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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q224-Q229):
NEW QUESTION # 224
Efficiency refers how well resources are used in achieving a given result. Efficiency whenever the resources used to produce a given output are _____________.
- A. Increases, increased
- B. Improves, reduced
- C. It is truly situation dependent
- D. Reduces, reduced
Answer: B
NEW QUESTION # 225
Which of the following is a healthcare quality professional's key responsibility for supporting organizational quality governance?
- A. assessing the board's understanding of quality topics
- B. deciding which quality initiatives will be set as priorities
- C. presenting regular financial updates to the organization's leaders
- D. updating board members on key performance indicators
Answer: D
Explanation:
Explanation: A healthcare quality professional's key responsibility in quality governance is updating board members on key performance indicators (KPIs) (B), such as infection rates or patient satisfaction, to support data-driven oversight. Assessing board understanding (A),presenting financial updates (C), or deciding priorities (D) are not primary roles. NAHQ prioritizes KPI reporting for governance.
NAHQ CPHQ Study Guide, Organizational Leadership Section, "Quality Governance and Board Reporting"; NAHQ Code of Practice, Principle 3: Information Management.
NEW QUESTION # 226
_____________is the collection of data used to analyze physician practice pattern, utilization of services, and
outcomes of care. Its goal is to improve physician performance through accounts through accountability feedback and
to decrease practice variations through adherence to evidence-based standards of care.
- A. Physician profiling
- B. Physicians portfolio management
- C. Physician record review
- D. Value-based profiling
Answer: A
NEW QUESTION # 227
A root cause analysts (RCA) was conducted tor an event related to a delayed high-priority alarm response.
Alarm fatigue was determined to be a root cause. Which of the following Is the most appropriate first Intervention?
- A. Implement a guideline with clear criteria for Initiation of cardiac monitoring.
- B. Review alarm signals for clinical appropriateness.
- C. Establish a written policy for alarms escalation.
Answer: B
Explanation:
A root cause analysis (RCA) is asystematic process of identifying the factors that contributed to an adverse event or near miss in order to prevent recurrence and improve patient safety1.
Alarm fatigue is a condition in which clinicians become desensitized to the numerous alerts and warnings generated by medical devices, leading to longer response times or missed alarms2.
Alarm fatigue can compromise patient safety by increasing the risk of adverse events, such as delayed treatment, missed diagnosis, or cardiac arrest3.
To reduce alarm fatigue, the Joint Commission recommends a four-step approach: establish alarm system management as a priority; identify the most important alarms to manage; establish policies and procedures for alarm system management; and educate staff and patients about alarm system management4.
The most appropriate first intervention for an event related to a delayed high-priority alarm response is to review alarm signals for clinical appropriateness. This means to evaluate the alarm settings, limits, and delays for each device and patient population, and adjust them according to evidence-based guidelines and best practices5. This can help reduce the number of false or clinically insignificant alarms, and improve the specificity and sensitivity of the alarm system.
Establishing a written policy for alarm escalation is also an important intervention, but it is not the first step.
A policy for alarm escalation should define the roles and responsibilities of staff, the criteria and process for escalating alarms, and the expected response time and actions for each alarm level. However, before developing such a policy, it is necessary to review the alarm signals and ensure that they are clinically relevant and meaningful.
Implementing a guideline with clear criteria for initiation of cardiac monitoring is another intervention that can reduce alarm fatigue, but it is not the first step either. A guideline for cardiac monitoring should specify the indications, duration, and discontinuation of continuous electrocardiographic (ECG) monitoring for patients at risk of cardiac arrhythmias or ischemia. However, before implementing such a guideline, it is necessary to review the alarm signals and ensure that they are appropriate forthe patient population and clinical setting. References: 1: NAHQ Code of Ethics 2: Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue 3: Alarm fatigue: impacts on patient safety 4: The Joint Commission National Patient Safety Goal on clinical alarm safety 5: Alarm Management: Advancing From Failure Cause To Root Cause Analysis : [Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic] : [The Financial Case for Quality as a Business Strategy] : [Shaping the Future of the Healthcare Quality Profession] : [PracticeStandards for Electrocardiographic Monitoring in Hospital Settings]
[Understanding the Evolving Landscape of Healthcare Quality]
NEW QUESTION # 228
In a healthcare organization Implementing ongoing performance Improvement (PI), which of the following will most likely benefit the PI goals of the organization?
- A. discrete systems relevant to, and monitored by. individual departments
- B. cross-functional processes evaluated by multidisciplinary teams with the support of management
- C. a comprehensive process developed. Implemented, and monitored by the quality management department
- D. a system selected by middle and senior management resulting from proposals by consultants
Answer: B
Explanation:
Performance improvement (PI) in healthcare refers to the systematic process of identifying, analyzing, and enhancing the various aspects of healthcare delivery to improve patient outcomes, safety, and satisfaction1.
PI requires a collaborative and data-driven approach that involves multiple stakeholders, such as clinicians, managers, patients, and quality professionals2.
According to the National Association for Healthcare Quality (NAHQ), one of the core competencies for healthcare quality professionals is to facilitate teams and lead change initiatives that align with the organization's strategic goals and priorities3.
NAHQ also recommends using a variety of performance improvement methodologies, such as Lean, Six Sigma, robust process improvement, and A3 problem-solving, to address complex and cross-functional issues in healthcare.
Therefore, the option that most likely benefits the PI goals of the organization is C: cross-functional processes evaluated by multidisciplinary teams with the support of management. This option reflects the best practices of PI in healthcare, as it fosters a culture of quality, engages diverse perspectives, and leverages data and evidence to drive improvement23.
The other options are less likely to benefit the PI goals of the organization, as they are either too narrow, too top-down, or too siloed. These options may limit the scope, effectiveness, and sustainability of PI efforts, as they do not involve the relevant stakeholders, address the root causes, or align with the strategic vision of the organization23.
Reference: 1: A Guide to Performance Improvement in Healthcare 2: 9 Effective Performance Management Strategies for Healthcare 3: Healthcare Quality Solutions: Ready Your Workforce for Quality : Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic
NEW QUESTION # 229
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