[Jun-2024] NAHQ CPHQ Exam Practice Test Questions - ITExamSimulator [Q35-Q55]

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[Jun-2024] NAHQ CPHQ Exam Practice Test Questions - ITExamSimulator

Updated Certification Exam CPHQ Dumps - Practice Test Questions


The Certified Professional in Healthcare Quality (CPHQ) examination is a globally recognized certification for healthcare quality professionals. It is administered by the National Association for Healthcare Quality (NAHQ), a professional organization that promotes healthcare quality through education, certification, and networking opportunities. The CPHQ certification demonstrates a healthcare professional's expertise in quality management, patient safety, and performance improvement.

 

NEW QUESTION # 35
Which of the following is the most effective means of communicating commitment to patient safety?

  • A. articles by a CEO in the employee newsletter
  • B. posters and bulletin boards on units displaying up-to-date patient falls data
  • C. senior leaders having discussions on units with front-line staff
  • D. CEO presenting most recent medication error rates to the governing body

Answer: C

Explanation:
Effective communication in healthcare is paramount for patient safety. It is the accurate transfer of information between two or more providers1. Communication fails when it is incomplete, ineffective, or inappropriate, resulting in patient harm1. Good teamwork and effective communication rely on mutual respect, problem-solving, and sharing of ideas1.
Senior leaders having discussions on units with front-line staff is a direct and effective means of communication. It allows for immediate feedback, clarification of doubts, and a better understanding of the situation on the ground2. This direct interaction can foster a culture of safety, encourage the sharing of ideas, and promote problem-solving1.
In contrast, the other options (A, B, and C) are less direct and may not effectively communicate the commitment to patient safety. For example, presenting error rates or displaying data on bulletin boards (options A and C) are important but may not lead to immediate action or feedback. Similarly, articles in a newsletter (option B) may not reach all staff or may not be read thoroughly.
References: 1, 2
https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication


NEW QUESTION # 36
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:

  • A. The greater the effects of the hospitalization and the nature of the condition are, the greater the patient's ability is to recall health events
  • B. The greater the effects of the hospitalization and the nature of the condition are, the lower the patient's ability is to recall health events
  • C. The lower the effects of the hospitalization and the nature of the condition are, the greater the patient's ability is to recall health events
  • D. None of these

Answer: A


NEW QUESTION # 37
Either an increase or decrease in rate could be a signal of improvement. In other words, there is no clear direction of improvement for these measures. In this case an observed rate either above or below the expected range is an unfavorable outliner.

  • A. Neutral measures
  • B. Positive measures
  • C. Structure measures
  • D. Negative measures

Answer: A


NEW QUESTION # 38
A social service department regularly monitors the number of inappropriate referrals, the timeliness of discharge
planning, and the number of days of discharge delays. What additional monitor should be added to evaluate the
appropriateness of social service interventions?

  • A. Inadequacy of documentation in progress notes
  • B. Number of social service referrals from nursing
  • C. Attainment of social service goals
  • D. Timeliness of referrals to social services

Answer: C


NEW QUESTION # 39
Physician quality data reports for all credentialed physicians disseminated at regular Intervals, as generally mandated by accreditation standards, are called

  • A. quality spot checks.
  • B. ongoing professional practice evaluation (OPPE).
  • C. CMS star ratings.
  • D. focused professional practice evaluation (FPPE).

Answer: B

Explanation:
Physician quality data reports for all credentialed physicians disseminated at regular intervals, as generally mandated by accreditation standards, are referred to as ongoing professional practice evaluation (OPPE).
* Ongoing Professional Practice Evaluation (OPPE): OPPE is a continuous evaluation of a provider's performance at a frequency greater than every 12 months1. It involves a peer review process, where
* practitioners are reviewed by other practitioners of the same discipline and have personal knowledge of the applicant2. The purpose of OPPE is to ensure that the hospital, through the activities of its medical staff, assesses a practitioner's clinical competence and professional behavior on an ongoing basis3.
* Focused Professional Practice Evaluation (FPPE): FPPE is a process whereby the medical staff evaluates the privilege-specific competence of the practitioner that lacks documented evidence of competently performing the requested privilege(s) at the organization4. It is not a regular, ongoing process, but rather is implemented whenever a question arises regarding a practitioner's ability to provide safe, high-quality patient care5.
* CMS Star Ratings: The CMS Star Ratings system is a consumer-oriented system developed by the Centers for Medicare & Medicaid Services (CMS) to help consumers compare the quality of health and drug plans67. It is not a regular report disseminated for all credentialed physicians.
* Quality Spot Checks: Quality spot checks refer to a random inspection or review of a specific aspect or area within a company's operations8. They are often used to monitor quality control, identify fraud, or ensure adherence to regulations. However, they are not specifically related to physician quality data reports910.
Therefore, the correct answer is D. ongoing professional practice evaluation (OPPE), as it best fits the description of physician quality data reports for all credentialed physicians disseminated at regular intervals, as generally mandated by accreditation standards.


NEW QUESTION # 40
The most effective data collection tools follow the _____________ of patient care and medical record documentation,
whether the data are collected retrospectively or prospectively.

  • A. Actual flow
  • B. Data analysts
  • C. Chart review
  • D. Registration system

Answer: A


NEW QUESTION # 41
Which of the following payment systems carries the most financial risk for a provider?

  • A. fee for service
  • B. capitation
  • C. upside-only bundles
  • D. pay for performance

Answer: B

Explanation:
* A payment system is a method of reimbursing providers for the services they deliver to patients.
* Different payment systems have different implications for the financial risk that providers face, which is the possibility of losing money or not making a profit from their activities.
* Financial risk can be influenced by factors such as the volume and mix of services, the cost and quality of care, the patient population, and the market conditions.
* Fee for service (FFS) is a payment system where providers are paid for each service they perform, regardless of the outcome or value of the service. This payment system carries the least financial risk for providers, as they can increase their revenue by increasing the quantity of services. However, this payment system may also create incentives for overutilization, inefficiency, and low quality of care.
* Capitation is a payment system where providers are paid a fixed amount per patient or per member per month, regardless of the number or type of services they provide. This payment system carries the most financial risk for providers, as they have to cover all the costs of care for their patients within the fixed budget. However, this payment system may also create incentives for efficiency, coordination, and prevention of care.
* Pay for performance (P4P) is a payment system where providers are paid based on the quality and outcomes of the care they provide, rather than the quantity or type of services. This payment system carries a moderate financial risk for providers, as they have to meet certain performance measures or benchmarks to receive the full payment or bonus. However, this payment system may also create incentives for quality improvement, patient satisfaction, and value of care.
* Upside-only bundles are a payment system where providers are paid a fixed amount for a bundle of services related to a specific condition or episode of care, such as a hip replacement or a hospitalization.
This payment system carries a low financial risk for providers, as they can only share in the savings if they deliver the bundle of services at a lower cost than the fixed amount, but they do not have to bear any losses if they exceed the fixed amount. However, this payment system may also create incentives for coordination, standardization, and efficiency of care.
References:
* Benefits of Risk-Based Payments: How Healthcare Data Improves Profits
* The future of the payments industry: How managing risk can drive growth
* Financial crime risk management in digital payments


NEW QUESTION # 42
All of the following are characteristics of probability sampling EXCEPT:

  • A. Listing of selected sample on a priority basis on a sampling sheet
  • B. A specific statistical design is followed
  • C. The sampling error (i.e., the difference between results obtained from a sampling survey and results that would
    have been obtained from a census of the entire population conducted using the same procedure as in sampling
    survey) can be estimated, and, as a result, the precision of the sample result can be evaluated.
  • D. The selection of items from the population is determined solely according to known probabilities by means of a
    random mechanism, usually using a table of random digits

Answer: A


NEW QUESTION # 43
The distinction between inpatient and outpatient data is an important consideration in planning the data collection
process because:

  • A. Mixing of data may or may not be reliable
  • B. Approaches to data collection may be different
  • C. Both A & B
  • D. The data sources may be different

Answer: C


NEW QUESTION # 44
Joseph Juran defined quality as consisting of two different but related concepts. The first form of quality is income oriented and includes features of the product that meet customer needs and thereby produce income (i.e., higher quality costs more).
The second form of quality is cost oriented and emphasizes:

  • A. Freedom from deficiencies
  • B. Knowledge about variation
  • C. Both A and B
  • D. Freedom from failures

Answer: C


NEW QUESTION # 45
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:

  • A. Contribute to the improvement and development of the enterprise
  • B. Deploy human capabilities fully and draw out infinite potential
  • C. Avoid sharing o optional measures
  • D. Respect human relations and build a workshop offering job satisfaction

Answer: C


NEW QUESTION # 46
Performance Improvement plans are most successful when linked first with

  • A. bylaws.
  • B. organizational structure.
  • C. core values.
  • D. strategic goals.

Answer: D

Explanation:
Performance Improvement Plans (PIPs) are most successful when they are first linked with strategic goals12. This is because strategic goals provide a clear direction for the organization and its employees1. When a PIP is linked to these goals, it ensures that the performance improvements being targeted are aligned with the overall objectives of the organization12. This alignment helps to ensure that the efforts put into performance improvement are contributing to the success of the organization as a whole12.
References:
* Forbes Article on Performance Improvement Plan
* Venngage Article on Performance Improvement Plan Examples


NEW QUESTION # 47
Which ofthe following Is the best example of effective learningina learning organization?

  • A. management team taking aposttestafter reading a bulletin on a regulatory standard
  • B. staff usingthe results of a root cause analysis to change processes and improve patient safety
  • C. staff watching a video on how to complete a patient admission assessment
  • D. management team auditing staff performance after a training program

Answer: B

Explanation:
A learning organization is one that facilitates the learning of its members and continuously transforms itself.
The best example of effective learning in such an organization is when the staff uses the results of a root cause analysis to change processes and improve patient safety. This is because it involves learning from past mistakes, implementing changes based on what was learned, and improving future outcomes, which is the essence of a learning organization.
References:
* NAHQ Code of Ethics
* The Role of the Healthcare Quality Professional in Population Health Management
* Utilization of Improvement Methodologies by Healthcare Quality Professionals during the COVID-19 Pandemic


NEW QUESTION # 48
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:

  • A. Any one of these can be the case
  • B. Design the survey itself
  • C. Purchase an existing survey
  • D. Design with the help of outside experts to design the survey

Answer: A


NEW QUESTION # 49
Baldrige's scoring system is based on a __________point scale. Each of seven criteria is assigned maximum value ranging from 85 to 450 maximum points.

  • A. 2000-point scale
  • B. 1000-point scale
  • C. 500 points
  • D. 1500-point scale

Answer: B


NEW QUESTION # 50
A department director has been asked to compare the productivity of the department with the productivity of similar departments at other facilities. Which of the following Is the first step of this project?

  • A. Review department Job descriptions with another facility of similar size.
  • B. Monitor the work flowinthe department for at least six months.
  • C. Determine which processes will be evaluated,
  • D. Conduct a search on the Internet for guidelines.

Answer: C

Explanation:
When comparing the productivity of a department with similar departments at other facilities, the first step is to determine which processes will be evaluated1. This involves identifying the key processes that contribute to the department's productivity and are comparable across different facilities1. Once these processes are identified, they can bemeasured and compared to similar processes at other facilities1. This comparison can provide valuable insights into areas where the department is performing well and where there may be opportunities for improvement1.
References:
https://www.indeed.com/career-advice/career-development/benchmarking-in-health-care


NEW QUESTION # 51
Which of the following is the relationship between clinical outcomes and patient satisfaction? Besides measuring
morbidity and mortality, this management takes into account the quality of healthcare received from the patient's
perspective.

  • A. Outcome measures
  • B. Outcome management
  • C. Clinical pathways
  • D. Benchmarking

Answer: D


NEW QUESTION # 52
All the evaluations of quality of care can be classified in terms of one three aspects of care giving they measure.
Which of the following is/are NOT out of these measures? (Choose two.)

  • A. Process
  • B. Structure
  • C. Output
  • D. Cutbas

Answer: C,D


NEW QUESTION # 53
This example shows the relationship between:

  • A. Effectiveness and concept
  • B. Specific indicator and milestone
  • C. A concept and specific measures
  • D. Specific measures and specific indicators

Answer: C


NEW QUESTION # 54
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:

  • A. Special set of clinical activities
  • B. Appropriate and potentially harmless care
  • C. Health status-related indicators such as whether the pain subsided
  • D. Desired results

Answer: C


NEW QUESTION # 55
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