NAHQ NAHQ Certifications CPHQ Questions & Answers

• Question 81:

  The ability to report survey results at an actionable level is critical; in most cases, actionable level means: (Choose two.)

  A. The nursing unit

  B. Location of service

  C. Average time frame of a service

  D. Service level

  Correct Answer: AB

• Question 82:

  There is an art to constructing patient satisfaction surveys that produce valid, reliable, and relevant information. Likewise, survey validation itself is a time-consuming and complex undertaking.

  A quality improvement team can:

  A. Design the survey itself

  B. Design with the help of outside experts to design the survey

  C. Purchase an existing survey

  D. Any one of these can be the case

  Correct Answer: D

• Question 83:

  Some argue that administrative data are less reliable than data gathered by chart review. However, administrative data can be just as reliable as data from chart review when they are properly cleaned and validated, the indicator definitions are clear and concise, and measures from the CR system were validated using approach/es:

  A. Chart review using an appropriate sampling methodology

  B. Chart review performed for the joint commission core measures

  C. Comparison to similar measures in standalone database

  D. All of these

  Correct Answer: D

• Question 84:

  The downside of _____________ is cost. It is very costly and time consuming, and it often requires several full time data analysts.

  A. Prospective data collection approach

  B. Retrospective approach

  C. Scanners

  D. Flow charts

  Correct Answer: A

• Question 85:

  Examples of administrative data sources are all of the following EXCEPT:

  A. Hospital or physician office billing systems

  B. Health plan claim databases

  C. Health information management or medical record system

  D. Nursing management system

  Correct Answer: D

• Question 86:

  Administrative databases are an excellent source of data for reporting on clinical quality, financial performance, and certain patient outcomes.

  Use of administrative database is advantageous for the following reason EXCEPT:

  A. They are less expensive source of data than other alternatives such as chart review or prospective data collection

  B. The incorporate transaction system already used in the daily business operations of a healthcare organization (frequently referred to as legacy system)

  C. The volume of available indicators is 1000 times greater than that available through other data collection techniques

  D. Data reporting tools are available as part of the purchased system or through third-party add-ons or services.

  Correct Answer: C

• Question 87:

  Administrative data are information collected, processed and stored in automated information system. Which of the following is NOT included in that data?

  A. Enrollment or eligibility information

  B. Claims information

  C. Manage care encounters

  D. Timely administration of therapies

  Correct Answer: D

• Question 88:

  Through ___________ the data collection staff can spot patient trends as they develop rather than receive the information after the patient have been discharged.

  For instance, the incidence of ventilator-associated pneumonia sooner, or it may spot an increase in the rate of aspiration in stroke patients as it occurs.

  A. Medical record review (Retrospective)

  B. Prospective chart review

  C. Data collection forms

  D. Scanners

  Correct Answer: B

• Question 89:

  Advantages of prospective data collection are all of the following EXCEPT:

  A. Detailed information not routinely available in administrative databases can be gathered

  B. Physiologic parameters can be captured, such as the range of blood pressures for a patient on vasoactive infusions or 24-hour intake and output for patients with heart failure

  C. Data requiring a time stamp also can be captured

  D. Before time administration of certain therapies

  Correct Answer: D

• Question 90:

  The most effective data collection tools follow the _____________ of patient care and medical record documentation, whether the data are collected retrospectively or prospectively.

  A. Actual flow

  B. Chart review

  C. Data analysts

  D. Registration system

  Correct Answer: A