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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q380-Q385):
NEW QUESTION # 380
Today's patients' perception of the quality of our healthcare system is not favourable. In healthcare, qualityis household word that evokes great emotion, including:
- A. Timely care that may be experienced in terms of performance of services
- B. Frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who observe the care of their loved ones
- C. Anxiety over the ever-increasing costs and complexities of care
- D. Patient centered measures
Answer: B,C
NEW QUESTION # 381
Which initiative should a quality professional promote in an organization seeking to optimize value-based reimbursement?
- A. Improve hand hygiene compliance.
- B. Implement computerized provider order entry (CPOE).
- C. Reduce use of inpatient restraints.
- D. Standardize joint replacement care pathways.
Answer: D
Explanation:
In an organization seeking to optimize value-based reimbursement, the most effective initiative for a quality professional to promote is the standardization of joint replacement care pathways. Value-based reimbursement models reward healthcare providers for delivering high-quality care efficiently, often tying reimbursement to specific outcomes, particularly for high-cost procedures like joint replacements.
* Relevance to Value-Based Reimbursement: Joint replacement surgeries, such as hip and knee replacements, are common procedures with high costs and significant variability in outcomes. By standardizing care pathways, organizations can reduce this variability, ensuring more consistent and predictable outcomes, which are key metrics in value-based reimbursement.
* Impact on Quality and Cost: Standardized care pathways streamline the care process, reduce complications, minimize length of stay, and prevent readmissions-all of which directly improve the quality of care while controlling costs. These factors are critical in optimizing value-based reimbursement, where payment is increasingly linked to outcomes rather than volume.
* Comparison to Other Options:
* B. Improve hand hygiene compliance is important for patient safety and infection control but has a more indirect impact on value-based reimbursement.
* C. Reduce use of inpatient restraints focuses on patient safety and ethical care but does not have the same direct financial impact as standardizing high-cost procedures.
* D. Implement computerized provider order entry (CPOE) improves safety and efficiency but is more focused on reducing errors rather than directly influencing reimbursement tied to specific procedures.
References: National Association for Healthcare Quality (NAHQ) documents and resources discuss the importance of aligning clinical pathways with value-based care goals, particularly in high-impact areas like joint replacement surgeries, which are frequently targeted in reimbursement models.
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NEW QUESTION # 382
__________ are similar to proportion measures in that both are based on count (or attributes) data but differ in that
the numerator and the denominator address different attributes.
- A. Predicted rate
- B. Outcome measures
- C. Continuous variable measures
- D. Ratio measures
Answer: D
NEW QUESTION # 383
A quality professional was asked to assist with strategic planning. Which of the following should have the primary impact on the quality and performance improvement goals?
- A. financial statement of the organization
- B. results of gap analysis
- C. findings from a staff needs assessment
- D. report of major competitors 'performance
Answer: B
NEW QUESTION # 384
The control chart above indicates which of the following?
- A. Special cause variation
- B. No variation
- C. Common cause variation
- D. Unique cause variation
Answer: A
Explanation:
* Understanding Control Charts and Variation TypesControl charts are used to monitor process stability over time by identifying different types of variation. Variations on a control chart can generally be categorized as:
* Common Cause Variation: Random variation that is inherent to the process, typically within control limits.
* Special Cause Variation: Variation that is unusual, not inherent to the process, and suggests an external factor or a change in the process.
* Unique Cause Variation: This term is not commonly used in statistical process control; it likely refers to a special or unusual cause.
* No Variation: Indicates a completely stable process with no changes over time, which is rarely the case in practice.
* Interpreting the Control ChartThe control chart shows the rate of restraint hours per 1000 patient hours over time. Key indicators of special cause variation include:
* Data points outside the control limits (Upper Control Limit and Lower Control Limit).
* Patterns, such as runs of data points above or below the mean, or sudden shifts and spikes in data.
In this chart, we see several spikes (particularly in July and September of 2013 and again in October 2014) that reach or exceed the upper control limit. This suggests that certain events or changes in these periods caused the restraint hours to increase significantly, which is not due to the inherent process variation.
* Conclusion for the Correct AnswerSince the chart displays data points that go outside the control limits and exhibit unusual patterns, it is indicative of Special Cause Variation. This suggests external factors or specific changes in the facility process during those periods that require further investigation to determine the cause of the spikes.
References:
* NAHQ Documentation on Control Charts and Process Variation
* "Using Statistical Process Control to Monitor Quality Improvement in Healthcare" (NAHQ, 2019)
NEW QUESTION # 385
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