CPHQ Dumps Questions Increase Your Chance of Success

1. The most effective data collection tools follow the _____________ of patient care and medical

record documentation, whether the data are collected retrospectively or prospectively.

2. The following diagram shows:

3. Prospective data collection also relies on medical record review, but it is completed during a patient’s hospitalization or visits rather than retrospectively.

Obviously this method of data collection is expensive but:

4. Statistical analysis conducted with control charts is different from what some consider “traditional research” (e.g. hypothesis testing, development of p-values, design of randomized clinic trials). Traditional research is designed to compare the results at time one (e.g. the cholesterol levels of a group of middle-aged men) with the results at time two (typically months after the initial measure). Research conducted in this manner is referred to as___________________.

5. Typically, patients receive questionnaires from two weeks to four months after discharge from the hospitals.

This delay raises concern about the reliability of the patient’s memory. Memory studies have shown that:

6. Healthcare organizations’ ability to deliver high-quality, patient-centered care to their members and patients depends in part on their understanding of basic customer service principles and their ability to integrate these principles into clinical settings. Healthcare organizations should pay attention to customer service for several reasons.

Which of the following is NOT out of t hose reasons?

7. _____________is the collection of data used to analyze physician practice pattern, utilization of

services, and outcomes of care. Its goal is to improve physician performance through accounts through accountability feedback and to decrease practice variations through adherence to evidence-based standards of care.

8. The primary benefit of adopting a countrywide or global uniform set of discharge data is to:

9. A patient was in the operating room when a piece of a surgical instrument broke off and was left in the patient’s body. The patient was readmitted for removal of the foreign object.

Which of the following would most likely apply in this situation?

10. Once collected, performance measurement data require interpretation and analysis if they are to be used to improve the processes and outcomes of healthcare.

Data can be used to compare:

11. A random sampling also can be drawn by placing equally sized pieces of paper with a range of numbers on them (e.g., 1 to 100) in a bowl and picking a predetermined number to be the sample.

The problem with simple random samples is that:

12. Health plan databases are an excellent source of data for quality improvement projects particular projects that have _______________. For many years, health plans have used a variety of means to collect data on their performance, track the management of care received by their numbers and direct program in disease management and care management.

13. When formulating medical standards, a critical decision that must be made is the _____ at which the standard should be set.

14. 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:

15. An optimal response rate is necessary to have a representative sample; therefore boosting response rates should be a priority.

Methods to improve response rates include all of the following EXCEPT:

16. This example shows the relationship between:

17. The weighting issue also arises when comparing hospitals or clinics within a system.

What happens if the service case mix is similar?

18. Administrative data are information collected, processed and stored in automated information system.

Which of the following is NOT included in that data?

19. __________________ arises from a single or small set of causes that are not part of event or process and therefore can be traced, identified and implemented or eliminated. In general, researchers are interested in this variation because they can link-or-assign variation to a single specific cause and act accordingly.

20. 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:

21. Systematic sampling is achieved by numbering or ordering each element in the population (e.g., time order, alphabetical order, and medical order) and then selecting every kth element.

The key point that most people ignore when doing a systematic sample is that:

22. The term __________ brings in mind that indicator panel on an automobile, which is most useful when the car is moving as a way for the driver to monitor key performance metrics such as speed, fuel level, engine performance, temperature and direction from digital display units.

23. The downside to asking nursing staff to perform data collection is that can district nurses from their direct patient care responsibilities.

A better approach would be:

24. The American Society for Quality has formed six categories of quality tools.

Which of the following is NOT out of those categories?

25. Honest criticism is hard to take, particularly from a relative, a friend, an acquaintance, or a stranger. Resistance to lower-than-expected results is common and reasonable. It is not necessarily a sign of complacency or lack of commitment to high-quality, patient entered care.

Most of the resistance comes in any two forms:

26. The separate services of Pharmacy and Nursing are having difficulty developing an action plan for medication errors. Pharmacy Services states that Nursing Services causes the majority of the problems related to errors, while Nursing Services states the opposite.

The quality professional’s role in resolving this problem is to:

27. Within any unit, organization, or system, there will be barriers to spread and adoption (e.g., organizational culture, communication, leadership support).

However, failure to transfer knowledge effectively may result in:

28. In every survey, some people agree to be respondents but do not answer every question. Although non-response to individual questions is usually low, occasionally it can be high and can affect estimates. Categories of patients mentioned below selected to be in the sample; do not actually provide data.

Which of the following is odd one?

29. The primary benefit of adopting a countrywide or global uniform set of discharge data is to:

30. Using the same operational definition becomes even more critical if you are trying to compare several hospitals or clinics in a system. When national hospitals are made, the operational definition challenge becomes extremely complex. All good measurements begin and end with_____________.

31. Health plan databases are valuable because they contain detailed information on all care received by health plan members.

These databases are commonly used to identify patients who have not received preventive services such as:

32. Generally, effective performance measurement benefits organizations in the following way/s EXCEPT:

33. When continuing unique events, one uses a p-chart. The number plotted on a chart would be either a proportion or a percentage. When counting total events (e.g., the number of falls per patient day each month), one plots a ratio on a u-chart. Examples of attributes data plotted as percentage on p-charts include figures such as:

34. Weighting of scores is frequently recommended if members of a (patients) population have unequal probabilities of being selected for the sample. If necessary, weights are assigned to the different observations to provide a representation picture of the total population.

Weighting should be considered when

35. ________________ 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.

36. The problem with using readily available, convenient data is that the data usually do a poor job of answering the questions necessary to access performance. Ten years ago this “good enough” approach to data collection might have been acceptable. Today, however, because of the increasing demand to demonstrate effectiveness of care and efficiency of healthcare processes, this mind set is not acceptable. Performance quality and excellence do not occur because organizations do what they have always done or what is convenient.

Most healthcare observers agree that:

37. Patients and their families have clearly articulated need respect to the care they receive. If the staff members they encounter are nice but do not meet their needs, these staff members have delivered care inefficiently.

It all means that:

38. One of the difficult things about quality is explaining how _________ is different from a process or system.

39. 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:

40. Which of the following is most likely to be a benefit of concurrent ambulatory surgical case review?

41. __________ accounts for the different types of patients in institutions. Adjustments should be considered when hospital survey results are being released to the public.

42. The comparison chart interpretation will result in one of the following scenarios, regardless of the type of measure EXCEPT:

43. A data analyst, using a clinical decision support system (administrative database), discovered a higher-than-expected incidence of renal failure (a serious complication) following coronary artery bypass surgery. The rat e was well above 10 percent for the most recent 12 months increased over the last six quarters. However, the clinical decision support system did not contain enough detail to explain whether this complication resulted from the coronary artery bypass graft procedures or was a chronic condition present on admission.

To find the answer, the data analyst use different steps.

This example illustrates:

44. The increased focus on and mandate for healthcare data place healthcare providers in a different situation than they have known in the past. Providers document such things and, unfortunately, many providers struggle to address the measurement mandate proactively, which leads organizations to assume a defensive posture when external organizations release the data.

Which of the following ways show/s the responses of provider in such cases?

45. The theory behind SPC (Statistical Process Control) is straightforward. It requires a change in thinking from error detection to error prevention.

The use of SPC in healthcare has a number of benefits excluding:

46. Limitations of health plan databases are all of the following EXCEPT:

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

48. 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:

49. 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?

50. Although Lean thinking focuses on removing waste and improving flow, it also has some secondary effects such as:

51. Which of the following is NOT out of Quality measurement categories or domains?

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

53. Convenience sampling produces a biased sample that is basically a collection of anecdotes that cannot be applied generally to larger populations.

Convenience sampling is also known as:

54. __________ are similar to proportion measures in that both are based on count (or attributes) data but differ in that the numerator and the denominator address different attributes.

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

56. __________ is a term applied when the proper clinical car process is not executed appropriately, such as giving the wrong drug to a patient or incorrectly administering the correct drug.

57. The following represents two samples of five hospitals’ hysterectomy rates per 1,000 women aged 40-60 years of age:

Rates Mean Standard Deviation

Sample A 3, 5, 7, 8, 5 5.6 1.8

Sample B 4, 5, 6, 7, 5 5.4 1.1

In analyzing this information, it can be concluded that:

58. Studies comparing self-reports with proxy reports do not consistently support the hypothesis that self-reports are more accurate than proxy reports.

However, conclusions drawn from studies in which responses were verified using hospital and physician records show that, on average:

59. Joseph juran defined quality as consisting of two different but related concepts. The first form of quality is income oriented and includes features of t he product t hat meet customer needs and thereby produce income (i.e., higher quality costs more).

The second form of quality is cost oriented and emphasizes:

60. Which of the following monitors provides patient outcome information?

61. The syndrome of stockpiling is proven to be ineffective and inefficient. It also creates quality issues. This approach provides little value to the data collection effort and is one of the biggest mistake quality improvement teams make.

Rather than provide a rich source of information, this approach unnecessarily derives up: