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25 questions – Time allowed 25 min – Single choice selection – passing score 80 %

Please read the questions carefully and select the best answer:

 

  • Questions count: 24
  • Passing grade: 80%
  • Time limit:
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1.
In the transition from quality assurance to quality management/quality improvement, which of the following emphases has resulted in the most significant benefit?
Focusing primarily on process rather than individual performance
Focusing on organizationwide rather than clinical processes
Organizing activities around patient flow rather than department or discipline
Initiating more prospective rather than retrospective improvement efforts.
2.
Monitoring the specific organization and content requirements of a medical record system is a review of which focus?
Outcome of care
Process of care
Structure of care
Administration of care
3.
When common cause process variation is identified, the goal of quality improvement is to
Promote compliance with established procedure or protocol.
Eliminate the variation.
Improve practitioner competency.
Reduce variation sufficiently to produce stability.
4.
The perception of quality by a patient receiving care in an ambulatory healthcare center is influenced most by;
The physical environment
Caring staff and physician
New technology
The physician's technical competence
5.
The task of setting up an ambulatory care setting QM/QI program that focuses on "outcomes" as a measure of treatment effectiveness is difficult because:
The patient remains in control of treatment.
Expected outcomes for ambulatory conditions are too obvious.
There are no required medical records.
Patient care outcomes are determined by the payer.
6.
In statistical process control, it is important to first
Eliminate assignable causes of variation.
Eliminate all causes of variation.
Prioritize causes of variation.
Eliminate random causes of variation.
7.
The major difference between traditional quality assurance activities and the expanded quality improvement/performance improvement activities is the QI/PI focus on:
People and competency.
Analysis of data.
Performance measures.
Systems and processes
8.
Review of the timeliness of high risk screening for diabetes addresses which focus?
Outcome of care
Process of care
Structure of care
Administrative procedure
9.
"Common causes" of problems in processes refer to
One-time situations.
Temporary situations.
Acute situations.
Chronic situations.
10.
That function in the Juran Quality Management Cycle that includes the initial analysis of data/information is
Quality planning.
Quality initiatives.
Quality control/measurement.
Quality improvement.
11.
The "appropriateness" of care is:
Primarily a focus of utilization management
A key dimension of quality care
Equivalent to "case management”
The degree to which healthcare services are coherent & unbroken
12.
After first describing the problem, the best way to look at "patterns of behavior" over time is to use
Story telling and "The Five Whys."
Pareto charts and brainstorming.
Line graphs and story telling.
Brainstorming and constructing gap hypotheses.
13.
A medication is ordered for a diabetic patient its capacity to improve health status, as a dimension of quality or performance, is its:
Effectiveness
Potential
Appropriateness
Efficacy
14.
A team approach to problem solving is most useful when
The organization’s goals are unclear
Diverse areas of expertise are required
Communication challenges exist
There are ample resources within the organization
15.
The Quality Management Cycle, based on Juran’s Quality Trilogy (quality planning, quality control, quality improvement)
Excludes the lab's activities to monitor equipment.
Requires a departmentalized approach to quality management.
Incorporates information from strategic planning.
Encompasses only the non clinical aspects of QM
16.
Which of the following best describes the successful outcome of the quality improvement process?
Customer satisfaction
Enhanced communication
Employee empowerment
Improved statistical data
17.
Applying the Pareto Principle in quality improvement is
Prioritizing process issues.
Tracking and measuring process effectiveness.
Providing meaningful data to support strategic objectives.
Prioritizing patient outcome issues.
18.
In developing a program to evaluate the effectiveness of physician care, a primary care clinic would select which one of the following indicators?
The contract lab will provide results within 24 hours of sample delivery.
The patients will express overall satisfaction with clinic facilities.
Newly diagnosed hypertensive patients are controlled within 6 months.
The staff complies with all infection control policies and procedures.
19.
What sampling technique involves selecting the medical record of every fifth patient undergoing cardiovascular bypass?
Convenience
Simple random
Stratified
Systematic
20.
The centerpiece of "outcomes management" in healthcare is
The measurement of the patient's functionality and quality of life.
Financial impact.
Data reliability.
Morbidity and mortality.
21.
That dimension of quality/ performance that is dependent upon evaluation by the recipients and/ or observers of care is:
Respect/caring
Safety
Continuity
Availability.
22.
Special cause variation is to the process
Random, extrinsic, outlier.
Assignable, intrinsic, noise.
Random, inlier, identifiable.
Assignable, extrinsic, outlier.
23.
What is the most important relationship between structure, process, and outcome as types of indicators of quality?
Interdependent: Structure directly affects both process and outcome.
Causal: Structure leads to process and process leads to outcome.
Relational: Useful for comparisons, but not causal
There is no relationship; they are categories used to group indicators.
24.
Monitoring phlebitis associated with IV insertions by nurses in the Surgical Intensive Care Unit addresses which focus?
Outcome of care
Process of care
Structure of care
Administration of care
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