Free NAHQ-CPHQ Exam Dumps Preview

Data for an organization's annual Influenza vaccine administration yields the following results:

What is the median for the organization's annual vaccine count?

A continuous quality improvement team has proposed a major change in the billing process for home health service. Staff acceptance of the change is best facilitated by:

A surgeon left a sponge in one patient, resulting in a multi-million dollar lawsuit. The organization immediately changed the operating room procedure so that after every surgery, patients receive an x-ray before leaving the operating room.

Which of the following should the organization have done prior to changing the procedure?

The facility's compliance rate on pain assessment is shown below:

Compliance Rate on Pain Assessment

January

February

March

Physicians

40%

50%

20%

Nurses

80%

75%
83%

Physical Therapists

60%

55%

50%

To improve performance, what should be done next?

A healthcare quality professional identifies a statistically significant difference in uncontrolled hypertension between its African American and Caucasian populations.

What is the next best step?

Several leaders in a healthcare facility have differing opinions regarding the pursuit of alternative certifications and recognitions. The Chief Quality Officer (CQO) has opted to retain an external quality consultant to determine relevance, appropriateness, and readiness for an alternative certification. The most appropriate role for an external consultant is to

Accountable care organizations (ACOs) utilize "hot spotting" as a population health tool to:

Which of the following is an important characteristic of a performance indicator?

Which of the following is most important for healthcare organizations to improve population health by reducing readmission rates?

The ability to safely manage complex tasks in the face of time pressures, quickly identify and contain errors, and bounce back after stressful situations relates to organizational:

When an identified solution requires significant change, the best tool to increase the likelihood of success is a:

A hospital is considering changing the process of admissions from the emergency department.
To support patient safety when this new process is deployed, the healthcare quality professional should suggest which of the following actions during the design stage of the process?

A root cause analysis is required after what type of occurrence?

The main goal of a clinical pathway/guideline Is lo

A strategic plan Is developed by making decisions about the future of the organization.

Which of the following Is true about the strategic plan?

Which of the following Is an example of a population health strategy?

Which management accountability action should be Implemented to ensure continuous readiness tor accreditation survey?

Which organization should be consulted when an organization wishes to expand diagnostic testing?

A surgeon has a surgical site infection rate of 6.7% for a particular procedure. The average infection rate for other surgeons performing the same procedure at this facility is 3.3%. After notifying the department chair of this situation, the quality professional should recommend

Which of the following best describes the goal of the Healthy People Initiative?

Which of the following is a purpose of a Pareto chart?

A healthcare quality professional has been informed of a significant medication error resulting in patient harm. A multidisciplinary team should be selected to conduct a

An internal customer of the admission process in a skilled nursing facility is the

Technology design that prevents a certain action, or requires that another action happen first, is said to have

A behavioral health hospital implemented restraint audits in each of its nursing units.
After two months of data collection, what should the healthcare quality professional do next?

Which of the following elements of an audit for a primary care office provides information about patient safety?

A quality professional has been asked to assist with prioritizing quality performance Initiatives In the surgery department.
Given the Information In the matrix below, which of the following performance Initiatives should take priority?

A group of clinical staff has identified a new opportunity for improvement. The group is ready to identify a sponsor, and a meeting has been scheduled with the Chief Medical Officer to discuss the possibility for them to serve as the sponsor.

What sponsor task should be discussed during the meeting?

Which type of data could best be used to help identify health-determinant information in apatient population?

Using the Information below, which patient population Is at the highest risk tor tailing?

A home health agency's Performance Improvement Committee has decided to base staff educational programs onaggregated occurrence report data. Due to budgetary and time constraints, not every area identified from the data can be addressed.

Which of the following would be most useful to the committee in determining their educational targets?

Which of the following is the key responsibility of a healthcare quality professional in all types of facilities and organizations?

Which initiative should a quality professional promote in an organization seeking to optimize value-based reimbursement?

Risk management identified claims for events that were not reported through the incident reporting system.

Which of the following actions should be leadership's initial priority?

Identification of quality Improvement opportunities can best be Identified through

A facility's performance on a clinical outcome measure has deteriorated. The healthcare quality professional's initial action should be to

A Lean improvement concept that represents rapid improvement is

Key stakeholders for process improvement are selected during which phase of the Plan-Do-Study-Act (PDSA) model?

A quality professional is leading a team that was recently formed to identify ways to decrease length of stay. The team members have started arguing with each other over whose approach is best. Each team member thinks the team should focus on a different part of the patient journey first, and members are not listening to each other.

Which of the following should the team leader do?

A quality director has been tasked with the responsibility for education and implementation of a new process improvement initiative. To affect the needed change in culture, the quality director should ___

A physician challenges the number of healthcare-acquired infections reported for orthopedic surgery.

Which of the following will be most effective in demonstrating the validity of the information?

Which of the following characteristics are most appropriate for a physician champion of healthcare quality?

A clinic is implementing a new medication dispensing system. The vendors of three products are on site with staff interacting with the products prior to purchase.

Which of the following best describes this type of safety intervention?

The purpose of patient safety goals is to

A performance improvement coordinator is having difficulty keeping a new team focused on its goal of decreasing patient waiting times. To understand why the team process is not working, the team leader shouldinitially assess the

A key concept in patient safety planning is to design procedures that

As part of survey preparation, a healthcare quality professional evaluates infection control processes, including the coordination and communication among departments involved in the processes.
This is an example of what type of tracer?

Which of the following is an example of active surveillance?

A performance Improvement team has been meeting to examine delays in getting admissions from theemergency room to the nursing units. After six months of collecting data, the upper control limit was ISO minutes, and the lower control limit was 60 minutes. The next month's data shows a time of 155 minutes.
The team should understand that this represents what type of variation?

Prior to discharge, which of the following provides patient information to improve education for heart failure patients?

An organization has compiled the scatter plots below:

Based on these plots, which of the following conclusions can be made by the quality professional?

Which of the following is an example of improving primary prevention strategies?

A home healthcare organization is looking to identify third-party endorsed outcome measures for the following areas:

1. improvement in medication management
2. improvement in ambulation
3. improvement inpain

Which organization can best provide this information?

The most important determinant of quality improvement success is

Which of the following is the primary benefit of the initial phase brainstorming?

A rapid cycleimprovement team has met for six months. The team set a clear aim, gathered data, and identified barriers, but has not conducted any tests of change. Team members are also not completing assignments.

Which of the following tools should be used to get the team back on track?

A goal of measurement is to collect valid and reliable data that reflects

The purpose of sentinel event review of never events is to

To evaluate outcomes, an ambulatory/outpatient care unit should analyze:

Which of the following is the most effective method to identify adverse events that cause harm to patients?

Which initiative should a quality professional promote in an organization seeking to optimize value-based reimbursement?

A quality professional is assessing team performance.

Which of the following results would be associated when applying evaluation criteria to assess productivity?

Leadership at an outpatient multi-specialty clinic is working toward becoming a high-reliability organization. In the past week, there have been three medication errors with high-risk medications in the procedure area.

Which of thefollowing responses by leadership is consistent with high-reliability principles?

A team has identified five opportunities for improvement related to patient wait times.

Which of the following is the best tool for selecting the opportunity with the highest impact?

When a team member fails to complete an assigned task, which aspect of team performance will most likely be affected?

In aligning an organization's performance Improvement plan with strategic goals, a healthcare quality professional should consider

Which of the following is an example of an alternative payment model (APM)?

The staff in the outpatient department complete the morning schedule at varied times. There are multiple factors in the variation such as number of patients, complexity of the cases, and the number of cancellations.
To identify common-cause variation affecting the completion of the morning schedules, what type of chart should be utilized?

An important responsibility of each team member working on a team project is to

An organization has established an ambulatory diabetic management program.

Which of the following will best define a successful outcome of the program?

Even when appropriate processes are in place, errors can occur. Understanding this, leaders coordinating a patient safety program should focus on

A quality professional noted that the medication error rate in a specialty clinic has been steadily increasing over the past 4 months and was now above the acceptable threshold. The clinic used a bar coding system that required the medication to be scanned prior to administration. When this occurred, pop-up screens on the computer asked the clinician a series of questions intended to ensure the correct medication and dose was being given to the correct patient. The equipment and medications used were the same, and the bar coding system had been in place for 14 months.

Which of the following is most likely to be the root cause of the increased medication errors?

The study of clinic waiting times measures which of the following types of quality indicators?

Leadership at a facility reviewed andrevised business process activities following staff layoffs. The activities were carefully planned, communicated, and implemented according to the plan. One year later, the business is stable but staff morale is very low. Based on the concepts of change theory, this is most likely due to:

The health department cited a clinic for storing used instruments improperly.
From aquality perspective, which of the following should be done first?

An organization has a goal to increase profitability of services covered under bundled payments.

Which of the following aspects of quality should a healthcare quality professional recommend as a starting point for an analysis?

The quality professional has been tasked to conduct focus groups to gather more information on culture of safety.

What kind of data will this yield?

After much planning and preparation, a healthcare quality professional believes the organization is ready to move forward with the process of achieving recognition through a program that highlights their achievements in nursing excellence.

Which of the following distinctions is most appropriate for the organization to pursue?

Following evaluation of the compounding process used by a pharmacy, the batch compounding consistently yields 12% more drug than Is needed. The excess Is stored until used or expired.

Which of the following types of waste should be recorded when reporting this finding?

Which of the following tools aids decision-making through organizing tasks, issues, or actions based on agreed-upon criteria?

An organization has Implemented a quality improvement project. The goal is a mean compliance rate of 90%. The results of observations are found in the table below:

Which focus area presents the greatest opportunity for the organization?

Organizations with a positive safety culture are best characterized by

A Rapid Process Improvement Team began a new process on January 7 to reduce targeted events per bed day outcome. The team asked the quality analyst to help determine whether the new process was successful and should be continued.
Based on the control chart the quality analyst produced, which of the following is the best conclusion?

An organization's nursing units report the following needlestick injuries:

Unit
# Needlestick Injuries
# Admissions
A
1,000
B
C

Which response by leadership demonstrates a culture of safety?

Which of the following Is the best approach to prepare care team members tor Interacting with accreditation surveyors?

An increased number of outpatient surgery patients present to the emergency department with complaints of pain.

Which would be the best strategy to address these occurrences?

An organization with a focus on population health may use data to

Which of the following is best solved by a quality improvement team?

The healthcare quality professional is engaged with a leadership team.

Which of the following will best help to establish performance improvement opportunities?