CCM Quality Control & Process Improvement 2

Question 1

Which quality improvement model uses the sequential steps of Define, Measure, Analyze, Improve, and Control?

Accepted Answer

Six Sigma DMAIC

Answer

Six Sigma uses the DMAIC framework to systematically reduce process variation and defects.

Question 2

A care manager notices that 20% of high-risk patients account for 80% of hospital readmissions. This observation reflects which principle?

Accepted Answer

Pareto principle

Answer

The Pareto principle (80/20 rule) holds that a small subset of causes typically drives the majority of outcomes.

Question 3

Which tool is used to visually display the distribution and variation of a process measurement over time?

Accepted Answer

Control chart

Answer

Control charts plot data points over time to distinguish normal process variation from special-cause variation.

Question 4

When conducting a root cause analysis after a medication error, which tool is most appropriate for identifying contributing factors?

Accepted Answer

Cause-and-effect (Ishikawa) diagram

Answer

The Ishikawa (fishbone) diagram categorizes potential root causes across domains like people, process, and environment.

Question 5

In quality improvement, a 'benchmark' refers to:

Accepted Answer

A performance standard based on best-known practices

Answer

Benchmarking compares an organization's processes or outcomes to the best practices of high-performing peers.

(CCM) Certified Care Management Professional Practice Test