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CPHQ Practice Test 2020 updated version
verified source
- Which of the following action plans is the first step in correcting inappropriate blood usage in an emergency department? A. in-service on ordering blood usage for the physicians B. elimination of wasted blood C. improvements in documentation D. development of a new procurement procedure: ANSWER A. in-service on ordering blood usage for the physicians
- Which of the following is most appropriate in preparation for an external survey of a healthcare facility? A. Assign key staff to answer all questions. B. Ask department heads to prepare a presentation for the survey team. C. Educate staff about the types of questions they may be asked. D. Set up teams to make a good showing for the survey.: ANSWER C. Educate statt about the types of questions they may be asked.
- The following table shows the percentage of hospital-acquired pressure ul- cers: Which of the following should the healthcare quality professional do next? A. Implement a new pressure ulcer protocol. B. Re-educate staff. C. Continue to track and trend the data. D. Conduct a focused analysis of pressure ulcer cases: ANSWER D. Conduct a focused analysis of pressure ulcer cases
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- Leadership can best integrate performance improvement within an organi- zation through: A. multidisciplinary teams. B. newsletters. C. focus groups. D. seminars.: ANSWER A. multidisciplinary teams (best integrate performance improvement by promoting an interdisciplinary approach to the process and including multiple subject matter experts.)
- A medication error occurred and resulted in a severe adverse outcome. In addition to informing the patient and/or family, a healthcare quality professional should: A. perform a regression analysis. B. implement new technology. C. reassign the employees involved. D. conduct a root cause analysis.: ANSWER D. conduct a root cause analysis. (exploration of system and process issues should be the primary function of a root cause analysis)
- The primary purpose of an organization's quality improvement (QI) strategic plan is to: A. determine accountability for outcomes. B. assess improvement opportunities. C. define the future direction for quality. D. explain the purpose of performance teams: ANSWER C. define the future direction for quality. (This is a function of having a QI strategic plan.)
- Which of the following are the first steps when preparing for an initial accred- itation or certification survey of an organization? A. Review the standards and determine readiness.
4 / 66 C. put strategy and vision at the center of an organization's ettort. (The balanced scorecard is a management framework that translates an organization's strategic objectives into a set of performance measures that are measured, monitored, and changed, if necessary, to ensure that organization's strategic goals are met.)
- A t-test may be used to: A. display the size of a sampling variation. B. evaluate the effects of two different treatments. C. evaluate differences among three or more treatments. D. display a listing of the number of occurrences of a variable: ANSWER B. evaluate the ettects of two ditterent treatments. (A t-test is used to examine if the mean of two treatments are statistically ditterent from one another)
- Which of the following should a Quality Council provide to best ensure success of performance improvement teams? A. facilitator and recorder B. empowerment and training C. indicators and a data analyst D. standards and procedures: ANSWER B. empowerment and training
- Which of the following is the most effective way to integrate performance improvement concepts throughout an organization? A. quarterly newsletters B. monthly lectures C. quality teams D. continuous monitoring: ANSWER C. quality teams (Quality teams include participation by front-line statt, which allows direct integration of performance improvement into practice.)
- The primary purpose of integrating financial and quality management infor- mation is to:
5 / 66 A. identify problems in resource management. B. develop physician profiles. C. identify potential cash flow problems. D. determine medical necessity of treatment: ANSWER
7 / 66 patient in error C. details concerning a medication preparation error discovered and corrected prior to administration
8 / 66 D. the patient's right knee replaced after consenting to replacement of the left knee: ANSWER C. details concerning a medication preparation error discovered and corrected prior to administration
- Based on the principles from the Institute for Healthcare Improvement (IHI), who has the ultimate responsibility for the effectiveness of quality improve- ment and patient safety within an organization? A. quality improvement director B. medical director C. CEO D. governing body: D. governing body (This is the expectation of TJC and Centers for Medicare and Medicaid Services (CMS))
- Which of the following charts will most likely be used first in a root cause analysis? A. Gantt B. Pareto C. flow D. control: D. control (a tool to evaluate process)
- A federally certified electronic health record (EHR) with the capacity for e-prescribing, electronic exchange of health information, and submission of healthcare quality measures meets: A. bar-code technology specifications. B. computer-based monitoring specifications. C. meaningful use requirements. D. health privacy requirements: C. meaningful use requirements.
- Team cohesion is established during which of the following stages of team growth?
10 / 66 B. storming C. norming D. performing: C. norming (The team moves towards cohesion and collaboration during the norming stage.)
- An annual evaluation of a laboratory's quality program identified no oppor- tunities for improvement. Which of the following elements of the program should be reviewed? A. performance indicators B. format of data display C. committee meeting attendance D. frequency of data collection: A. performance indicators
- When errors are discovered, staff and supervisors best demonstrate a cul- ture of safety by A. developing a plan for just-in-time training. B. studying the process to understand the error. C. planning which details of the error to disclose to senior leadership. D. performing a root cause analysis to determine which individuals were in- volved.: B. studying the process to understand the error.
- In lean thinking, a process step is defined as "value added" if the A. customer recognizes the value. B. customer corrects a mistake to add value. C. process owner recognizes the value. D. process owner changes the value of the product.: A. customer recognizes the value. Customer value is the key concept of lean thinking and improvement ettorts.
- Generic screening is an example of risk A. evaluation.
11 / 66 B. reduction. C. prevention.
13 / 66 community. B. planning carefully, communicating openly, and leading effectively. C. developing policies to assist in the change process so that fear will be minimized. D. selecting a consultant, conducting a needs assessment, and analyzing re- sults.: B. planning carefully, communicating openly, and leading ettectively.
14 / 66 these actions promote transparency and trust through communication and leadership.
- A hospital-wide medical record audit on documentation has been complet- ed. The following table shows the compliance rate of documentation: 1st Qtr (Q1) & 2nd Qtr (Q2) Surgical "time-outs" performed: Q1 = 90% Q = 95% Communication of critical results: Q1= 91% Q2= 95% Pain score used: Q1= 50% Q2= 60% Initial patient assessment performed: Q1= 52% Q2= 45% Which of the following is the next step? A. Benchmark the compliance rates against another facility. B. Conduct training regarding pain score. C. Give data feedback on physician signature to the units. D.Conduct a focused review on the patient assessment process.: D. Conduct a focused review on the patient assessment process. (A focused review of the patient assessment process should be prioritized because of low performance and decreased performance from Q1 to Q2.)
- The best way to evaluate the effectiveness of performance improvement training is through A. observed behavioral changes. B. self-assessments. C. participants' feedback. D. post-test results.: A. observed behavioral changes.
- A physician who has a high inpatient mortality rate compared to others in a facility should first be A. counseled by the department chairperson. B. reviewed by the credentialing committee.
16 / 66 D. evaluated via a more in-depth review of cases.: D. evaluated via a more in-depth review of cases.
- Medication reconciliation is a process intended to A. identify and resolve discrepancies. B. investigate formulary discrepancies. C. increase use of electronic medication administration. D. improve efficiency of medication administration.: A. identify and resolve discrepancies. the definition of medication reconciliation is a process of identifying the most accurate list of all medications by comparing the medical record to an external list of medications.
- One aspect of a quality process that integrates with risk management is the review and evaluation of A. adverse drug events. B. encounter data. C. case-mix analysis reports. D. accreditation survey reports: A. adverse drug events. Risk management has a role related to incident reporting.
- A new quality director has reviewed the information related to the Quality Council minutes, and notes the following: - The council meets quarterly. Meet- ings last approximately 2 hours.
- The council roster includes all clinical department managers and the quality director. Attendance ranges from 45-60%. - The primary role of the council is to receive department quality reports, which are then forwarded to the organization's governing body. Based on the information above, which of the following actions is most appropriate? A. Require departments to forward reports for review prior to the
17 / 66 meetings. B. Redefine the council's role to coordinate and prioritize quality activities. C. Switch to a monthly meeting with a new agenda format.
19 / 66 A. leadership's personal preference
20 / 66 B. geographic location of the SME C. cost of the SME's services D. references of the SME: D. references of the SME The positive clinical reputation provides credibility support to the project.
- According to continuous quality improvement principles, which of the fol- lowing concepts is most important? A. financial impact B. constancy of purpose C. resistance to change D. performance of individuals: B. constancy of purpose
- Which of the following is the best example of an outcome measure? A. availability of computers B. pathway compliance C. mortality rate D. laboratory turnaround: C. mortality rate An outcome measure is used to determine how the system or improvement project impacts the patient.
- The leader of a pain management performance improvement team has asked the Quality Council to disband the team. The most important factor for the Quality Council to assess is: A. the length of time the team has been together. B. how well the team met the intended outcome. C. the effectiveness of the team leader and facilitator. D.the amount of data the team has collected.: B. how well the team met the intended outcome. The decision to disband should be based upon how well the team has met the intended outcomes.
- Quality improvement team development stages include all of
