NAHQ NAHQ Certifications CPHQ Questions & Answers

• Question 171:

  Because of the goals of care can be defined broadly, outcome measures have come to include the costs of care as well as patients' satisfaction with care.

  In formulations that stress the technical aspects of care, however outcome typically refers to:

  A. Health status-related indicators such as whether the pain subsided

  B. Desired results

  C. Appropriate and potentially harmless care

  D. Special set of clinical activities

  Correct Answer: A

• Question 172:

  Ordering the correct diagnostic procedure for a patient is a measure of _________. When evaluating the process of care, however, appropriateness is only half the story. The other half is in how well and how promptly (i.e. skill-fully) the procedure was carried out.

  A. Consciousness

  B. Appropriateness

  C. Care assessment

  D. Equity

  Correct Answer: B

• Question 173:

  Licensing and accrediting bodies have relied heavily on structural measures of quality not only because the measures are relatively stable and thus easier to capture but:

  A. They reliably identify providers who are cheap

  B. They reliably identify providers who demonstrably lack means to deliver high quality care

  C. They can never lack the means to deliver high quality care

  D. They reliably identify physicians

  Correct Answer: B

• Question 174:

  When quality is measured in terms of structure the focus is on the relatively static characteristics of the individuals who provide care and of the settings where the care is delivered.

  These characteristics include ____________ of professionals who provide care and the adequacy of the facility's equipment, and overall organization.

  A. Education

  B. Training

  C. Certification

  D. A, B and C

  Correct Answer: D

• Question 175:

  All the evaluations of quality of care can be classified in terms of one three aspects of care giving they measure.

  Which of the following is/are NOT out of these measures? (Choose two.)

  A. Structure

  B. Process

  C. Output

  D. Cutbas

  Correct Answer: CD

• Question 176:

  Strong disagreement does arise, among the five parties' definitions (i.e. the clinician's, the patient's the payers, the manager's and the society's), even outside the realm of cost effectiveness.

  Conflicts typically arise when:

  A. Practitioners who are highly skilled in trauma and other emergency care

  B. Each group emphasizes a particular aspect of care

  C. One party holds that a particular practitioner or clinic is a high quality provider by virtue of having high ratings on single aspect of care

  D. The facility receives top marks from a team of expert clinicians whose primary focus is on technical performance

  Correct Answer: C

• Question 177:

  The manager's perspective on quality differs markedly from that of clinicians and patients on:

  A. Efficiency, effectiveness and access

  B. Efficiency, cost effectiveness and equity

  C. Responsiveness to patient preferences

  D. Equity, access and technical performance

  Correct Answer: B

• Question 178:

  Payers are more likely to embrace the optimization definition of care which can put them at odds with:

  A. Clinicians

  B. Health administrators

  C. Physicians

  D. Both A and B

  Correct Answer: C

• Question 179:

  In fact, because patients' satisfaction is so influenced by __________________ rather than to the more indiscernible technical ones-health maintenance organizations, hospitals and other health care delivery organizations have come to view the quality of nontechnical aspects of care as crucial to attractions and retaining patients.

  A. Their reactions to interpersonal and amenity aspect of care

  B. Patients recognize that they do not possess the wherewithal to evaluate all technical elements of care

  C. Every patient has definite preference in every clinical situation

  D. Their likelihood of desires outcomes

  Correct Answer: A

• Question 180:

  "Likelihood of desired health outcomes" corresponds to clinicians' view that, with respect to outcomes, there are only probabilities, not certainties, owing to factors-such as patients' genetically determined physiological reliance-that influence:

  A. The primary concerns of patients

  B. Outcomes of care and yet are beyond clinicians' control

  C. Outcomes of care and now are within clinicians' control

  D. High cost interventions

  Correct Answer: B