Certified Professional in Healthcare Quality Examination

Question 1

To integrate performance improvement with organization planning, there must be alignment between

A. Performance improvement teams and human resources

B. Quality control processes and systems

C. Strategic and improvement objectives

D. Measuring and monitoring performance results

Correct Answer: C

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Question 2

A health plan wants to improve the quality of care delivered to its patients. Which organization should they reference for quality measurement benchmarks?

A. Agency for Healthcare Research and Quality (AHRQ)

B. National Committee for Quality Assurance (NCQA)

C. The Joint Commission (TJC)

D. American Medical Association (AMA)

Correct Answer: B

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Question 3

A consistent and effective communication plan for a process improvement initiative facilitates

A. Project success

B. Clinical relevance

C. Buy-in from leadership

D. Decreased costs

Correct Answer: A

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Question 4

Following a procedure, a patient is returned to the operating room for removal of a sponge. If no incident report is completed, which of the following will most reliably identify the occurrence?

A. Claims data

B. Patient complaint

C. Surgeon disclosure

D. Peer review

Correct Answer: A

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Question 5

Leadership has decided to use John Kotter's Change Management Model to improve how practitioners perceive the importance of maintaining the electronic medical record problem list. What is the initial step?

A. Explain that leadership wants to improve the documentation process

B. Educate stakeholders on regulatory requirements

C. Demonstrate to stakeholders the impact poorly maintained problem lists have on patient safety

D. Assess stakeholders' knowledge of the origins of the problem list

Correct Answer: C

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Question 6

A multidisciplinary team has been convened to review delays in laboratory turnaround time between the medicine clinic and the laboratory. The team's first step in evaluating the issue is to

A. observe how the medical assistants prepare the specimens.

B. see If the surgery clinic Is also experiencing delays.

C. conduct a failure mode and effects analysis.

D. create a flow chart to study the process.

Correct Answer: D

Question 7

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

A. patient satisfaction.

B. staff complaints.

C. time constraints.

D. human factors.

Correct Answer: D

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Question 8

Which of the following technology enhancements will help the hospital most accurately identify hospital- acquired condition rates?

A. Electronic health record alerts for present on admission indicators

B. Electronically delivered medical record queries for physicians

C. Computerized physician order entry for laboratory tests

D. Computer assisted coding for ICD-10

Correct Answer: A

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Question 9

A quality council reviewed the following results from a performance improvement project:
Diabetic retinal eye exams
Target
Q1
Q2
Q3
>80%
60%
58%
62%
Which of the following should happen next?

A. Plan for the next change

B. Continue the pilot for another quarter

C. Implement the change

D. Review additional data

Correct Answer: D

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Question 10

Which of the following is the most effective data display tool to demonstrate changes in monthly patient fall rates for the past fiscal year?

A. Fishbone diagram

B. Scatter diagram

C. Run chart

D. Pareto chart

Correct Answer: C

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NAHQ Certified Professional in Healthcare Quality Examination - CPHQ Exam Practice Test

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