Latest [Aug 09, 2024] NAHQ CPHQ Exam Practice Test To Gain Brilliante Result [Q54-Q77]

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Latest [Aug 09, 2024] NAHQ CPHQ Exam Practice Test To Gain Brilliante Result

Take a Leap Forward in Your Career by Earning NAHQ CPHQ

The Certified Professional in Healthcare Quality (CPHQ) Examination is the premier certification exam for healthcare quality professionals. CPHQ exam is administered by the National Association for Healthcare Quality (NAHQ) and is designed to assess the knowledge and skills necessary to excel in the field of healthcare quality. The CPHQ exam is widely recognized as the gold standard in healthcare quality certification, and passing it is a significant achievement for professionals in the healthcare industry.

QUESTION 54
The approach to medical record review involves well-conceived steps, beginning with the development of a data
collection tool and ending with:

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

Implementation of the analysis of collected data set

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

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

QUESTION 55
The data collection phase of the journey consists of two parts: (1) Planning for data collection and (2) The actual data
gathering. A well designed data collection strategy should address different analytical questions. Which of the
following is/are the part of planning section for data collection?

Will the data add value to your quality improvement efforts?

How often and for how long will you collect the data?

Will collecting these data have negative effects on patients or employees?

Do you have target and goals for the measures?

QUESTION 56
When working with a new quality Improvement team, the quality professional should stress the importance of

making small changesineach cycle of change.

involving the entire department on the first cycle of change.

creating large goals to have a system-wide Impact.

getting the desired result on the first cycle of change.

QUESTION 57
Organizational size affects the ability to disseminate best practices

True

False

Difficult to decide

It depends on situation

QUESTION 58
To promote staff engagement In a new Initiative, educators should focus on staff

perceptions of the benefits of change.

attitudes of business as usual.

who appear resistant to change.

who want to advance In the organization.

QUESTION 59
The creation of an information technology infrastructure to analyze the performance of all physicians in a healthcare
system can be useful in:

Identifying the disease the hospital, physician, or physical group treats most

Organizations can develop clinical pathways

Clinical issues can be sorted out

Physician report cards can be issued

QUESTION 60
The focus of Lean methodology is a “ba to basics” approach that places the needs of customer first through five steps.
Which of the following is NOT out of those steps?

Define value as determined by the customer

Identify the value stream

Make value identifying steps

Let the customer pull the product

QUESTION 61
A root cause analysts (RCA) was conducted tor an event related to a delayed high-priority alarm response.
Alarm fatigue was determined to be a root cause. Which of the following Is the most appropriate first Intervention?

Establish a written policy for alarms escalation.

Review alarm signals for clinical appropriateness.

Implement a guideline with clear criteria for Initiation of cardiac monitoring.

* A root cause analysis (RCA) is a systematic process of identifying the factors that contributed to an adverse event or near miss in order to prevent recurrence and improve patient safety1.
* Alarm fatigue is a condition in which clinicians become desensitized to the numerous alerts and warnings generated by medical devices, leading to longer response times or missed alarms2.
* Alarm fatigue can compromise patient safety by increasing the risk of adverse events, such as delayed treatment, missed diagnosis, or cardiac arrest3.
* To reduce alarm fatigue, the Joint Commission recommends a four-step approach: establish alarm system management as a priority; identify the most important alarms to manage; establish policies and procedures for alarm system management; and educate staff and patients about alarm system management4.
* The most appropriate first intervention for an event related to a delayed high-priority alarm response is to review alarm signals for clinical appropriateness. This means to evaluate the alarm settings, limits, and delays for each device and patient population, and adjust them according to evidence-based guidelines and best practices5. This can help reduce the number of false or clinically insignificant alarms, and improve the specificity and sensitivity of the alarm system.
* Establishing a written policy for alarm escalation is also an important intervention, but it is not the first step. A policy for alarm escalation should define the roles and responsibilities of staff, the criteria and process for escalating alarms, and the expected response time and actions for each alarm level.
However, before developing such a policy, it is necessary to review the alarm signals and ensure that they are clinically relevant and meaningful.
* Implementing a guideline with clear criteria for initiation of cardiac monitoring is another intervention that can reduce alarm fatigue, but it is not the first step either. A guideline for cardiac monitoring should specify the indications, duration, and discontinuation of continuous electrocardiographic (ECG) monitoring for patients at risk of cardiac arrhythmias or ischemia. However, before implementing such a guideline, it is necessary to review the alarm signals and ensure that they are appropriate for the patient population and clinical setting. References: 1: NAHQ Code of Ethics 2: Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue 3: Alarm fatigue: impacts on patient safety 4: The Joint Commission National Patient Safety Goal on clinical alarm safety 5: Alarm Management: Advancing From Failure Cause To Root Cause Analysis : [Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic] : [The Financial Case for Quality as a Business Strategy] : [Shaping the Future of the Healthcare Quality Profession] : [Practice Standards for ElectrocardiographicMonitoring in Hospital Settings] : [Understanding the Evolving Landscape of Healthcare Quality]

QUESTION 62
Strong disagreement do 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:

Practitioners who are highly skilled in trauma and other emergency care

Each group emphasizes a particular aspect of care

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

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

QUESTION 63
Case-mix adjustment accounts for the different types of patients in institutions. Adjustment should be considered when hospital survey results are being released to the public.
The characteristics commonly associated with the patient reports on quality of care are all of the following EXCEPT (Choose two):

Patient age (i.e., older patients tend to report fewer problems with care)

Discharge service (e.g., childbirth patients evaluate their experiences more favorably than do medical or surgical patients; medical patients report the most problems with care)

Patient satisfaction

Number of visits to the hospitals

QUESTION 64
Administrative data are information collected, processed and stored in automated information system. Which of the
following is NOT included in that data?

Enrollment or eligibility information

Claims information

Manage care encounters

Timely administration of therapies

QUESTION 65
________________ is the degree to difference between survey results when the scales are applied in different settings. Survey scores should reflect differences institutions, where care is presumably different.

Discriminant validity

Criterion validity

Content validity

Construct validity

QUESTION 66
Employees involved in quality circles are encouraged to develop ideas for improvement or request management
efforts to propose solutions for adoption. The aims of the quality circle activities are all of the following EXCEPT:

Contribute to the improvement and development of the enterprise

Respect human relations and build a workshop offering job satisfaction

Deploy human capabilities fully and draw out infinite potential

Avoid sharing o optional measures

QUESTION 67
The quality of amenities of care refers to the characteristics of the setting in which the encounter between patient
and clinician takes place, such as:

Comfort

Comfort, care and access

Comfort, convenience and privacy

Responsive to patient preferences

QUESTION 68
The ability to report survey results at an actionable level is critical; in most cases, actionable level means:

The nursing unit

Location of service

Average time frame of a service

Service level

QUESTION 69
In general, as the amounts spent on providing services for a particular condition grow, diminishing returns set in
meaning that each unit of expenditure yield ever-smaller benefits until a point where ________________.

No additional benefits accrue from adding more care

Additional benefits are too small to justify the added costs

There is displacement of more useful care

perfection is within the reach of all individuals

QUESTION 70
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.

Their reactions to interpersonal and amenity aspect of care

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

Every patient has definite preference in every clinical situation

Their likelihood of desires outcomes

QUESTION 71
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.

Medical record review (Retrospective)

Prospective chart review

Data collection forms

Scanners

QUESTION 72
A Japanese tool called 5S (each step starts with letter “S”) is a systematic program that helps workers take control of their workspace so that it actually works for them (and their customers) instead of being a neutral or, as is quite common, competing factor.
Which of the following is/are NOT out of these five 5S? (Choose two.)

Seiton

Seiso

Shitsake

Seiku

QUESTION 73
Overproduction
Inventory
Repairs/rejects
Motion
Processing
Waiting
Transport
These are the types of _____________ identified by Taiichi Ohno.

Waste (activities that do not add value to the process)

Continuous improvement

Quality controls

Areas to be focused during production

QUESTION 74
An ambulatory pulmonary division is in the finalphase of a DMAIC project. The division head asked the team to present the performance of the project. Which chart demonstrates that change has occurred over time and the process has limited variation?

control chart

run chart

flowchart

Pareto chart

QUESTION 75
Today’s patients’ perception of the quality of our healthcare system is not favourable. In healthcare, qualityis
household word that evokes great emotion, including:

Frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who
observe the care of their loved ones

Anxiety over the ever-increasing costs and complexities of care

Patient centered measures

Timely care that may be experienced in terms of performance of services

QUESTION 76
The distinction between inpatient and outpatient data is an important consideration in planning the data collection
process because:

The data sources may be different

Mixing of data may or may not be reliable

Approaches to data collection may be different

Both A & B

QUESTION 77
Which of the following is NOT out of Quality measurement categories or domains?

Clinical quality (including both process and outcome measures)

Financial performance

Operational status

patient satisfaction

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