Final Exam

A  Work systems analysis

B  Human factors engineering

C  Six Sigma

D  Quality assurance

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

B  Confirm actions are successful

C  Comply with Medicare requirements

D  Celebrate success with staff

A  Reliability

B  Effectiveness

C  Compliance

D  Reliability

A  Making failures visible

B  Mitigating harm

C  Reducing inefficiencies

D  Standardizing the process

A  Until the project sponsor is confident improvements are permanent

B  Once the Medicare requirements for QAPI have been met

C  As long as required by the project measurement plan

D  Six months after process improvements have been implemented

A  Punish staff who make mistakes.

B  Add process steps.

C  Create redundancies.

D  Encourage personal discretion.

A  Patient Safety Organization

B  Quality Improvement Organization

C  National Patient Safety Foundation

D  Agency for Healthcare Research and Quality

A  Improve patient safety

B  Reduce wasteful process steps

C  Meet Medicare requirements

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  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?

B  Failure of process safeguards

C  Too few facilities with advanced information technology

D  Inadequate communication between care providers

A  Force field analysis

B  Pareto analysis

C  Lean thinking

D  Nominal group technique

A  Storyboard

B  Workflow diagram

C  Deployment flow chart

D  Planning matrix

A  Flowchart

B  Stakeholder analysis

C  Histogram

D  Affinity diagram

A  Questionnaire

B  Pareto analysis

C  Decision matrix

D  Flowchart

A  Quality storyboard

B  Gantt chart

C  Balanced scorecard

D  Detailed flowchart

A  Workflow

B  Top-down

C  Deployment

D  High-level

A  Rapid cycle improvement

B  Lean

C  Six Sigma

D  FOCUS-PDCA

A  What process do we want to improve?

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

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

D  Who are the key stakeholders?

A  Do

B  Plan

C  Act

D  Study

A  Plan-Do-Study-Act

B  Focus-Analyze-Develop-Execute

C  Define-Measure-Analyze-Improve-Control

D  Plan-Do-Check-Act

A  Planning

B  Evaluation

C  Improvement

D  Measurement

A  Meets expectations

B  Minimal waste

C  No variation

D  Free of defects

A  FADE

B  Plan-Do-Study-Act

C  Lean

D  Rapid cycle improvement

A  Pie chart

B  Histogram

C  Control chart

D  Scatter diagram

A  Pie chart

B  Line graph

C  Histogram

D  Scatter diagram

A  Performance trend

B  Performance gap

C  Performance goal

D  Performance target

A  Scatter diagram

B  Bar graph

C  Pareto chart

D  Histogram

A  Goal setting

B  Performance measurement

C  Data analytics

D  Data mining

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

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

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

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 information’s intended use

B  The audience

C  The measurement time frame

D  The need for improvements

A  To determine if current performance meets performance goals

B  To compare current performance to previous performance

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  Dashboard

B  Scorecard

C  Sampling

D  Check sheet

A  National Quality Forum

B  Agency for Healthcare Research and Quality

C  Centers for Medicare & Medicaid Services

D  The Joint Commission

A  Rehabilitation facility

B  Urgent care clinic

C  Home health agency

D  Health insurance plan

A  Percentage of patients on ventilators who develop pneumonia

B  Percentage of staff using hand cleaner when entering patient room

C  Percentage of patients on ventilators who develop pneumonia

D  Number of complaints received from family members

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

B  Total number of home health patients

C  Total number of home health patients admitted to the hospital

D  Total number of hospitalized patients

A  Measure plan

B  Data attributes

C  Measure specifications

D  Data dictionary

A  Excel spreadsheet

B  Patient surveys

C  Electronic database

D  Paper records

A  National Quality Strategy

B  Patient Protection and Affordable Care Act

C  Health Information Technology for Economic and Clinical Health

D  Medicare Access and CHIP Reauthorization

A  Absolute number

B  Ratio

C  Percentage

D  Average

A  National Committee for Quality Assurance

B  The Joint Commission

C  Centers for Medicare & Medicaid Services

D  National Quality Forum

A  Check sheet

B  Triple Aim

C  Balanced scorecard

D  ORYX project

A  Identify data sources

B  Establish performance goals

C  Identify topic of interest

D  Establish measurement team

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  Percentage of patients educated about their medications

C  Number of disaster drills conducted annually

D  Rate of patient falls in various units

A  Customer expectations for quality and reliability

B  Need for adequately trained and competent staff

C  Variable conditions and behaviors of patients

D  Regulatory requirements and accreditation standards

A  Synthesis and alignment principle

B  Quality assurance methodology

C  Pre-Industrial Revolution craft model

D  Deming approach to continuous improvement

A  State licensing documents

B  Conditions of Participation

C  Accreditation standards

D  Hospital standardization program

A  Performance assessment

B  Performance measurement

C  Quality assurance

D  Quality planning

A  Employee empowerment

B  Do no harm

C  Quality control

D  Management by fact

A  Centers for Medicare & Medicaid Services

B  The Joint Commission

C  Medical Group Management Association

D  American College of Surgeons

A  The healthcare quality Triple Aim

B  National Quality Strategy

C  Conditions of Participation

D  Baldrige National Quality Program

A  Walter Shewhart

B  W. Edwards Deming

C  Kaoru Ishikawa

D  Joseph Juran

A  Measurement, assessment, and improvement

B  Overuse, underuse, and misuse

C  Goal setting, prioritization, and measurement

D  Quality planning, control, and improvement

A  Efficient care

B  Fewer health disparities

C  Affordable care

D  Improved satisfaction

A  One that meets customer expectations

B  One that consistently performs as intended

C  One that adds value for the customer

D  One that is provided in a timely manner

A  Centers for Medicare & Medicaid Services

B  Institute for Healthcare Improvement

C  Institute of Medicine

D  American Hospital Association

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