NAHQ Certified Professional in Healthcare Quality Examination

QUESTION NO: 1
Reducing the risk of preventable harm in healthcare is known as:

A. Just culture B. Patient safety C. Risk-free environment D. Quality control

Correct Answer: B

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QUESTION NO: 2
A team at a large ambulatory surgery center is working to improve patient safety and plans to leverage technology as a strategy. Which of the following best illustrates that this is occurring?

A. Staff are unable to proceed past a required double check without a second staff member logging in. B. A decrease is noted in the number of adverse events reported in the electronic incident reporting system. C. An increase in workarounds is recorded by the barcode medication administration (BCMA) system. D. Oral communication is replaced by communication in the electronic medical record.

Correct Answer: A

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QUESTION NO: 3
A chart used to display the expected range of variation in a stable process is called a

A. Control chart B. Histogram C. Run chart D. Scattergram

Correct Answer: A

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QUESTION NO: 4
After in-depth data analysis, there is evidence of overutilization of computerized tomography to diagnose acute appendicitis. A team has been formed to develop a performance improvement plan for emergency department physicians. Which of the following leadership styles is most effective to implement best practice guidelines?

A. Autocratic B. Laissez-faire C. Participatory D. Democratic

Correct Answer: C

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QUESTION NO: 5
In aligning an organization's performance Improvement plan with strategic goals, a healthcare quality professional should consider

A. staff satisfaction data, benchmarking data, and occurrence reports. B. staff satisfaction data, risk management data, and utilization review data. C. customer expectations, benchmarking data, and patient outcome data. D. customer expectations, occurrence reports, and utilization review data.

Correct Answer: C

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QUESTION NO: 6
Which tool Is used to Identify resources needed to complete a project?

A. value stream man B. control chart C. cause-and-effect diagram D. SIPOC diagram

Correct Answer: D

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QUESTION NO: 7
Which of the following best represents an "unsafe condition"?

A. A mislabeled specimen discovered in the laboratory B. A high healthcare-associated infection rate C. Similarly named medications stored in proximity to each other D. An incorrectly marked surgical site identified before surgery

Correct Answer: C

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QUESTION NO: 8
When working with a new qualityImprovement team, the quality professional should stress the importance of

A. making small changes in each cycle of change. B. getting the desired result on the first cycle of change. C. creating large goals to have a system-wide Impact. D. involving the entire department on the first cycle of change.

Correct Answer: A

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QUESTION NO: 9
An acute care facility has established an outpatient heart failure clinic. Which of the following will best define the success of the program?

A. Decreased readmission rate B. Decreased serious adverse events C. Increased patient satisfaction D. Increased compliance with post-discharge plan

Correct Answer: A

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QUESTION NO: 10
After patient education, expected improvement in hemoglobin A1C (HbA1c) levels was not achieved. Target HbA1c is < 8%. Based on the data below, which population should be targeted for additional interventions?
Group
4 Months Post-Education HbA1c (%)
White, Non-Hispanic
6.0
Black, Non-Hispanic
8.6
Asian, Non-Hispanic
6.2
Hispanic
9.2

A. Black, Non-Hispanic B. White, Non-Hispanic C. Hispanic D. Asian, Non-Hispanic

Correct Answer: C

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QUESTION NO: 11
The success of performance improvement in an organization depends most on:

A. Increasing frontline employee satisfaction B. Attaining organizational accreditation C. Maximizing reimbursement sources D. Educating senior and middle management on performance improvement

Correct Answer: D

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QUESTION NO: 12
Ahospital is using the above chart to monitor the average length of stay (ALOS) for patients diagnosed with acute myocardial infarction (AMI). Which of the following conclusions should be made?

A. Data collection should be continued for an additional quarter. B. The average length of stay is highest during the fourth quarter. C. The average length of stay is consistent with the national average. D. Standard deviation is needed to determine the degree of control.

Correct Answer: B

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QUESTION NO: 13
Survey preparation is initiated by a quality professional for an organization's annual three-year accreditation.
The executive committee and department managers are given an organizational schedule for training and accreditation activities. Which of the following is the best tool to use to manage this initiative?

A. Affinity diagram B. Multi-voting method C. Gantt chart D. Ishikawa diagram

Correct Answer: C

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QUESTION NO: 14
Which of the following demonstrates interrater reliability and construct validity for an instrument designed to capture data for a publicly reported measure set?
Option
Interrater Reliability
Construct Validity

A. The design of the instrument minimizes falsified answers and other data entry errors.
The instrument captures variations in care processes across the population. B. Concordance between process and outcome measures can be accurately estimated by the measure developers.
The instrument enables statistically valid inferences to be drawn about the quality of care delivered. C. Two or more abstractors enter identical responses when reviewing the same record.
The tool measures the quality of care which the measure developers intended to measure. D. Trained data collectors can reliably predict results after reviewing a random sample of records.
The tool includes data elements that measure the aspects of quality which are important to the public.

Correct Answer: C

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QUESTION NO: 15
Which of the following is essential for effective functioning of a Quality Council?

A. An annual meeting calendar with attendance expectations B. Standardized formats for reporting and minutes C. A defined quality improvement structure and plan D. Written job descriptions for members of the group

Correct Answer: C

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NAHQ Certified Professional in Healthcare Quality Examination - CPHQ Exam Questions