Final Exam

A  Quality assurance

B  Work systems analysis

C  Six Sigma

D  Human factors engineering

A  Comply with Medicare requirements

B  Confirm actions are successful

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

D  Celebrate success with staff

A  Reliability

B  Reliability

C  Effectiveness

D  Compliance

A  Reducing inefficiencies

B  Making failures visible

C  Standardizing the process

D  Mitigating harm

A  Until the project sponsor is confident improvements are permanent

B  Six months after process improvements have been implemented

C  Once the Medicare requirements for QAPI have been met

D  As long as required by the project measurement plan

A  Create redundancies.

B  Add process steps.

C  Punish staff who make mistakes.

D  Encourage personal discretion.

A  Agency for Healthcare Research and Quality

B  Patient Safety Organization

C  National Patient Safety Foundation

D  Quality Improvement Organization

A  Meet Medicare requirements

B  Improve patient safety

C  Reduce wasteful process steps

D  Evaluate staff performance

A  Understand what happened

B  Report event to the governing board

C  Develop risk-reduction strategies

D  Identify the contributing factors

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  Lean thinking

C  Pareto analysis

D  Nominal group technique

A  Deployment flow chart

B  Planning matrix

C  Storyboard

D  Workflow diagram

A  Histogram

B  Flowchart

C  Affinity diagram

D  Stakeholder analysis

A  Questionnaire

B  Pareto analysis

C  Decision matrix

D  Flowchart

A  Balanced scorecard

B  Gantt chart

C  Quality storyboard

D  Detailed flowchart

A  Workflow

B  High-level

C  Top-down

D  Deployment

A  FOCUS-PDCA

B  Lean

C  Six Sigma

D  Rapid cycle improvement

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

B  What process do we want to improve?

C  Who are the key stakeholders?

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

A  Do

B  Plan

C  Act

D  Study

A  Plan-Do-Check-Act

B  Plan-Do-Study-Act

C  Focus-Analyze-Develop-Execute

D  Define-Measure-Analyze-Improve-Control

A  Improvement

B  Evaluation

C  Planning

D  Measurement

A  No variation

B  Free of defects

C  Minimal waste

D  Meets expectations

A  Plan-Do-Study-Act

B  Lean

C  FADE

D  Rapid cycle improvement

A  Control chart

B  Scatter diagram

C  Pie chart

D  Histogram

A  Line graph

B  Pie chart

C  Histogram

D  Scatter diagram

A  Performance goal

B  Performance target

C  Performance gap

D  Performance trend

A  Pareto chart

B  Bar graph

C  Scatter diagram

D  Histogram

A  Goal setting

B  Performance measurement

C  Data mining

D  Data analytics

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

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

A  Pareto chart

B  Pie chart

C  Tabular report

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 compare current performance to an exemplary organization

D  To determine the level of current performance

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  Dashboard

C  Sampling

D  Check sheet

A  The Joint Commission

B  Centers for Medicare & Medicaid Services

C  National Quality Forum

D  Agency for Healthcare Research and Quality

A  Urgent care clinic

B  Rehabilitation facility

C  Home health agency

D  Health insurance plan

A  Percentage of staff using hand cleaner when entering patient room

B  Percentage of patients on ventilators who develop pneumonia

C  Number of complaints received from family members

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  Data dictionary

B  Data attributes

C  Measure plan

D  Measure specifications

A  Patient surveys

B  Electronic database

C  Excel spreadsheet

D  Paper records

A  National Quality Strategy

B  Medicare Access and CHIP Reauthorization

C  Health Information Technology for Economic and Clinical Health

D  Patient Protection and Affordable Care Act

A  Percentage

B  Ratio

C  Absolute number

D  Average

A  Centers for Medicare & Medicaid Services

B  National Committee for Quality Assurance

C  National Quality Forum

D  The Joint Commission

A  ORYX project

B  Triple Aim

C  Balanced scorecard

D  Check sheet

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  Percentage of patients with private insurance

B  Rate of patient falls in various units

C  Percentage of patients educated about their medications

D  Number of disaster drills conducted annually

A  Need for adequately trained and competent staff

B  Variable conditions and behaviors of patients

C  Regulatory requirements and accreditation standards

D  Customer expectations for quality and reliability

A  Quality assurance methodology

B  Synthesis and alignment principle

C  Deming approach to continuous improvement

D  Pre-Industrial Revolution craft model

A  State licensing documents

B  Accreditation standards

C  Conditions of Participation

D  Hospital standardization program

A  Performance measurement

B  Performance assessment

C  Quality planning

D  Quality assurance

A  Do no harm

B  Management by fact

C  Employee empowerment

D  Quality control

A  American College of Surgeons

B  The Joint Commission

C  Centers for Medicare & Medicaid Services

D  Medical Group Management Association

A  Conditions of Participation

B  The healthcare quality Triple Aim

C  National Quality Strategy

D  Baldrige National Quality Program

A  W. Edwards Deming

B  Joseph Juran

C  Kaoru Ishikawa

D  Walter Shewhart

A  Goal setting, prioritization, and measurement

B  Measurement, assessment, and improvement

C  Overuse, underuse, and misuse

D  Quality planning, control, and improvement

A  Fewer health disparities

B  Affordable care

C  Efficient care

D  Improved satisfaction

A  One that consistently performs as intended

B  One that meets customer expectations

C  One that is provided in a timely manner

D  One that adds value for the customer

A  American Hospital Association

B  Centers for Medicare & Medicaid Services

C  Institute of Medicine

D  Institute for Healthcare Improvement

A  Contributes to the rising cost of services

B  Helps safeguard providers against malpractice

C  Information linked between healthcare facilities

D  Consistent with current professional knowledge