New Actual4test CPHQ Exam Questions| Real CPHQ Dumps Updated on Mar 15, 2022
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NEW QUESTION 92
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. Number of social service referrals from nursing
- B. Inadequacy of documentation in progress notes
- C. Timeliness of referrals to social services
- D. Attainment of social service goals
Answer: D
NEW QUESTION 93
__________ 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.
- A. Outcome measures
- B. Continuous variable measures
- C. Predicted rate
- D. Ratio measures
Answer: D
NEW QUESTION 94
All patients who have been selected to provide feedback should have an equal opportunity to respond. Any situation that makes certain patients less likely to be included in a sample leads to bias.
Survey vendors also can minimize sampling bias through:
- A. Judgment
- B. Experience
- C. Probability sampling
- D. Cluster sampling
Answer: C
NEW QUESTION 95
If you decided to interview ten patients in your emergency room on a given day and drew conclusions about your emergency services from these people. You have taken limited data and made a huge jump in logic.
This jump is known as:
- A. Ecological fallacy
- B. Quota sampling
- C. Stereotyping
- D. Over-generalization
Answer: A
NEW QUESTION 96
Patient satisfaction and patient experience-of-care surveys are the most common quantitative measures healthcare
organizations use, but they can use other important ___________ to obtain important information from patients and
their families to guide improvement work.
- A. Patient satisfaction surveys
- B. Listing posts
- C. Qualitative measures
- D. Focus group research
Answer: C
NEW QUESTION 97
__________ accounts for the different types of patients in institutions.
Adjustments should be considered when hospital survey results are being released to the public.
- A. Case-mixed adjustment
- B. Recall base
- C. Proxy response
- D. Bias or mode effects
Answer: A
NEW QUESTION 98
There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country, California. Dominican, a
379-bed community hospital, is part of the 41-hospital Catholic Healthcare West system. "We used to replace
ventilator circuit for incubated patients daily because we thought this helped to prevent pneumonia," explained Lee
Vanderpool, vice president. ""But the evidence shows that the more you interfere with that device, the more often
you risk introducing infection. It turns out it is often better to leave it alone until it begins to become cloudy, or
'gunky,' as the no clinicians say." The hospital staff learned an important lesson from this experience that:
- A. Intuition is more powerful than evidence
- B. Evidence is more powerful than intuition
- C. Introduction f a new protocol, or any new idea, involves education
- D. Efforts improve mortality rate
Answer: B
NEW QUESTION 99
The primary purpose of a management information system is to:
- A. Provide information that facilitates management decisions.
- B. Computerize operations for greater effectiveness.
- C. Provide data for quality assessment.
- D. Guarantee better coordination of organizational change.
Answer: A
NEW QUESTION 100
TQC is excellence driven rather than defect driven-a system that integrates:
- A. Quality improvement and quality maintenance
- B. Quality development, quality improvement and quality assessment
- C. Quality development, quality improvement and quality maintenance
- D. Quality improvement and quality maintenance
Answer: C
NEW QUESTION 101
He used his understanding of statistics to design tools to respond to variation. Following his arrival at Western Electric
Co. in 1924, Shewhart introduced the concepts of common cause, special cause variation and statistical control. He
designed these concepts to assist Bell Telephone of repairs within its transmission systems. Who is he?
- A. W. Edwards Deming
- B. Armand Shewhart
- C. Walter Shewhart
- D. Josph M. Juran
Answer: C
NEW QUESTION 102
__________ accounts for the different types of patients in institutions. Adjustments should be considered when
hospital survey results are being released to the public.
- A. Case-mixed adjustment
- B. Recall base
- C. Proxy response
- D. Bias or mode effects
Answer: A
NEW QUESTION 103
Once you have resolved these issues, the data collection should go smoothly. Unfortunately, many quality improvement teams do not spend sufficient time discussing their data collection plans. They want to move immediately to data collection step.
This haste usually guarantees that the team will (Choose three):
- A. Become frustrated with the entire measurement journey
- B. Collect the wrong data
- C. Collect too much (or too little) data
- D. Reschedule the time and cost
Answer: A,B,C
NEW QUESTION 104
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:
- A. Using the Dillman method, a three wave mailing protocol designed to boost response rates
- B. Ensuring that telephone numbers or addresses are drawn from as accurate rate a source as possible
- C. Offering incentives appropriate for the focus group population
- D. Making telephone reminder calls for certain types of surveys
Answer: C
NEW QUESTION 105
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 ________________.
- A. No additional benefits accrue from adding more care
- B. perfection is within the reach of all individuals
- C. Additional benefits are too small to justify the added costs
- D. There is displacement of more useful care
Answer: A
NEW QUESTION 106
Familiarity with terms describing the psychometric properties of survey instruments and methods for data collection can help an organization choose a survey that will provide it with credible information for quality improvement. There are two different and complementary approaches to assessing the reliability and validity of a questionnaire.
Which of the following are out of those approaches?
- A. Technical excellence testing
- B. Psychometric testing
- C. Cognitive testing
- D. Both A and C
Answer: D
NEW QUESTION 107
"A quality improvement team is interested in determining the percentage of medication orders that are delivered to nurses' stations within one hour of the order's receipt in the pharmacy. Before collecting data on this question, the team should determine whether it believes that this percentage could differ by floor, time of day, day of week, type of medication ordered, pharmacist on duty, or volume of orders received. If the team believes that one or more of these factors will influence the outcome, it should take steps to ensure that it collects the data relevant to these factors each time the pharmacy receives an order." This example explains:
- A. How stratification could be applied to pharmacy
- B. Confidentiality issues in measurement
- C. Is there any need to sample the data
- D. Targets and goals of measurement
Answer: A
NEW QUESTION 108
Six sigma (3.4 defects per million) is a system for improvement developed over time by Hewlett-Packard, Motorola, General Electric, and others in the 1980s and 1990s.
The aim of six sigma is:
- A. To reduce variations (eliminate defects) in processes
- B. To remove bloages in process
- C. To counter the wastage of activities
- D. To control and analyze the related and unrelated activities
Answer: A
NEW QUESTION 109
The weighting issue also arises when comparing hospitals or clinics within a system. What happens if the service case
mix is similar?
- A. Scores should be weighted after comparisons are made among hospitals
- B. One can compare by hospitals or clinics even out of a system
- C. Scores should be weighted before comparisons are made among hospitals
- D. One can compare by hospitals or clinics within a system
Answer: D
NEW QUESTION 110
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? (Choose three.)
- A. The data are not stratified and do not represent appropriate comparisons.
- B. We can move in a better way without doing competition with others
- C. Our patients are siertan those at the other hospitals in our comparison group (i.e., no risk adjustments were made to the data).
- D. The data are old (typically one or two years) and do not reflect our current performance
Answer: A,C,D
NEW QUESTION 111
Once listing posts system is in place, root-cause analyses can be performed to identify particular problems, such as a
staff member or medical group that contributes to problems, or problems that are systemic to the delivery of care,
such as an antiquated manual appointment system. Listing post strategies include:
- A. Patient and family advisory services
- B. Focus group
- C. Surveys
- D. Suggestion boxes
Answer: C
NEW QUESTION 112
Typically, patients receive questionnaires from two weeks to four months after discharge from t he hospitals. This
delay raises concern about t he reliability of t he patient's memory. Memory studies have shown that:
- A. The greater the effects of the hospitalization and the nature of the condition are, the
lower the patient's ability is tore call health event s - B. 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 - C. None of these
- D. 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
Answer: D
NEW QUESTION 113
Physicians' actions have been noted be a major contributor to unexplained clinical variation in healthcare.
Unexplained clinical variation leads to increased healthcare costs, medical errors, patient frustration, and poor clinical outcomes. The increase in information being collected on physician practice patterns has begun to expose widespread variations in practice.
In healthcare, variation exists among providers by (Choose two):
- A. Specialty and practice setting
- B. Facilities
- C. Geographical region
- D. Staff performance
Answer: A,C
NEW QUESTION 114
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 (Choose two):
- A. Percentage of scripts that had one or more medication errors
- B. Percentage of patients discharged
- C. Percentage of patients who died
- D. Percentage of visits by every patient
Answer: A,C
NEW QUESTION 115
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