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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q99-Q104):

NEW QUESTION # 99
In order to make effective long-term changes, performance Improvement emphasizes the need to study and understand

A. statistics.
B. outcomes.
C. processes.
D. standards.

Answer: C

Explanation:
* Performance improvement (PI) is the continuous study and improvement of processes with the intent to better services or outcomes, and prevent or decrease the likelihood of problems, by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent/systemic problems or barriers to improvement1.
* PI is based on the assumption that most problems are related to the processes rather than the people who perform them2. Therefore, studying and understanding the processes that deliver the services or outcomes is essential to identify the root causes of problems, the gaps between current and desired performance, and the potential solutions to improve them34.
* PI uses various methods and tools to analyze and measure processes, such as flowcharts, process maps, cause-and-effect diagrams, Pareto charts, histograms, control charts, run charts, and scatter diagrams5. These tools help to visualize the steps, inputs, outputs, and variations of a process, and to monitor and evaluate its performance over time6.
* PI also uses various models and frameworks to guide and accelerate improvement work, such as the Model for Improvement, Plan-Do-Study-Act (PDSA) cycles, Lean, Six Sigma,and Total Quality Management (TQM)7. These models and frameworks help to define the aim, the measures, and the changes for improvement, and to test and implement them in a systematic and iterative way8.
* Therefore, in order to make effective long-term changes, PI emphasizes the need to study and understand the processes that produce the services or outcomes, as this will help to identify and address the sources of variation, waste, and inefficiency, and to achieve better quality, safety, equity, value, and system sustainability9 . References: 1: QAPI Description and Background | CMS 2: Basics of Quality Improvement | AAFP 3: How to Improve: Model for Improvement | Institute for Healthcare Improvement 4: Performance Management and Quality Improvement - CDC 5: [Tools for Quality Improvement | NAHQ] 6: [Quality Improvement Tools and Methods | Agency for Healthcare Research and Quality] 7: [Quality Improvement Models and Frameworks | NAHQ] 8: [Quality Improvement Essentials Toolkit | Institute for Healthcare Improvement] 9: [Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development | NAHQ] : [The Financial Case for Quality as a Business Strategy | NAHQ] : [Tools for Quality Improvement | NAHQ] : [Quality Improvement Tools and Methods | Agency for Healthcare Research and Quality] : [Quality Improvement Models and Frameworks | NAHQ] : [Quality Improvement Essentials Toolkit | Institute for Healthcare Improvement] : [Healthcare Quality and Safety Workforce Report: New Imperatives for Quality and Safety Mean New Imperatives for Workforce Development | NAHQ] : [The Financial Case for Quality as a Business Strategy | NAHQ] : Tools for Quality Improvement | NAHQ : Quality Improvement Tools and Methods | Agency for Healthcare Research and Quality

NEW QUESTION # 100
Which of the following data sources can be used to assess a population's health status?

A. clinical disease registries
B. retrospective chart audits
C. core measure performance
D. county birth rate

Answer: A

Explanation:
All of the options listed can be used to assess a population's health status123.
* County birth rate (A): This is a demographic indicator that can provide insights into the health status of a population. It can indicate trends in fertility, which can be linked to various health or social factors.
* Retrospective chart audits (B): These can provide valuable data on patient outcomes, care processes, and adherence to clinical guidelines. They are often used in healthcare quality improvement to identify areas where care could be improved.
* Clinical disease registries : These registries collect data on patients with specific diseases. This data can be used to track the health status of a population, identify trends in disease prevalence or outcomes, and evaluate the effectiveness of treatment strategies.
* Core measure performance (D): Core measures are standardized indicators that allow for comparisons across different healthcare providers or systems. They can provide insights into the quality of care provided and the health outcomes achieved by a population.
Therefore, all of these data sources can be used to assess a population's health status. It's important to note that the choice of data source may depend on the specific health indicators of interest and the resources available for data collection and analysis123.

NEW QUESTION # 101
An orthopedic surgery practice has been working on improving patient safety for the last 3 years. The following data table is available:
Which of the following is the most appropriate conclusion about patient safety outcomes?

A. The increase in "time-outs" has reduced patient harm.
B. The patient safety culture has remained consistent.
C. The safety event rate has remained stable.
D. Patient safety outcomes have improved.

Answer: A

Explanation:
The most appropriate conclusion from the data provided is that the increase in compliance with "time-outs" performed before procedures has likely contributed to reducing patient harm. "Time-outs" are a critical safety procedure designed to prevent errors such as wrong-site surgeries, and the significant increase in compliance from 30% to 80% correlates with stable Serious Safety Event Rates, suggesting that this practice has helped to maintain or even improve patient safety outcomes.
* Patient safety culture has remained consistent (A): The data shows variation in survey response rates, suggesting some changes in culture.
* Patient safety outcomes have improved (B): While some aspects have improved, the Serious Safety Event Rate has remained stable, not significantly improving.
* The safety event rate has remained stable (D): While true, it doesn't capture the potential impact of the increased "time-outs" on patient safety.
References
* NAHQ Body of Knowledge: Patient Safety Processes and Time-Outs
* NAHQ CPHQ Exam Preparation Materials: Analyzing Patient Safety Data
=========

NEW QUESTION # 102
A provider's Ongoing Professional Practice Evaluation (OPPE) profile is shown below. In this organization, if a provider partially meets or does not meet performance expectations, they are referred to peer review for a Focused Professional Practice Evaluation (FPPE).
Fully Meets: >80% of measures at threshold
Meets: 65% to 80% of measures at threshold
Partially Meets: 40% to 64% of measures threshold
Does Not Meet: <40% of measures at threshold
After reviewing this provider's overall profile, what should the healthcare quality professional suggest?

A. The provider partially meets expectations; retain privileges.
B. The provider meets expectations; retain privileges.
C. The provider does not meet expectations; refer to peer review.
D. The provider fully meets expectations; do nothing.

Answer: A

Explanation:
The provider's Ongoing Professional Practice Evaluation (OPPE) profile suggests that the provider partially meets expectations, meaning 40% to 64% of measures are at the threshold. According to the organization's criteria, this level of performance warrants retaining privileges but likely with closer monitoring or additional support.
* Partial Meeting of Expectations: When a provider partially meets expectations, it indicates that there are areas of performance that need improvement, but the provider is still performing sufficiently in enough areas to retain privileges.
* Next Steps: The provider should likely undergo further evaluation or targeted support to address the areas where performance is lacking. This might involve additional training, mentoring, or a Focused Professional Practice Evaluation (FPPE) if specific concerns are identified.
* Comparison to Other Options:
* A. The provider fully meets expectations; do nothing is not applicable since the provider does not fully meet the performance criteria.
* B. The provider does not meet expectations; refer to peer review would be appropriate if the provider's performance was below 40%, but that is not the case here.
* D. The provider meets expectations; retain privileges would be correct if the provider was in the 65% to 80% range, which is not the situation here.
References: NAHQ guidelines on OPPE and FPPE processes emphasize the importance of distinguishing between different levels of performance and applying the appropriate actions based on the specific thresholds met by the provider.
=========

NEW QUESTION # 103
When quality is measured in terms of structure the focus is on the relatively static characteristics of the individuals who provide care and of the settings where the care is delivered. These characteristics include ____________ of professionals who provide care and the adequacy of the facility's equipment, and overall organization.

A. A, B and C
B. Education
C. Training
D. Certification

Answer: A

NEW QUESTION # 104
......

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