Final Exam

A  Quality assurance

B  Work systems analysis

C  Six Sigma

D  Human factors engineering

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

B  Confirm actions are successful

C  Celebrate success with staff

D  Comply with Medicare requirements

A  Compliance

B  Reliability

C  Reliability

D  Effectiveness

A  Mitigating harm

B  Standardizing the process

C  Reducing inefficiencies

D  Making failures visible

A  Once the Medicare requirements for QAPI have been met

B  Until the project sponsor is confident improvements are permanent

C  As long as required by the project measurement plan

D  Six months after process improvements have been implemented

A  Add process steps.

B  Punish staff who make mistakes.

C  Create redundancies.

D  Encourage personal discretion.

A  Patient Safety Organization

B  National Patient Safety Foundation

C  Agency for Healthcare Research and Quality

D  Quality Improvement Organization

A  Reduce wasteful process steps

B  Evaluate staff performance

C  Improve patient safety

D  Meet Medicare requirements

A  Identify the contributing factors

B  Develop risk-reduction strategies

C  Report event to the governing board

D  Understand what happened

A  Failure of process safeguards

B  Too few facilities with advanced information technology

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  Nominal group technique

B  Force field analysis

C  Lean thinking

D  Pareto analysis

A  Workflow diagram

B  Planning matrix

C  Storyboard

D  Deployment flow chart

A  Histogram

B  Stakeholder analysis

C  Affinity diagram

D  Flowchart

A  Pareto analysis

B  Flowchart

C  Decision matrix

D  Questionnaire

A  Quality storyboard

B  Gantt chart

C  Balanced scorecard

D  Detailed flowchart

A  Deployment

B  Top-down

C  Workflow

D  High-level

A  Six Sigma

B  Lean

C  FOCUS-PDCA

D  Rapid cycle improvement

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

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

C  Who are the key stakeholders?

D  What process do we want to improve?

A  Act

B  Plan

C  Do

D  Study

A  Plan-Do-Check-Act

B  Focus-Analyze-Develop-Execute

C  Plan-Do-Study-Act

D  Define-Measure-Analyze-Improve-Control

A  Improvement

B  Measurement

C  Planning

D  Evaluation

A  Free of defects

B  No variation

C  Minimal waste

D  Meets expectations

A  FADE

B  Lean

C  Plan-Do-Study-Act

D  Rapid cycle improvement

A  Scatter diagram

B  Pie chart

C  Control chart

D  Histogram

A  Histogram

B  Pie chart

C  Line graph

D  Scatter diagram

A  Performance gap

B  Performance trend

C  Performance target

D  Performance goal

A  Histogram

B  Scatter diagram

C  Pareto chart

D  Bar graph

A  Performance measurement

B  Data analytics

C  Goal setting

D  Data mining

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

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

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

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

A  Scatter diagram

B  Pareto chart

C  Tabular report

D  Pie chart

A  The audience

B  The information’s intended use

C  The need for improvements

D  The measurement time frame

A  To determine the level of current performance

B  To compare current performance to an exemplary organization

C  To compare current performance to previous performance

D  To determine if current performance meets performance goals

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  Scorecard

B  Check sheet

C  Sampling

D  Dashboard

A  Centers for Medicare & Medicaid Services

B  National Quality Forum

C  The Joint Commission

D  Agency for Healthcare Research and Quality

A  Urgent care clinic

B  Home health agency

C  Health insurance plan

D  Rehabilitation facility

A  Percentage of patients on ventilators who develop pneumonia

B  Percentage of staff using hand cleaner when entering patient room

C  Number of complaints received from family members

D  Percentage of patients on ventilators who develop pneumonia

A  Total number of home health patients

B  Total number of home health patients admitted to the hospital

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

D  Total number of hospitalized patients

A  Measure plan

B  Measure specifications

C  Data attributes

D  Data dictionary

A  Patient surveys

B  Excel spreadsheet

C  Electronic database

D  Paper records

A  Health Information Technology for Economic and Clinical Health

B  Medicare Access and CHIP Reauthorization

C  National Quality Strategy

D  Patient Protection and Affordable Care Act

A  Ratio

B  Average

C  Percentage

D  Absolute number

A  National Committee for Quality Assurance

B  Centers for Medicare & Medicaid Services

C  The Joint Commission

D  National Quality Forum

A  Check sheet

B  Triple Aim

C  ORYX project

D  Balanced scorecard

A  Establish measurement team

B  Establish performance goals

C  Identify topic of interest

D  Identify data sources

A  Percentage of residents developing a pressure ulcer

B  Percentage of residents regularly participating in social activities

C  Number of records lacking documentation of resident’s allergies

D  Number of requests for equipment maintenance

A  Number of disaster drills conducted annually

B  Percentage of patients with private insurance

C  Percentage of patients educated about their medications

D  Rate of patient falls in various units

A  Regulatory requirements and accreditation standards

B  Variable conditions and behaviors of patients

C  Need for adequately trained and competent staff

D  Customer expectations for quality and reliability

A  Synthesis and alignment principle

B  Pre-Industrial Revolution craft model

C  Deming approach to continuous improvement

D  Quality assurance methodology

A  State licensing documents

B  Accreditation standards

C  Hospital standardization program

D  Conditions of Participation

A  Quality planning

B  Quality assurance

C  Performance assessment

D  Performance measurement

A  Do no harm

B  Employee empowerment

C  Management by fact

D  Quality control

A  The Joint Commission

B  Medical Group Management Association

C  American College of Surgeons

D  Centers for Medicare & Medicaid Services

A  Baldrige National Quality Program

B  National Quality Strategy

C  The healthcare quality Triple Aim

D  Conditions of Participation

A  Kaoru Ishikawa

B  W. Edwards Deming

C  Joseph Juran

D  Walter Shewhart

A  Overuse, underuse, and misuse

B  Goal setting, prioritization, and measurement

C  Measurement, assessment, and improvement

D  Quality planning, control, and improvement

A  Fewer health disparities

B  Affordable care

C  Improved satisfaction

D  Efficient care

A  One that meets customer expectations

B  One that adds value for the customer

C  One that consistently performs as intended

D  One that is provided in a timely manner

A  Institute for Healthcare Improvement

B  Centers for Medicare & Medicaid Services

C  Institute of Medicine

D  American Hospital Association

A  Contributes to the rising cost of services

B  Information linked between healthcare facilities

C  Helps safeguard providers against malpractice

D  Consistent with current professional knowledge