Final Exam

A  Six Sigma

B  Human factors engineering

C  Work systems analysis

D  Quality assurance

A  Confirm actions are successful

B  Comply with Medicare requirements

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

D  Celebrate success with staff

A  Reliability

B  Effectiveness

C  Compliance

D  Reliability

A  Reducing inefficiencies

B  Making failures visible

C  Standardizing the process

D  Mitigating harm

A  Six months after process improvements have been implemented

B  Until the project sponsor is confident improvements are permanent

C  As long as required by the project measurement plan

D  Once the Medicare requirements for QAPI have been met

A  Punish staff who make mistakes.

B  Create redundancies.

C  Add process steps.

D  Encourage personal discretion.

A  Patient Safety Organization

B  Agency for Healthcare Research and Quality

C  Quality Improvement Organization

D  National Patient Safety Foundation

A  Meet Medicare requirements

B  Reduce wasteful process steps

C  Evaluate staff performance

D  Improve patient safety

A  Understand what happened

B  Develop risk-reduction strategies

C  Report event to the governing board

D  Identify the contributing factors

A  Failure of process safeguards

B  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?

C  Inadequate communication between care providers

D  Too few facilities with advanced information technology

A  Lean thinking

B  Nominal group technique

C  Force field analysis

D  Pareto analysis

A  Storyboard

B  Planning matrix

C  Deployment flow chart

D  Workflow diagram

A  Flowchart

B  Histogram

C  Stakeholder analysis

D  Affinity diagram

A  Flowchart

B  Decision matrix

C  Pareto analysis

D  Questionnaire

A  Balanced scorecard

B  Detailed flowchart

C  Gantt chart

D  Quality storyboard

A  Deployment

B  Workflow

C  Top-down

D  High-level

A  Rapid cycle improvement

B  Six Sigma

C  FOCUS-PDCA

D  Lean

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

B  Who are the key stakeholders?

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

D  What process do we want to improve?

A  Plan

B  Do

C  Act

D  Study

A  Focus-Analyze-Develop-Execute

B  Plan-Do-Study-Act

C  Plan-Do-Check-Act

D  Define-Measure-Analyze-Improve-Control

A  Evaluation

B  Measurement

C  Improvement

D  Planning

A  Free of defects

B  No variation

C  Meets expectations

D  Minimal waste

A  Lean

B  Rapid cycle improvement

C  FADE

D  Plan-Do-Study-Act

A  Control chart

B  Pie chart

C  Scatter diagram

D  Histogram

A  Histogram

B  Scatter diagram

C  Pie chart

D  Line graph

A  Performance gap

B  Performance target

C  Performance goal

D  Performance trend

A  Scatter diagram

B  Bar graph

C  Histogram

D  Pareto chart

A  Goal setting

B  Performance measurement

C  Data mining

D  Data analytics

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

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

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.

A  Pie chart

B  Tabular report

C  Scatter diagram

D  Pareto chart

A  The need for improvements

B  The audience

C  The measurement time frame

D  The information’s intended use

A  To compare current performance to previous performance

B  To determine the level of current performance

C  To compare current performance to an exemplary organization

D  To determine if current performance meets performance goals

A  Percentage of patients reporting pain was well controlled

B  Percentage of patients developing a urinary tract infection

C  Percentage of patients completing preadmission forms

D  None of the above

A  Sampling

B  Dashboard

C  Check sheet

D  Scorecard

A  Agency for Healthcare Research and Quality

B  National Quality Forum

C  The Joint Commission

D  Centers for Medicare & Medicaid Services

A  Health insurance plan

B  Rehabilitation facility

C  Home health agency

D  Urgent care clinic

A  Percentage of patients on ventilators who develop pneumonia

B  Percentage of patients on ventilators who develop pneumonia

C  Number of complaints received from family members

D  Percentage of staff using hand cleaner when entering patient room

A  Total number of hospitalized patients

B  Total number of home health patients

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

D  Total number of home health patients admitted to the hospital

A  Data dictionary

B  Data attributes

C  Measure plan

D  Measure specifications

A  Electronic database

B  Excel spreadsheet

C  Paper records

D  Patient surveys

A  Health Information Technology for Economic and Clinical Health

B  National Quality Strategy

C  Patient Protection and Affordable Care Act

D  Medicare Access and CHIP Reauthorization

A  Ratio

B  Percentage

C  Average

D  Absolute number

A  National Committee for Quality Assurance

B  The Joint Commission

C  National Quality Forum

D  Centers for Medicare & Medicaid Services

A  Triple Aim

B  Check sheet

C  Balanced scorecard

D  ORYX project

A  Identify topic of interest

B  Establish performance goals

C  Establish measurement team

D  Identify data sources

A  Percentage of residents developing a pressure ulcer

B  Percentage of residents regularly participating in social activities

C  Number of requests for equipment maintenance

D  Number of records lacking documentation of resident’s allergies

A  Percentage of patients with private insurance

B  Percentage of patients educated about their medications

C  Rate of patient falls in various units

D  Number of disaster drills conducted annually

A  Variable conditions and behaviors of patients

B  Regulatory requirements and accreditation standards

C  Customer expectations for quality and reliability

D  Need for adequately trained and competent staff

A  Quality assurance methodology

B  Synthesis and alignment principle

C  Pre-Industrial Revolution craft model

D  Deming approach to continuous improvement

A  Hospital standardization program

B  Accreditation standards

C  State licensing documents

D  Conditions of Participation

A  Quality planning

B  Performance measurement

C  Quality assurance

D  Performance assessment

A  Do no harm

B  Quality control

C  Employee empowerment

D  Management by fact

A  American College of Surgeons

B  Centers for Medicare & Medicaid Services

C  Medical Group Management Association

D  The Joint Commission

A  Conditions of Participation

B  The healthcare quality Triple Aim

C  Baldrige National Quality Program

D  National Quality Strategy

A  Joseph Juran

B  W. Edwards Deming

C  Walter Shewhart

D  Kaoru Ishikawa

A  Overuse, underuse, and misuse

B  Measurement, assessment, and improvement

C  Quality planning, control, and improvement

D  Goal setting, prioritization, and measurement

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 adds value for the customer

D  One that is provided in a timely manner

A  Institute of Medicine

B  American Hospital Association

C  Institute for Healthcare Improvement

D  Centers for Medicare & Medicaid Services

A  Helps safeguard providers against malpractice

B  Consistent with current professional knowledge

C  Contributes to the rising cost of services

D  Information linked between healthcare facilities