AHIC Quality Improvement 3

Question 1

Which concept in Lean methodology refers to any activity that consumes resources but does not add value from the patient's perspective?

Accepted Answer

Muda

Answer

Kaizen

Answer

Kanban

Answer

Poka-yoke

Question 2

A clinical informatics team is evaluating the effectiveness of a new EHR-based medication reconciliation alert. Which metric would BEST measure the alert's clinical impact?

Accepted Answer

Rate of medication discrepancy resolution following alert

Answer

Alert firing rate per 1,000 orders

Answer

Percentage of alerts acknowledged within 60 seconds

Answer

Number of alert suppression requests submitted by clinicians

Question 3

The Donabedian model of healthcare quality assessment evaluates quality across three domains. Which correctly identifies all three?

Accepted Answer

Structure, process, outcome

Answer

Input, process, output

Answer

Safety, effectiveness, efficiency

Answer

Access, timeliness, quality

Question 4

In QI methodology, what distinguishes a 'special cause' variation from a 'common cause' variation?

Accepted Answer

Common cause variation is inherent to the system, while special cause arises from specific identifiable factors

Answer

Special cause variation is predictable and inherent to the system, while common cause is unpredictable

Answer

Special cause variation always results in patient harm, while common cause does not

Answer

Common cause variation can be eliminated through staff retraining alone

Question 5

Which AHRQ tool uses hospital administrative data to screen for adverse events and measure patient safety at the population level?

Accepted Answer

Patient Safety Indicators (PSIs)

Answer

Global Trigger Tool (GTT)

Answer

Leapfrog Hospital Survey

Answer

Magnet Recognition Program

Question 6

A hospital's QI dashboard shows sepsis bundle compliance has been consistently above 95% for six months. The QI team should NEXT:

Accepted Answer

Shift focus to sustaining performance and monitoring for decline

Answer

Increase the compliance target to 99%

Answer

Discontinue measurement since the goal is achieved

Answer

Investigate why 5% remain non-compliant using FMEA

Question 7

Which quality improvement framework is specifically designed for use in ambulatory care settings and uses five key change concepts including 'the care team' and 'the patient'?

Accepted Answer

Wagner Chronic Care Model

Answer

IHI Breakthrough Series Collaborative

Answer

Patient-Centered Medical Home (PCMH) model

Answer

NCQA HEDIS reporting