NAHQ NAHQ Certifications CPHQ Questions & Answers

• Question 91:

  Prospective data collection also relies on medical record review, but it is completed during a patient's hospitalization or visits rather than retrospectively.

  Obviously this method of data collection is expensive but:

  A. If staff can minimize the time required for data entry it can focus on accurate collection and the analysis/reporting function

  B. If staff can maximize the time required for data entry it can focus on accurate collection and the analysis/reporting function

  C. If staff can moderate the time required for data entry it can focus on accurate collection and the analysis/reporting function

  D. If staff can maximize the reliability required for data entry it can focus on accurate collection and the analysis/reporting function

  Correct Answer: A

• Question 92:

  The downside to asking nursing staff to perform data collection is that can district nurses from their direct patient care responsibilities.

  A better approach would be:

  A. To assign this work to them during holidays

  B. To give this job work after their actual job timings C. To hire research assistants or full-data analysts who can only perform data collection

  D. To hire research assistants or fulltime data analysts who can perform data collection and be responsible for data entry and analysis

  Correct Answer: D

• Question 93:

  The approach to medical record review involves well-conceived steps, beginning with the development of a data collection tool and ending with:

  A. Compilation of collected data element into a registry or electronic database software for review and analysis

  B. Implementation of the analysis of collected data set

  C. Execution of the future activities on the finding of this record review

  D. Compilation of collected data element into a register or physical record system

  Correct Answer: A

• Question 94:

  The percentage of patients with congestive heart failure who are receiving an ACE inhibitor is an example of retrospective measure. The use of ACE inhibitors in the population is indicated for all patients with an ejection fraction of less than 40 percent. The ejection fraction is not part of the typical administrative database.

  Sometimes the information is contained:

  A. In an ERP system

  B. In a separate computer record

  C. In a stand-alone database in cardiology department and is generated in accessible

  D. In a worksheet

  Correct Answer: C

• Question 95:

  It involves identification and selection of a patient's medical record or group of records after the patient has been discharged from the hospital or clinic. Many proponents of medical record review believe it to be the most accurate method of data collection.

  What is it?

  A. Prospective data collection

  B. Data collection forms

  C. Scanners

  D. Retrospective data collection

  Correct Answer: D

• Question 96:

  Some database projects rely on medical record review because many of the data are not available in administrative database, e.g.

  A. Measurement that require time stamp, such as administration of antibiotics within one hour before surgical incision

  B. Patient's entries and visits to the physician

  C. Patients of test and lab reports

  D. Nursing record

  Correct Answer: A

• Question 97:

  Which of following objectives is/are NOT essential for successful quality improvement project and data collection initiative?

  A. Identify the purpose of the data measurement activity (for monitoring at regular intervals, investigation over a limited period, or one-time study).

  B. Identify the most appropriate data sources.

  C. Identify the most important measures for collection (the critical few).

  D. Commonsense all the data collected that will provide the actual information.

  Correct Answer: D

• Question 98:

  To identify outpatient data sources, the team should consider the following questions EXCEPT: (Choose two.)

  A. Is the physician in organized medical groups that have outpatient electronic medical records, which could be a source of data? Will their financial or billing systems be able to identify all patients with diabetes in their practices? If not, can the health plans in the area supply the data by practice site or individual physician?

  B. Some of the most important diabetes measures are based on laboratory testing. Do the physicians have their own labs? If so, do they achieve the laboratory data for 12-24-month snapshot? If they do not do their own lab testing, do they use a common reference lab that would be able to supply the data?

  C. Do the measures selected by team reflect the aspects of care that have the most influence on patient's outcome?

  D. Are the source outpatient data the same as inpatient data?

  Correct Answer: CD

• Question 99:

  The distinction between inpatient and outpatient data is an important consideration in planning the data collection process because:

  A. The data sources may be different

  B. Mixing of data may or may not be reliable

  C. Approaches to data collection may be different

  D. Both A and B

  Correct Answer: D

• Question 100:

  What approach should be followed by the healthcare improvement team for the best outcomes?

  A. Data collection should be thorough. The team may need the data down the road

  B. Stockpiling of data "just in case"

  C. Collecting the critical few rather than collecting for a rainy day

  D. Collection of a balanced amount of data in order to full-fill the current demands

  Correct Answer: C