Final Exam

A  Quality assurance

B  Six Sigma

C  Work systems analysis

D  Human factors engineering

A  Celebrate success with staff

B  Confirm actions are successful

C  Comply with Medicare requirements

D  Complete the P-D-S-A improvement cycle

A  Reliability

B  Compliance

C  Reliability

D  Effectiveness

A  Making failures visible

B  Reducing inefficiencies

C  Mitigating harm

D  Standardizing the process

A  As long as required by the project measurement plan

B  Six months after process improvements have been implemented

C  Until the project sponsor is confident improvements are permanent

D  Once the Medicare requirements for QAPI have been met

A  Punish staff who make mistakes.

B  Encourage personal discretion.

C  Create redundancies.

D  Add process steps.

A  Quality Improvement Organization

B  Patient Safety Organization

C  Agency for Healthcare Research and Quality

D  National Patient Safety Foundation

A  Improve patient safety

B  Evaluate staff performance

C  Meet Medicare requirements

D  Reduce wasteful process steps

A  Identify the contributing factors

B  Develop risk-reduction strategies

C  Understand what happened

D  Report event to the governing board

A  Too few facilities with advanced information technology

B  Failure of process safeguards

C  Inadequate communication between care providers

D  According to The Joint Commission in 2015, which of the following was one of the most common root causes of sentinel events in healthcare organizations?

A  Force field analysis

B  Pareto analysis

C  Nominal group technique

D  Lean thinking

A  Storyboard

B  Planning matrix

C  Workflow diagram

D  Deployment flow chart

A  Flowchart

B  Histogram

C  Affinity diagram

D  Stakeholder analysis

A  Pareto analysis

B  Decision matrix

C  Questionnaire

D  Flowchart

A  Detailed flowchart

B  Balanced scorecard

C  Gantt chart

D  Quality storyboard

A  Top-down

B  Deployment

C  High-level

D  Workflow

A  Lean

B  FOCUS-PDCA

C  Rapid cycle improvement

D  Six Sigma

A  What process do we want to improve?

B  Who are the key stakeholders?

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

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

A  Plan

B  Study

C  Do

D  Act

A  Focus-Analyze-Develop-Execute

B  Define-Measure-Analyze-Improve-Control

C  Plan-Do-Check-Act

D  Plan-Do-Study-Act

A  Evaluation

B  Improvement

C  Planning

D  Measurement

A  Meets expectations

B  Minimal waste

C  Free of defects

D  No variation

A  Lean

B  Plan-Do-Study-Act

C  FADE

D  Rapid cycle improvement

A  Scatter diagram

B  Pie chart

C  Histogram

D  Control chart

A  Scatter diagram

B  Pie chart

C  Line graph

D  Histogram

A  Performance goal

B  Performance trend

C  Performance target

D  Performance gap

A  Pareto chart

B  Scatter diagram

C  Histogram

D  Bar graph

A  Goal setting

B  Data analytics

C  Data mining

D  Performance measurement

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

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

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

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

A  Tabular report

B  Pareto chart

C  Pie chart

D  Scatter diagram

A  The information’s intended use

B  The measurement time frame

C  The audience

D  The need for improvements

A  To compare current performance to previous performance

B  To determine if current performance meets performance goals

C  To determine the level of current performance

D  To compare current performance to an exemplary organization

A  Percentage of patients developing a urinary tract infection

B  Percentage of patients completing preadmission forms

C  Percentage of patients reporting pain was well controlled

D  None of the above

A  Sampling

B  Check sheet

C  Scorecard

D  Dashboard

A  Centers for Medicare & Medicaid Services

B  National Quality Forum

C  The Joint Commission

D  Agency for Healthcare Research and Quality

A  Rehabilitation facility

B  Home health agency

C  Health insurance plan

D  Urgent care clinic

A  Percentage of staff using hand cleaner when entering patient room

B  Number of complaints received from family members

C  Percentage of patients on ventilators who develop pneumonia

D  Percentage of patients on ventilators who develop pneumonia

A  Total number of hospitalized patients

B  Total number of home health patients admitted to the hospital

C  Total number of home health patients

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

A  Measure specifications

B  Data attributes

C  Data dictionary

D  Measure plan

A  Excel spreadsheet

B  Electronic database

C  Patient surveys

D  Paper records

A  Health Information Technology for Economic and Clinical Health

B  Patient Protection and Affordable Care Act

C  Medicare Access and CHIP Reauthorization

D  National Quality Strategy

A  Percentage

B  Ratio

C  Absolute number

D  Average

A  National Quality Forum

B  The Joint Commission

C  National Committee for Quality Assurance

D  Centers for Medicare & Medicaid Services

A  ORYX project

B  Check sheet

C  Balanced scorecard

D  Triple Aim

A  Establish measurement team

B  Identify data sources

C  Establish performance goals

D  Identify topic of interest

A  Percentage of residents regularly participating in social activities

B  Number of records lacking documentation of resident’s allergies

C  Number of requests for equipment maintenance

D  Percentage of residents developing a pressure ulcer

A  Number of disaster drills conducted annually

B  Percentage of patients educated about their medications

C  Rate of patient falls in various units

D  Percentage of patients with private insurance

A  Customer expectations for quality and reliability

B  Regulatory requirements and accreditation standards

C  Variable conditions and behaviors of patients

D  Need for adequately trained and competent staff

A  Pre-Industrial Revolution craft model

B  Quality assurance methodology

C  Synthesis and alignment principle

D  Deming approach to continuous improvement

A  Hospital standardization program

B  Conditions of Participation

C  Accreditation standards

D  State licensing documents

A  Quality planning

B  Quality assurance

C  Performance assessment

D  Performance measurement

A  Employee empowerment

B  Quality control

C  Management by fact

D  Do no harm

A  Medical Group Management Association

B  American College of Surgeons

C  Centers for Medicare & Medicaid Services

D  The Joint Commission

A  The healthcare quality Triple Aim

B  Baldrige National Quality Program

C  Conditions of Participation

D  National Quality Strategy

A  Joseph Juran

B  Kaoru Ishikawa

C  Walter Shewhart

D  W. Edwards Deming

A  Measurement, assessment, and improvement

B  Overuse, underuse, and misuse

C  Goal setting, prioritization, and measurement

D  Quality planning, control, and improvement

A  Fewer health disparities

B  Improved satisfaction

C  Efficient care

D  Affordable care

A  One that is provided in a timely manner

B  One that meets customer expectations

C  One that adds value for the customer

D  One that consistently performs as intended

A  Institute of Medicine

B  Centers for Medicare & Medicaid Services

C  American Hospital Association

D  Institute for Healthcare Improvement

A  Helps safeguard providers against malpractice

B  Contributes to the rising cost of services

C  Information linked between healthcare facilities

D  Consistent with current professional knowledge