QUESTION 18
Patient and family advisory council is one of the most effective strategies for involving families and patients in the design of care.
Council responsibilities may include input on or involvement in (Choose three):

QUESTION 19
The term __________ brings in mind that indicator panel on an automobile, which is most useful when t he car is
moving as a way for t he driver t o monitor key performance metrics such as speed, fuel level, engine performance,
temperature and direction from digital display units.

QUESTION 20
The data below shows 30-day readmission rates for heart failure patients by the primary language spoken and by gender with 95% confidence intervals in parentheses. Which group should be the priority target for reducing disparities in readmission rates?

QUESTION 21
The desired outcome of peer review Is to

QUESTION 22
Using the data below, which issue would be identified as a priority for further performance improvement?
Issue
High Risk
High Strategic Priority
Cost
Customer Satisfaction
Quality Concern
Pressure Injuries
4
4
1
4
5
Medication Errors
3
1
2
1
5
Transfer to Higher Level of Care Within One Hour of Admission
2
5
4
1
3
Miscommunication of Abnormal Findings
4
3
5
1
4

QUESTION 23
A hospital has been experiencing a significant Increaseinthe number of medication errors. The hospital’s governing board has adopted barcoding technology with electronic documentation at the point of care. Which of the following medication errors will most likely be reduced by the Implementation of this technology?

QUESTION 24
An organization that demonstrates a culture of safety

QUESTION 25
To identify outpatient data sources, the team should consider the following questions EXCEPT (Choose two):

QUESTION 26
An organization has Implemented a quality improvement project. The goal is a mean compliance rate of 90%.
The results of observations are found in the table below:

Which focus area presents the greatest opportunity for the organization?

QUESTION 27
An electronic medical records system was implemented in a department. Which of the following is the next step?

QUESTION 28
A quality improvement professional believes that their MRSA facility rates are high. What should the quality improvement professional do first?

QUESTION 29
A CEO and CNO have requested a new quality initiative to reduce patient falls. One of the first steps in starting this new quality improvement initiative should include:

QUESTION 30
Some argue that administrative data are less reliable than data gathered by chart review. However, administrative data can be just as reliable as data from chart review when they are properly cleaned and validated, the indicator definitions are clear and concise, and measures from the CR system were validated using approach/es:

QUESTION 31
A hospital has just implemented a physician order entry system. Three days into implementation, the users begin having major technical issues with the system. The nurse manager instructs staff to submit troubleshooting requests to the help desk. This is an example of which high-reliability principle?

QUESTION 32
Many organizations establish condition-specific patient registries for their more sophisticated quality improvement
projects because they do not have a reliable source of clinical information. The use of patient registries is
advantageous for the following reasons EXCEPT:

QUESTION 33
Each provider in a primary care practice has the potential of earning a $20,000 bonus based on individual performance on select Healthcare Effectiveness Data and Information Set (HEDIS) indicators as outlined below:
Percent of bonus earned for meeting target
Indicator
Performance Target (met goal if # target)
25%
Breast Cancer Screening (BCS)
74%
25%
Controlling High Blood Pressure (CBP)
72%
50%
Childhood Immunization Status (CIS)
63%
The performance for the providers is as follows:
Provider
BCS
CBP
CIS
A
75%
71%
63%
B
77%
69%
65%
C
79%
73%
64%
D
73%
74%
62%
Based on this information, which of the following conclusions is accurate?

QUESTION 34
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:

QUESTION 35
Identification of quality Improvement opportunities can best be Identified through

QUESTION 36
A study was performed to compare quality outcomes between case/care managed groups and non-case/care managed groups tor elective coronary artery bypass. The results are as follows:

What is the median length of stay (or non-case/care managed patients?