CHAP CHAP Quality Improvement & Risk Management

Question 1

Which quality improvement model uses a four-step cycle of Plan, Do, Study, Act to continuously improve processes?

Accepted Answer

PDSA cycle

Answer

Six Sigma

Answer

Root cause analysis

Answer

Lean methodology

Question 2

What is the purpose of a 'sentinel event' review in healthcare quality management?

Accepted Answer

To conduct an in-depth root cause analysis of a serious unexpected adverse event

Answer

To review routine clinical outcomes monthly

Answer

To track patient satisfaction trends

Answer

To review financial performance quarterly

Question 3

In risk management, what is an 'incident report' (occurrence report)?

Accepted Answer

A documentation tool used to report unexpected events, errors, or near misses in healthcare

Answer

A financial loss report submitted to insurers

Answer

A performance review report for staff

Answer

A regulatory compliance report submitted to CMS

Question 4

What does 'benchmarking' mean in the context of healthcare quality improvement?

Accepted Answer

Comparing an organization's performance metrics to those of leading organizations or industry standards

Answer

Setting minimum performance targets

Answer

Testing new clinical procedures on a small scale

Answer

Measuring physical dimensions of facility space

Question 5

Which accreditation organization evaluates hospitals and healthcare organizations in the US through a voluntary accreditation program?

Accepted Answer

The Joint Commission (TJC)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

Agency for Healthcare Research and Quality (AHRQ)

Answer

National Institutes of Health (NIH)

Question 6

What is the primary goal of 'Lean' methodology when applied to healthcare processes?

Accepted Answer

Eliminating waste and improving the efficiency of patient care processes

Answer

Reducing the number of staff positions

Answer

Cutting medication costs by 50%

Answer

Standardizing clinical protocols across all departments