ANM Performance Improvement and Quality 4

Question 1

An ANM is implementing a new hand hygiene protocol. Which change management model emphasizes creating urgency, building a guiding coalition, and consolidating gains?

Accepted Answer

Kotter's 8-Step Change Model

Answer

Kotter's 8-Step Model explicitly includes creating urgency, forming a guiding coalition, and consolidating gains as sequential steps for leading change.

Question 2

A hospital tracks its medication error rate using DPMO (Defects Per Million Opportunities). A Six Sigma process has a DPMO of approximately:

Accepted Answer

3.4

Answer

Six Sigma quality level corresponds to no more than 3.4 defects per million opportunities, representing 99.99966% accuracy.

Question 3

Which CMS Hospital Value-Based Purchasing (VBP) domain directly measures clinical outcomes such as mortality and complications?

Accepted Answer

Clinical Care – Outcomes

Answer

The Clinical Care – Outcomes domain of CMS VBP specifically measures mortality rates, complications, and other clinical outcome measures.

Question 4

A root cause analysis (RCA) team identifies that inadequate nurse-to-patient ratios contributed to a fall with injury. This is an example of a:

Accepted Answer

Latent contributing factor

Answer

Inadequate staffing ratios are a latent (system-level) contributing factor that creates conditions for errors rather than directly causing them.

Question 5

The HCAHPS survey is BEST described as:

Accepted Answer

A standardized patient experience survey publicly reported by CMS

Answer

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) is a standardized, publicly reported patient satisfaction survey mandated by CMS.

(ANM) Assistant Nurse Manager Certification Practice Test

(ANM) Assistant Nurse Manager Certification Practice Test

ANM Performance Improvement and Quality 4