options:

A.

1%

B.

2%

C.

15%

D.

18%

Buy Now
Questions 89

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?

Options:

A.

The provider fully meets expectations; do nothing.

B.

The provider does not meet expectations; refer to peer review.

C.

The provider partially meets expectations; retain privileges.

D.

The provider meets expectations; retain privileges.

Buy Now
Questions 90

An example of a safety practice that allows any worker to speak up when a rule is not being followed is:

Options:

A.

Bedside hand-off.

B.

Suicide screening.

C.

Pre-operative time outs.

D.

Surgical instrument count.

Buy Now
Questions 91

Which of the following Is true of a clinical pathway?

Options:

A.

depicted using a value stream map

B.

limited to one patient care setting

C.

used to reduce variations in care

D.

required for accountable care organizations

Buy Now
Questions 92

Which of the following represents an unintended consequence of payer-driven quality initiatives?

Options:

A.

Increased use of healthcare services

B.

Improved population health

C.

Improved patient care

D.

Increased use of performance data by stakeholders

Buy Now
Questions 93

There has been an increase in readmissions and chart reviews show that it is related to medication non-adherence post-discharge. To improve medication adherence, the quality professional recommends staff:

Options:

A.

Use teach-back to establish an understanding of the patient’s medication plan.

B.

Evaluate patient barriers to obtaining medications.

C.

Complete medication reconciliation prior to discharge.

D.

Provide printed medication information for the patient to take home.

Buy Now
Questions 94

Continued evaluation of a quality improvement initiative occurs within which of the following phases of the DMAIC process?

Options:

A.

Measure

B.

Analyze

C.

Improve

D.

Control

Buy Now
Questions 95

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?

Options:

A.

Standardize post-operative pain management protocols.

B.

Ensure patients have their home pain medications prior to discharge.

C.

Evaluate pain reassessment data in the post-anesthesia unit.

D.

Re-educate emergency room nurses on pain assessment.

Buy Now
Questions 96

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

Options:

A.

Incorrect critical care patient transported to radiology.

B.

Admitting a visitor who fell on hospital grounds.

C.

Wrong prescription given to a discharged patient with diabetes.

D.

Procedure performed on the wrong knee.

Buy Now
Questions 97

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

Options:

A.

the names of physicians who fall below the threshold of standards of care.

B.

a detailed description of all quality activities.

C.

an overview of the quality program, specifying the effects on patient care.

D.

the results of peer review.

Buy Now
Questions 98

Which of the following types of surveillance refers to relying on another person to report a safety concern?

Options:

A.

Retrospective

B.

Passive

C.

Prospective

D.

Active

Buy Now
Questions 99

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

Options:

A.

This information facilitates the patient's application for state resources.

B.

This is a result of an update to the electronic medical record system.

C.

This evaluates connections between the disease and the living conditions.

D.

This information is needed to meet a new quality metric.

Buy Now
Questions 100

Which of the following characteristics best describes a learning organization?

Options:

A.

compliant, data rich, committed support of the organization's leader

B.

adaptability, systems thinking, willingness to challenge assumptions

C.

scholarship, valued autonomy, fiscal discipline

D.

passion, quality control, intolerance of disruptive thought

Buy Now
Questions 101

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?

Options:

A.

Re-educate the nursing staff on correct medication administration procedures.

B.

Conduct research on implementation of a bar code medication administration system.

C.

Ask the unit managers to counsel staff following medication errors.

D.

Drill down onthe data to identify trends before making recommendations.

Buy Now
Questions 102

The quality professional reviews the following data:

[Data not provided in the document]

Which of the following is the next step?

Options:

A.

Develop a discharge planning program

B.

Create dashboard to monitor for trends

C.

Explore underlying causes

D.

Perform a literature review

Buy Now
Questions 103

Prior to the implementation of a new electronic health record (EHR), a facility charters a failure mode and effects analysis (FMEA) team. After mapping out the process for creating a new patient chart, the next step should be to:

Options:

A.

Examine each step for potential process failures.

B.

Determine the reasons for identified process failures.

C.

Calculate risk priority numbers for each process failure.

D.

Consider the consequences of each process failure.

Buy Now
Questions 104

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

Options:

A.

a coding system with the key attached to the report.

B.

initials.

C.

name.

Buy Now
Questions 105

After much planning and preparation, a healthcare quality professional believes the organization is ready to move forward with the process of achieving recognition through a program that highlights their achievements in nursing excellence. Which of the following distinctions is most appropriate for the organization to pursue?

Options:

A.

Baldrige

B.

Magnet

C.

CMS Stars

D.

Leapfrog Safety Grade

Buy Now
Questions 106

Which of the following tools is most useful for an organization to complete prior to implementation of a new device for administration of intravenous chemotherapy?

Options:

A.

Cause and effect diagram

B.

Failure mode and effects analysis (FMEA)

C.

Common cause analysis

D.

Root cause analysis (RCA)

Buy Now
Questions 107

Senior leaders of a managed care organization have consulted a healthcare quality professional on the purchase of a clinical data management software system to support performance improvement. Which of the following should be considered first?

Options:

A.

the organization's goals for the system

B.

the cost of the software

C.

the end users’ feedback related to the software

D.

the ability to integrate with existing information systems

Buy Now
Questions 108

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:

Options:

A.

Determine the applicability of the initiatives to an organization.

B.

Incorporate the initiatives into the organization's patient safety plan.

C.

Collect data on the three initiatives.

D.

Assign owners to the identified initiatives.

Buy Now
Questions 109

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

Options:

A.

Lean

B.

Six Sigma

C.

Rapid cycle improvement

D.

Plan-Do-Study-Act

Buy Now
Questions 110

While auditing a medical chart for breast cancer screening compliance using HEDIS, a quality professional questioned whether a patient’s last screening fell within the lookback period. Where should the quality professional look to ensure compliance?

Options:

A.

American Medical Association (AMA) Guidelines for Preventive Care

B.

Organization’s policy on preventive care guidelines

C.

A chart note from the physician stating the patient was compliant

D.

The technical specifications for the measure

Buy Now
Questions 111

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

Options:

A.

determine current knowledge of the supervisors.

B.

develop the content outline.

C.

assess the past performance of the group.

D.

provide a pretraining reading list.

Buy Now
Questions 112

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?

Options:

A.

Conduct a focus group with the anesthesiologists and nurse anesthetists.

B.

Conduct focused professional practice evaluation (FPPE) on the surgeons in the organization.

C.

Obtain a list of the patients identified by this code and conduct a retrospective review.

D.

Identify a team leader and facilitator to implement a quality improvement project.

Buy Now
Questions 113

The healthcare quality professional is engaged with a leadership team. Which of the following will best help to establish performance improvement opportunities?

Options:

A.

Reviewing the organization’s balanced scorecard

B.

Evaluating the organization’s mission, vision, and values statement

C.

Creating an organizational action plan

D.

Performing a failure mode and effects analysis (FMEA)

Buy Now
Questions 114

Which of the following is a social determinant of health?

Options:

A.

Medical care access

B.

Genetics

C.

Ethnicity

D.

Family size

Buy Now
Questions 115

A behavioral health hospital implemented restraint audits in each of its nursing units. After two months of data collection, what should the healthcare quality professional do next?

Options:

A.

Discontinue data collection for units where audit criteria were met.

B.

Assign a learning module on restraint use for the clinical team.

C.

Recommend peer review of providers who frequently order restraints.

D.

Create an aggregate utilization summary to identify trends.

Buy Now
Questions 116

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?

Options:

A.

storyboard

B.

flowchart

C.

force field analysis

D.

Gantt chart

Buy Now
Questions 117

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?

Options:

A.

train the trainer sessions with clinic managers

B.

mandatory modules on accreditation standards

C.

one-on-one sessions with noncompliant employees

D.

just-in-time training to the highest risk clinics

Buy Now
Questions 118

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

Options:

A.

computerized physician order entry

B.

barcode medication system

C.

automated medication cabinets

D.

clinical decision support tools

Buy Now
Questions 119

An orthopedic surgery practice has been working on Improving patient safety for the last 3 years. The following data table is available:

Which of thefollowing Is the most appropriate conclusion about patient safety outcomes?

Options:

A.

The increase in "lime-outs" has reduced patient harm.

B.

Patient safety outcomes have improved.

C.

The patient safety culture has remained consistent.

D.

The safety event rate has remained stable

Buy Now
Questions 120

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

Options:

A.

Create an education program around the protocol.

B.

Implement an audit process.

C.

Solicit support from key stakeholders.

D.

Develop a communication plan.

Buy Now
Questions 121

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

CPHQ Question 121

Options:

A.

Units 3 and 4

B.

Units 1 and 2

C.

Units 4 and 5

D.

Units 2 and 4

Buy Now
Questions 122

Which of the following Is the best example of effective learning in a learning organization?

Options:

A.

management team taking a posttest after reading a bulletin on a regulatory standard

B.

management team auditing staff performance after a training program

C.

staff watching a video on how to complete a patient admission assessment

D.

staff using the results of a root cause analysis to change processes and improve patient safety

Buy Now
Questions 123

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?

Options:

A.

Scatter diagram

B.

Pie chart

C.

Histogram

D.

Run chart

Buy Now
Questions 124

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

Options:

A.

just before leaving the unit

B.

immediately before surgery

C.

just before entering the operating room

D.

immediately upon arrival in the recovery room

Buy Now
Questions 125

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

Options:

A.

create a flow chart to study the process.

B.

conduct a failure mode and effects analysis (FMEA).

C.

see if the surgery clinic is also experiencing delays.

D.

observe how the medical assistants prepare the specimens.

Buy Now
Questions 126

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?

Options:

A.

obtaining approval from the chief psychiatrist at each stage of development

B.

developing the program and presenting it to the appropriate staff members

C.

involving the team members in the development of the program

D.

providing educational in-services to all team members involved

Buy Now
Questions 127

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?

Options:

A.

Begin working to address the "Administration" defects.

B.

Conduct further analysis on "Administration" defects.

C.

Conduct further analysis on "Other" defects.

D.

Begin working to address the "Other" defects.

Buy Now
Questions 128

Which tool would be best suited to sequence interventions within a project?

Options:

A.

Prioritization matrix

B.

Affinity diagram

C.

Pareto chart

D.

Histogram

Buy Now
Questions 129

A hospital has just implemented a physician order entry system. Three days into implementation, the users begin having major technical issues with the system. The nurse manager instructs staff to submit troubleshooting requests to the help desk. This is an example of which high-reliability principle?

Options:

A.

commitment to resilience

B.

sensitivity to operations

C.

preoccupation with failure

D.

deference to expertise

Buy Now
Questions 130

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

Options:

A.

percentile.

B.

standard deviation.

C.

range.

D.

quartile deviation.

Buy Now
Questions 131

Ahospital 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?

Options:

A.

prescribing errors

B.

transcription errors

C.

administration errors

D.

dispensing errors

Buy Now
Questions 132

An interdisciplinary team met to review readmission rates at a health system. Issues were identified withcommunication 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?

Options:

A.

Candidate A

B.

Candidate B

C.

Candidate C

D.

Candidate D

Buy Now
Questions 133

A Lean improvement team is examining potential improvements to room layout to reduce waste. Which of the following is the best tool to identify the baseline distance staff travel through the day to gather the materials they need to perform their job tasks?

Options:

A.

5 whys

B.

spaghetti diagram

C.

Pareto chart

D.

time observation

Buy Now
Questions 134

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

Options:

A.

Use the teach-back method for instructions and establish the first follow-up appointment.

B.

Provide written information and a reminder card to make a follow-up appointment.

C.

Send information to the patient’s physician and advise the patient to return to the emergency department for any concerns.

D.

Complete the discharge checklist and assign a transitions navigator to follow-up in 10 days.

Buy Now
Questions 135

A nursing unit has collected the following data:

50 medical records reviewed

Nurse A

Nurse B

Doctor A

Doctor B

Timely initial assessment

45

40

10

25

Incomplete documentation

0

12

26

20

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

Options:

A.

Pareto chart

B.

Bar chart

C.

Run chart

D.

Gantt chart

Buy Now
Questions 136

Sentinel events are most often the result of variations in:

Options:

A.

Structure.

B.

Staffing.

C.

Competence.

D.

Process.

Buy Now
Questions 137

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

Options:

A.

outcomes.

B.

statistics.

C.

standards.

D.

processes.

Buy Now
Questions 138

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

Options:

A.

National Committee (or Quality Assurance (NCQA)

B.

The Joint Commission (TJC)

C.

American Hospital Association (AHA)

D.

Agency for Healthcare Research and Quality (AHRQ)

Buy Now
Questions 139

The goal of having a champion for process improvement is to:

Options:

A.

Enhance staff buy-in of changes.

B.

Facilitate group dynamics at team meetings.

C.

Promote timely completion of projectmilestones.

D.

Gain trust of management.

Buy Now
Questions 140

Hospitals must be in compliance with the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation in order to

Options:

A.

Submit core measure data

B.

Receive reimbursement

C.

Be part of the state hospital association

D.

Be licensed

Buy Now
Questions 141

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?

Options:

A.

Prepare a comparative analysis based on the information gathered.

B.

Conduct a focus group with participants from other sites within the organization.

C.

Interview current users of the other identified products.

D.

Create a potential implementation plan for the preferred product.

Buy Now
Questions 142

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

Options:

A.

Performing

B.

Storming

C.

Norming

D.

Forming

Buy Now
Questions 143

An effective way of keeping participants engaged in a meeting is

Options:

A.

Assigning a timekeeper among the meeting participants

B.

Sending out the meeting agenda one day prior to the meeting

C.

Using facilitative approaches during the meeting

D.

Having the support items readily available before the meeting

Buy Now
Questions 144

Annual evaluation of a quality Improvement process must

Options:

A.

be based on organizational objectives.

B.

survey all departments and teams.

C.

be accomplished by a healthcare quality professional.

D.

document all problems identified In care/service.

Buy Now
Questions 145

Six months after implementing a new cardiac rehabilitation program, an organization notes many patients that meet criteria are not enrolled. Which of the following is the most effective strategy to increase the enrollment rate?

Options:

A.

Launch a marketing campaign to promote the program.

B.

Train staff on providing optimal care following a cardiac event.

C.

Standardize the program referral process.

D.

Encourage caregiver involvement in the program.

Buy Now
Questions 146

An organization Is tracking Infection rates to determine the benchmarks for the next fiscal year. The team Is analyzing the data for Infection rates. Which key variables are missing to interpret the graph?

CPHQ Question 146

Options:

A.

the standardized infection ratio for the previous year and denominator for each measure

B.

the timeframe for each data point andthe source (or the target line

C.

the mode of the data points and expected rate for external hospitals

D.

the quality of patients and hospital compliance with handwashing

Buy Now
Questions 147

A healthcare organization has two years of data on infection rates by month. Which of the following process tools would be best to use for analyzing this data?

Options:

A.

Fishbone diagram

B.

Pareto chart

C.

Run chart

D.

Histogram

Buy Now
Questions 148

Which tool is used to establish and track timelines for project completion?

Options:

A.

Stratification chart

B.

PERT chart

C.

Gantt chart

D.

Pareto chart

Buy Now
Questions 149

Which of the following approaches to training for a new quality and performance improvement initiative is most likely to succeed based on adult learning principles?

Options:

A.

Self-study course of online modules and quizzes

B.

Lecture series allowing for either in-person or virtual attendance

C.

Reading material assignment with attestation of completion

D.

Series of sessions with both classroom and simulation exercise time

Buy Now
Questions 150

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

Options:

A.

Scatter plot

B.

Run chart

C.

Frequency plot

D.

Pie chart

Buy Now
Questions 151

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?

Options:

A.

Establish a written policy for alarms escalation.

B.

Review alarm signals for clinical appropriateness.

C.

Implement a guideline with clear criteria for Initiation of cardiac monitoring.

Buy Now
Questions 152

Which of the following is most relevant to addressing social determinants of health?

Options:

A.

Practice transformation.

B.

Risk stratification.

C.

Clinical-community partnerships.

D.

Clinical practice guidelines.

Buy Now
Questions 153

A performance Improvement team has been meeting to examine delays in getting admissions from theemergency room to the nursing units. After six months of collecting data, the upper control limit was ISO minutes, and the lower control limit was 60 minutes. The next month's data shows a time of 155 minutes. The team should understand that this represents what type of variation?

Options:

A.

standard

B.

random

C.

common cause

D.

special cause

Buy Now
Questions 154

Anemergency department's quality improvement report for the first quarter showed the following data:

What was the approximate overall problem rate for March?

Options:

A.

1%

B.

2%

C.

15%

D.

18%

Buy Now
Questions 155

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

Options:

A.

histogram

B.

Ishikawa diagram

C.

Shewhart chart

D.

scatter plot

Buy Now
Questions 156

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

Options:

A.

prevalence rate

B.

statistical analysis

C.

severity Indexing

D.

diagnosis-related groups

Buy Now
Questions 157

Benchmark is a term used to describe

Options:

A.

Internal organizational performance

B.

Progressive attainment of improvement

C.

Achievement of outcomes

D.

Measurement against others

Buy Now
Questions 158

Which of the following process improvement training methods would be effective to support a continuous survey readiness program?

Options:

A.

Written assignments

B.

Aligning policies with accreditation standards

C.

Staff knowledge assessment with education

D.

Formal classroom training

Buy Now
Questions 159

What is the best method to communicate detailed patient experience scores?

Options:

A.

Present the information at general meetings.

B.

Disseminate the information in a publication.

C.

Discuss the information at unit level meetings.

D.

Disseminate organization-wide via email.

Buy Now
Questions 160

Which of the following quality improvement tools is best suited for communicating the scope of a proposed quality improvement project?

Options:

A.

Kaizen

B.

Value-stream map

C.

A3

D.

Poka-yoke

Buy Now
Questions 161

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:

Options:

A.

Immediate implementation

B.

Medical staff education

C.

Long-range planning

D.

A pilot project

Buy Now
Questions 162

A quality council reviewed the following results from a performance improvement project:

Diabetic retinal eye exams

Target

Q1

Q2

Q3

>80%

60%

58%

62%

Which of the following should happen next?

Options:

A.

Continue the pilot for another quarter

B.

Implement the change

C.

Review additional data

D.

Plan for the next change

Buy Now
Questions 163

Process improvement projects can be evaluated by using

Options:

A.

A dashboard

B.

A matrix diagram

C.

A flow chart

D.

An Ishikawa diagram

Buy Now
Questions 164

A nursing unit has collected the following data:

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

Options:

A.

Bar Chart

B.

Gantt Chart

C.

Pareto Chart

D.

Run Chart

Buy Now
Questions 165

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

Options:

A.

Implementing continuous survey readiness.

B.

preparing for sustained compliance following the survey.

C.

minimizing resources needed to demonstrate compliance.

D.

practicing just-in-time readiness.

Buy Now
Questions 166

Which of the following quality initiatives impacts an organization’s reimbursement?

Options:

A.

Decreasing lab result turn-around-time

B.

Improving medication barcode scanning compliance

C.

Increasing five-year survival rate in cancer patients

D.

Reducing hospital-acquired infections

Buy Now
Questions 167

Supporting patients through longitudinal care plans is the guiding principle of:

Options:

A.

Emerging healthcare models.

B.

Patient engagement.

C.

Team-based care.

D.

Care coordination.

Buy Now
Questions 168

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

Options:

A.

Host regular town hall meetings.

B.

Display a success storyboard in the employee break room.

C.

Highlight successes real time in huddles.

D.

Provide mandatory training on an annual basis.

Buy Now
Questions 169

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

Options:

A.

ensure that team project goals are met.

B.

promote effectivegroup dynamics.

C.

provide content expertise.

D.

design team structure.

Buy Now
Questions 170

Senior leadership is evaluating an organization’s progress toward achieving patient safety goals and has a goal of 100% compliance. Hand hygiene compliance is currently at 80%, and "time-out" compliance is at 90%. A healthcare quality professional should recommend

Options:

A.

Projecting the number of preventable adverse events

B.

Prioritizing implementation of strategies

C.

Determining barriers to compliance

D.

Benchmarking with a similar facility

Buy Now
Questions 171

An organization wants to promote Six Sigma across its enterprise with all staff members having general exposure to Six Sigma methods. Which of the following best differentiates the role of the various belts?

Options:

A.

Black belts report to project sponsors.

B.

White belts mentor staff.

C.

Yellow belts allocate resources for projects.

D.

Green beltsprovide executive coaching.

Buy Now
Questions 172

Priorities must be established for selecting processes for quality improvement because

Options:

A.

Some improvements are not meaningful

B.

Few processes require improvement

C.

Many organizations lack the resources to improve all processes

D.

There are difficulties in accurately measuring improvement

Buy Now
Questions 173

A quality professional is leading a rapid process improvement event to reduce central line infections. Which of the following actions should be taken?

Options:

A.

Design indicators for hospital-wide data collection plan

B.

Search the United States Preventive Services Taskforce for recommendations

C.

Review the Agency for Healthcare Research and Quality for relevant resources

D.

Conduct a systematic review of studies in intensive care units

Buy Now
Questions 174

An organization is shifting paradigms from top-down leadership to participatory management. The process of moving forward includes the four identified phases below:

gathering baseline data

evaluating effectiveness and improvement

making the commitment

implementing the program

Which of the following is the most logical sequence for these phases?

Options:

A.

1, 2, 4, 3

B.

1, 3, 2, 4

C.

3, 1, 4, 2

D.

3, 4, 1, 2

Buy Now
Questions 175

An organization identified the need to improve the flow of admitted patients from the emergency department (ED) to the inpatient unit. The following individuals have been selected to be a part of the team:

Options:

A.

Housekeeping supervisor as process owner and quality professional as team leader

B.

Inpatient unit manager as team facilitator and ED manager as project sponsor

C.

Staff nurse ED as champion and CNO as project sponsor

D.

Staff nurse inpatient unit as facilitator and quality professional as champion

Buy Now
Questions 176

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

Options:

A.

1 and 7

B.

3 and 4

C.

2 and 5

D.

6 and 8

Buy Now
Questions 177

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?

Options:

A.

number of services provided

B.

turnaround time for diagnostic test results

C.

delays between steps in the patient care process

D.

nursing productivity

Buy Now
Questions 178

An organization notices an Increase In medication errors In three patient care areas. Which of the following concepts will be most effective when Improving medication administration workflows?

Options:

A.

elimination of wait time from the pharmacy

B.

Improvement of staff training on safe medication practices

C.

delivery of medications in batches each shift

D.

design of mistake-proof systems

Buy Now
Questions 179

A hospital installed a new patient safety event reportingsystem. 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?

Options:

A.

detectability

B.

frequency of occurrence

C.

severity

D.

risk priority number

Buy Now
Questions 180

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

Options:

A.

Review patient feedback about transfers to skilled nursing facilities

B.

Assess case management discharge and transfer records

C.

Evaluate processes for discharges and transfers

D.

Audit documentation of patient discharge summaries

Buy Now
Questions 181

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 shouldinitially assess the

Options:

A.

composition of the team.

B.

attendance at team meetings.

C.

amount of data collected.

D.

method of data collection.

Buy Now
Questions 182

An organization is implementing a palliative care unit. As part of the planning and implementation processes, the board authorizes the following:

• Learning visits with existing programs to obtain information about best practices

• Formal training of all staff assigned to the unit in the principles of palliative care

• The development of a balanced scorecard to monitor program performance

The actions of the board best illustrate

Options:

A.

High-level strategic planning

B.

A board’s need to manage patient care

C.

A commitment to quality

D.

The importance of competence and training

Buy Now
Questions 183

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?

Options:

A.

market competitors

B.

adopter audiences

C.

state legislators

D.

local media

Buy Now
Questions 184

In preparation for a provider organization accreditation survey, the most effective method for identifying training needs for staff is

Options:

A.

conducting a gap analysis with an interdisciplinary team.

B.

benchmarking with other organizations.

C.

engaging a consultant to identify areas needing improvement.

D.

comparing competency requirements with other facilities.

Buy Now
Questions 185

During analysis of patient falls, a quality professional notes that there has been an increase in the fall rate over the last 3 months. What other data should be analyzed first to determine potential causes?

Options:

A.

average daily patient census

B.

utilization of chemical restraints

C.

fall assessment protocol compliance

D.

nurse to staff ratio

Buy Now
Questions 186

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?

Options:

A.

Add visual indicators to the existing audible alerts.

B.

Review alarm signals for clinical appropriateness.

C.

Establish a written policy for alarms escalation.

D.

Implement a guideline with clear criteria for initiation of cardiac monitoring.

Buy Now
Questions 187

Which of the following statements most accurately describes health literacy?

Options:

A.

maintains an individual health perspective

B.

designs care around the needs of the patient

C.

changes health behaviors and decisions

D.

emphasizes people's ability to understand health information

Buy Now
Questions 188

Which of the following is a regulatory requirement to be undertaken by nonprofit hospitals?

Options:

A.

Conduct a community health needs assessment.

B.

Send surveys to patient and community advisory members.

C.

Follow steps from the organization's quality improvement program (QIP).

D.

Report safety events to Center for Medicare and Medicaid Services (CMS).

Buy Now
Questions 189

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

Options:

A.

Brainstorming

B.

Multi-voting

C.

Prioritization matrix

D.

Delphi method

Buy Now
Questions 190

The quality improvement program is effective when the organization

Options:

A.

Rewards behavior that supports quality improvement

B.

Passes an accreditation survey

C.

Has a written quality plan approved by the board

D.

Develops quality improvement teams

Buy Now
Questions 191

Analysis of the following wound infection rate control chart shows which of the following?

CPHQ Question 191

Options:

A.

The variations represent chance events, not collectable sources of variation.

B.

The wound infection rate is under control and should be allowed to continue.

C.

The variations represent a common cause that is inherent in the system.

D.

The wound infection rate is out of control and evaluation is needed.

Buy Now
Questions 192

The ultimate responsibility for ensuring and maintaining patient safety in a healthcare organization lies with the:

Options:

A.

Governing body.

B.

Vice president of quality.

C.

CEO.

D.

Patient safety officer.

Buy Now
Questions 193

Which of the following is the best tool to report process improvements to a quality committee?

Options:

A.

Histogram

B.

Flow Chart

C.

Scatterplot

D.

Control Chart

Buy Now
Questions 194

Organizational leadership asks the healthcare quality professional to review patient identification safety events and develop an action plan. Which of the following steps is most effective for defining the problem?

Options:

A.

Review relevant policies and procedures

B.

Trend data with a control chart

C.

Use a Pareto chart to identify key issues

D.

Create a value stream map

Buy Now
Questions 195

Which of the following should be a part of an organization's program of continuous readiness for accreditation?

Options:

A.

Conduct quarterly training on accreditation standards.

B.

Schedule the accreditation survey when the organization's CEO Is available.

C.

Maintain detailed agendas for environment of care rounding.

D.

Perform periodic audits to ensure standards for accreditation are met.

Buy Now
Questions 196

A healthcare quality professional identifies a need to improve compliance with colon cancer screening among primary care patients. Which of the following interventions should be used?

Options:

A.

Develop a clinical pathway for managing high-risk patients.

B.

Send reminders to patients six months before required screening.

C.

Measure the number of patients who complete an annual screening.

D.

Improve documentation of patient education on cancer risk factors.

Buy Now
Questions 197

Which of the following Is an example of active surveillance?

Options:

A.

analyzing laboratory data for disease testing utilization

B.

Identifying disease outbreaks through public healthcontact tracing

C.

analyzing Infectious diseases based on hospital discharge final coding

D.

reporting of Infectious diseases data quarterly to local health departments

Buy Now
Exam Code: CPHQ
Exam Name: Certified Professional in Healthcare Quality Examination
Last Update: Aug 14, 2025
Questions: 659

PDF + Testing Engine

$72.6  $181.49

Testing Engine

$57.8  $144.49
buy now CPHQ testing engine

PDF (Q&A)

$49.8  $124.49
buy now CPHQ pdf