Exam 3

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Question #1

What qualitative tool would be used by an improvement team to undercover the root cause of a performance problem?

A Five Whys

B Pareto chart

C Stakeholder analysis

D Flow chart

Question #2

An improvement team in a home health agency wants to streamline the process of discharging patients. The team identifies all the factors that will hinder the success of their improvement plans, as well as those factors that will increase the likelihood of success. The team is using what improvement tool?

A Lean thinking

B Pareto analysis

C Nominal group technique

D Force field analysis

Question #3

The hospital team charged with reducing the incidence of patient falls has selected four different patient care process changes that need to be implemented. What tool would the team use to document the tasks necessary for making these process changes?

A Storyboard

B Planning matrix

C Deployment flow chart

D Workflow diagram

Question #4

Staff in an ambulatory surgery center want to streamline the patient admission process. What performance improvement tool would they use to get a better understanding of how patients are currently admitted?

A Flowchart

B Stakeholder analysis

C Histogram

D Affinity diagram

Question #5

An improvement team in the emergency department brainstorms all factors that have an effect on how long patients wait before being seen by a physician. What performance improvement tool would be useful for categorizing the factors identified through this brainstorming activity?

A Cause and effect diagram

B Workflow diagram

C Five Whys

D Pareto chart

Question #6

What can cause data gathered through the use of patient satisfaction surveys to be unreliable?

A Surveys are sent to a representative sample

B Questions are graded on a continuum

C Response rate is low

D Survey is conducted online

Question #7

A hospital improvement team has brainstormed several potential solutions to the problem of high nursing staff turnover. What tool could the team use to select the solutions most likely to be successful?

A Flowchart

B Questionnaire

C Decision matrix

D Pareto analysis

Question #8

What reporting format is used to summarize the steps of a performance improvement project?

A Detailed flowchart

B Quality storyboard

C Balanced scorecard

D Gantt chart

Question #9

What is another name for a fishbone diagram?

A Workflow diagram

B Affinity diagram

C Force field diagram

D Cause and effect diagram

Question #10

The hospital respiratory therapy department is conducting a Six Sigma project for the purpose of reducing the incidence of missed treatments. The department’s medical director asks staff members to identify process changes that will result in fewer missed treatments. What qualitative improvement tool could the director use during this brainstorming session to narrow down potential solutions to those most likely to be successful?

A Planning matrix

B Cause and effect diagram

C Nominal group technique

D Workflow diagram

Question #11

To improve productivity in the hospital operating room, the manager wants to start scheduling elective surgeries on Saturday. What tool can the manager use to identify strategies for gaining support from individuals who may resist this change?

A Five Whys

B Nominal group technique

C Pareto analysis

D Stakeholder analysis

Question #12

A team in the hospital registration department is conducting a Lean project to reduce wasteful steps in the process of preregistering elective admissions. What qualitative improvement tool could the team use to better understand the movement of preadmission paperwork throughout the department?

A Staff survey

B Cause and effect diagram

C Workflow diagram

D Multi-voting

Question #13

What is an example of a quantitative improvement tool?

A Nominal group technique

B Decision matrix

C Scatter diagram

D Cause and effect diagram

Question #14

Staff members in the physical therapy department gather information about the reasons why patient treatments do not start at the scheduled time. They want to group the reasons for late treatment starts into related categories to identify commonalities. What performance improvement tool could be used to sort the reasons into similar categories?

A Flowchart

B Force field analysis

C Prioritization matrix

D Affinity diagram

Question #15

What is a step common to all performance improvement models?

A Identify customer expectations

B Measure success

C Prevent rework

D Evaluate special cause variation

Question #16

Achieving near-perfect quality is the primary goal of which performance improvement model?

A Six Sigma

B Lean

C Rapid cycle improvement

D FOCUS-PDCA

Question #17

What is the first question asked during a FOCUS-PDCA project?

A Who are the key stakeholders?

B What changes can we make that will result in improvement?

C What process do we want to improve?

D How will we know that a change is an improvement?

Question #18

A health maintenance organization conducted a study on outpatient treatment of patients with asthma. The need for a new asthma management protocol was identified, and it was developed. Now the protocol is being piloted by physicians at two primary care clinics. This project is in which phase of the Plan-Do-Study-Act improvement cycle?

A Study

B Act

C Plan

D Do

Question #19

During the Act phase of a PDSA project, if changes made to improve performance are found to be unsuccessful, what is the next step?

A Continue to monitor process performance.

B Start a different process improvement project.

C Add new members to the improvement project team.

D Repeat the project starting at the Plan phase.

Question #20

What improvement model originated in the Toyota automobile production system?

A Lean

B Six Sigma

C Baldrige

D Focus-PCDA

Question #21

For a healthcare process to achieve Six Sigma, what level of quality is expected?

A Minimal waste

B Free of defects

C Meets expectations

D No variation

Question #22

Eliminating wasteful inefficiencies in a process is the primary goal of which performance improvement model?

A FADE

B Plan-Do-Study-Act

C Rapid cycle improvement

D Lean

Question #23

The hospital has collected patient satisfaction data for more than one year. It is now time for strategic planning, and you’ve been asked to summarize the satisfaction data so senior leaders can establish two or three strategic objectives related to improving patient satisfaction. They want to focus on the vital few issues that cause the most problems. What type of graph would you use to provide senior leaders with the information they need?

A Pie chart

B Control chart

C Pareto chart

D Radar chart

Question #24

Statistical process control techniques can be applied to which type of graph?

A Scatter diagram

B Line graph

C Histogram

D Pareto chart

Question #25

Which of the following statements regarding control charts is TRUE?

A Control charts are used to reduce assignable variation.

B The Pareto principle is highlighted by the use of control charts.

C Time-series data are plotted on a control chart.

D A control chart is a good tool for displaying cause and effect.

Question #26

What type of data display uses symbols or colors to draw people’s attention to performance concerns?

A Line graph

B Pie chart

C Dashboard

D Bar graph

Question #27

When a data point on a control chart falls above the upper control limit, the process being measured is exhibiting what type of characteristic?

A Exceptional variation

B Common cause variation

C Random variation

D Special cause variation

Question #28

The clinic medical director wants to know if there is a correlation between the number of minutes patients must wait to see a physician and the time of day. Which graph would you use to display the data to help determine if a relationship exists between the two variables?

A Control chart

B Pie chart

C Scatter diagram

D Histogram

Question #29

Which graph is used to display the frequency distribution of measurement data?

A Histogram

B Scatter diagram

C Line graph

D Pie chart

Question #30

Tampering can occur when a manager reacts to performance measurement results without knowing how much natural performance variance occurs in the process.

A False

B True

Question #31

What is revealed by evaluating the difference between a department’s actual and expected performance?

A Performance trend

B Performance goal

C Performance target

D Performance gap

Question #32

What type of data display is commonly used to report performance measurement data over time?

A Histogram

B Bar graph

C Pareto chart

D Scatter diagram

Question #33

During which phase of quality management are raw data examined to draw conclusions about performance?

A Data mining

B Data analytics

C Performance measurement

D Goal setting

Question #34

Which of the following statements best represents the philosophy employed by the Pareto principle?

A Generally, 80% of quality problems are candidates for improvement actions.

B To achieve ideal performance, all quality problems should be investigated.

C The majority of quality defects are caused by a small percentage of identifiable problems.

D Problems that have a measurable effect on patient outcomes should be corrected.

Question #35

What is a publicly available source of comparative healthcare performance data?

A American Customer Satisfaction Index

B Hospital Association Quality Measures

C National Quality Forum

D Healthcare Cost and Utilization Project

Question #36

Which of the following formats can be used to display measurement data from different time periods?

A Pie chart

B Scatter diagram

C Tabular report

D Pareto chart

Question #37

Which of the following factors is NOT considered when selecting a format for displaying measurement data?

A The information’s intended use

B The need for improvements

C The audience

D The measurement time frame

Question #38

What group sponsors the National Guidelines Clearinghouse?

A The Joint Commission

B Centers for Medicare & Medicaid Services

C Agency for Healthcare Research and Quality

D National Quality Forum

Question #39

What type of healthcare organization uses measures found in the Healthcare Effectiveness Data and Information Set (HEDIS)?

A Urgent care clinic

B Home health agency

C Rehabilitation facility

D Health insurance plan

Question #40

Which of the following is a process measure of performance in a hospital intensive care unit?

A Percentage of patients not on ventilators who develop pneumonia

B Number of complaints received from family members

C Percentage of patients on ventilators who develop pneumonia

D Percentage of staff using hand cleaner when entering patient room

Question #41

The percentage of patients receiving home health services who develop a pressure ulcer is a measure of potentially avoidable events.

A False

B True

Question #42

What is the denominator for the performance measure “percentage of home health patients admitted to the hospital”?

A Total number of home health patients not admitted to the hospital

B Total number of hospitalized patients

C Total number of home health patients

D Total number of home health patients admitted to the hospital

Question #43

A performance measure is considered evidence based if it is derived from nationally recognized practice guidelines.

A False

B True

Question #44

Measures of clinical decision making often originate from medical license requirements.

A True

B False

Question #45

What document does The Joint Commission require hospitals create to describe each data element captured electronically?

A Data dictionary

B Measure plan

C Data attributes

D Measure specifications

Question #46

What is the data source for an e-measure?

A Patient surveys

B Electronic database

C Paper records

D Excel spreadsheet

Question #47

What federal act created incentives for hospitals and providers to adopt electronic health records?

A Medicare Access and CHIP Reauthorization

B Patient Protection and Affordable Care Act

C Health Information Technology for Economic and Clinical Health

D National Quality Strategy

Question #48

What statistic is used to report a measurement that is comparing two things (e.g., the actual number of hospital deaths as compared to the expected deaths)?

A Average

B Absolute number

C Percentage

D Ratio

Question #49

Which external group does NOT establish performance measurement requirements for healthcare organizations?

A National Quality Forum

B National Committee for Quality Assurance

C Centers for Medicare & Medicaid Services

D The Joint Commission

Question #50

What is a process measure of staff performance in a nursing home?

A Number of requests for equipment maintenance

B Percentage of residents regularly participating in social activities

C Number of records lacking documentation of resident’s allergies

D Percentage of residents developing a pressure ulcer

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