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Effective leaders must be consistent and
One standard element of organization-wide strategic planning is
External customer-supplier relationships are important but often cannot be controlled by the organization. Which one of the following tools best clarifies and improves those relationships?
A Vision Statement is directed at the organization’s stakeholders (e.g., patients, staff, community, etc.) and states
Which of the following is not important to the development of an organization’s Mission Statement?
Management must establish lines of authority and transparent accountability. Which of the following entities is responsible for all patient care rendered?
The PDCA Performance Improvement Model is a method of continuous quality improvement to resolve specific situations rather than organization-wide problems. PDCA stands for
To develop a Performance Improvement Plan, the organization must
Which one of the following is not an issue that must be resolved when developing a Performance Improvement Plan?
An organization demonstrates the financial benefits of its performance improvement plan by
To facilitate change within an organization, a CPHQ should
As facilitator of the Performance Improvement Oversight Group, the CPHQ
The Performance Improvement Team uses tracer methodology to identify
When the CPHQ creates a Performance Improvement Team, it is inappropriate to
When an expert consultant is hired to assist with the Performance Improvement project, the CPHQ should
The CPHQ ensures the survey processes run smoothly by
State and federal regulations require that performance improvement activities, records and reports are kept confidential. HIPAA protects the patients’ right to privacy and confidentiality, and the initials stands for
To maintain the confidentiality of performance improvement activities, records and reports, all information regarding a specific patient’s identity may
The CPHQ distributes the topics for discussion prior to a committee meeting. The premeeting packet should contain
When sampling a population for data collection, consider
The most important question to ask when choosing computer software is:
After aggregating data, it is important to summarize the information
Which one of the following is not the description of an analysis tool?
The CPHQ evaluates a study of the incidence of strokes (CVA) in women who take birth control pills versus a control group who do not take birth control pills. The best statistical technique for evaluating the study data is:
Decision-making for improvement is best supported by interpreting data acquired through analysis of
To properly disseminate performance improvement information,
Organizational Transparency is the healthcare industry standard, meaning that
A CPHQ facilitates communication with accrediting and regulatory bodies by
To establish evidence-based practice guidelines, it is best to
Developing clinical/critical pathways requires
The coordination of Quality Improvement processes and projects requires
Mortality reviews are a critical element of Risk Management and Quality Improvement, conducted to determine
The first assessment step the CPHQ makes to prevent risks to the patients, the staff, or the organization is to
To develop organizational Performance Improvement training, you will not need to
After developing the organizational Performance Improvement training
The CPHQ evaluates the Performance Improvement team to ensure it is effective and efficient. Three areas to evaluate are completion of assigned tasks, the ability of the team to cooperate and reach a consensus, and the
To interpret performance/productivity reports, you must also understand process variation, which means
When analyzing complaints, the CPHQ would not
Which one of the following is not a benefit of integrating the results of data analysis into the Performance Improvement process?
The Performance Improvement process requires identification of
Risk Management assessment is a primary concern during
An organization-wide early warning system should be in place to screen
Utilization management assessments measure
To develop the organization’s patient safety culture, the CPHQ will not
The most important components of a patient safety program are
Strategic goals and objectives relate to patient safety activities
Computerized physician order entry (CPOE) can enhance patient safety by
Before conducting a safety audit in an emergency department, an administrator must first obtain…
During a meeting, the facilitator notices that one of the participants is getting agitated. After the meeting, what would be the best question for the facilitator to ask the participant?
During a meeting, the facilitator must intervene several times to stop disputes between participants. Is this appropriate?
At the beginning of a planning meeting, the participants are asked to make a list of their priorities. These lists are then compiled, and an overall list of priorities is created. This process is known as…
The main difference between a dashboard and a scorecard is that…