Question

1) "Data Collection," identifies which four categories of quality measurement? Select one: a. Inpatient, outpatient, long-term care, and hospice b. Clinical, quality, financial performance, patient/physician/staff satisfaction, and functional status c. Clinical, administrative, community benefit, and patient engagement d. Patient level, microsystem level, macrosystem level, and environmental level

2) Which of the following is a consideration in data collection? Select one: a. Time of data collection b. Cost of data collection c. Inpatient versus outpatient d. All of the above

3) Which of the following is an advantage of retrospective medical record review? Select one: a. It is believed to be the most accurate method of data collection b. Medical records contain many data elements that are not available in administrative databases c. Medical record reviews yield different data than can be found in typical administrative databases d. Focused medical record review is the primary tool for answering the "why" in a given situation e. All of the above

4) Which of the following is a downside to asking nursing staff to perform prospective data collection? Select one: a. It is a time-consuming task b. It can distract nurses from their direct patient care responsibilities c. Nurses are not qualified to perform data collection d. The accuracy of the data collection is greater when performed by nurses than when performed by research assistants and data analysts e. Both a and b

5) What is the largest downside to prospective data collection? Select one: a. Cost b. It is not useful in improving patient outcomes c. There are no good ways to build data collection processes into the existing workflow d. All of the above e.

6) Examples of clinical dashboards produced by a clinical reporting system include which of the following? Select one: a. Health system-level data b. Hospital-level data c. Physician-level reports d. All of the above e. Choices a and b only

7) Prospective data collection involves identification and selection of a patient's medical record or group of records after the patient has been discharged from the hospital or clinic. Select one: True False

8) Functional status surveys are usually only administered once throughout the treatment or procedure. Select one: True False

9) The normal distribution is the foundation of statistics used for improvement Select one: True False

10) A run chart is helpful for Select one: a. determining whether individual outliers are present. b. figuring out if data are valid. c. determining whether process shifts have occurred during the time period. d. finding the top quartile of performers.

11) Doing a control chart first renders a run chart unnecessary. Select one: True False

12) After a good process baseline is obtained, the next step for a process improvement project should be Select one: a. getting 10 to 15 people together to do a flowchart of the process and how the work gets done. b. getting 10-15 people together to brainstorm possible causes of the problem. c. having a team vote on what they think the best solutions might be. d. isolating the 20 percent of the process causing 80 percent of the problem.

13) When a "never event" occurs, Select one: a. there should be an immediate root cause analysis. b. it is important to immediately find the incompetent person or people who allowed it to occur. c. one should ask, "Was this a special cause or were we perfectly designed to have this happen?" d. gather all the people involved and have them come up with an action plan to prevent it from ever happening again.

14) There is variation even when something is measured only once2 Select one: True False

15) One should put warning limits on control charts within the common cause limits to anticipate when a process might be shifting to undesirable performance. Select one: True False

16) Goals are very useful in motivating and focusing good improvement work. Select one: True False

17) You are testing a process intervention. What is the quickest way to determine whether it was effective? Select one: a. Control Chart b. Run Chart c. People telling you that "things seem better" d. T-test of "before vs. after"

18) Which of the following is not true about customer satisfaction surveys? Select one: a. They are a great source of innovative ideas. b. They can create a baseline of customer perception. c. They can maybe be used to begin to isolate the 20 percent of the issues causing 80 percent of dissatisfaction. d. They encourage tampering when used to reward or punish organizations.

19) Currently, provider profiles are being used for Select one: a. public report cards. b. board certification. c. credentialing. d. pay-for-performance programs. e. None of the above. f. All of the above.

20) The goal of physician profiling is to improve performance through Select one: a. accountability and feedback. b. decreasing variation through adherence to evidence-based standards of care. c. exposing "bad apples." d. All of the above e. Both a and b

21) Benchmarking involves the comparison of physician performance to Select one: a. the physician's own past performance. b. best practices and other physician comparisons. c. government standards. d. None of the above

22) Which of the following is a common criticism of physician profiles? Select one: a. Skepticism about data sources b. Questions about the clinical relevance of some measures c. Accountability for measures outside their control d. Both a and b e. All of the above

23) Physicians have wholeheartedly embraced the widespread use of physician profiles. Select one: True False

24) Many physicians underrate their performance and are pleasantly surprised when they see their performance data. Select one: True False

25) Physician profiles should only include conditions for which evidence-based guidelines exist. Select one: True False

Answer 1

1) "Data Collection," identifies which four categories of quality measurement? Select one:

Answer-(B)Clinical, quality, financial performance, patient/physician/staff satisfaction, and functional status.

2) Which of the following is a consideration in data collection? Select one

Answer-(D) All of the above (Time and cost involved collecting the critical few rather than collecting for a rainy day inpatient versus outpatient data.)

3) Which of the following is an advantage of retrospective medical record review? Select one:

Answer-(E) All of the above (Retrospective data collection involves identification and selection of patient's medical record or group of records after the patient hasbeen discharged from the hospital or clinic)

4) Which of the following is a downside to asking nursing staff to perform prospective data collection?

Answer-(E)Both A and B (a. It is a time-consuming task b. It can distract nurses from their direct patient care responsibilities )

5)What is the largest downside to prospective data collection? Select one:

Answe-(A) Cost

6) Examples of clinical dashboards produced by a clinical reporting system include which of the following? Select one:

Answer-(E)  Choices a and b only (a. Health system-level data b. Hospital-level data)

7) Prospective data collection involves identification and selection of a patient's medical record or group of records after the patient has been discharged from the hospital or clinic. Select one: True False

Answer- FALSE (Prospective data collection relies on medical record review ,but it is completed during a patient's hospitalization or visit)

8)Functional status surveys are usually only administered once throughout the treatment or procedure. Select one: True False

Answer-TRUE (The functional status survey can be used as a self administered functional assessment for a patient seen in parimary care .It provides information on the patient's physical ,psychological,social and role functions.It can be used both to screen initially for problems and to monitor the patient over time)

9) The normal distribution is the foundation of statistics used for improvement Select one: True False

Answer-False

10) A run chart is helpful for Select one:

Answer-(C)determining whether process shifts have occurred during the time.