CHL Healthcare Quality Management 4

Question 1

Which CMS value-based purchasing program financially rewards hospitals based on a composite score that includes safety, clinical outcomes, patient experience, and efficiency domains?

Accepted Answer

Hospital Value-Based Purchasing (HVBP) Program

Answer

Hospital Readmissions Reduction Program (HRRP)

Answer

Hospital-Acquired Condition (HAC) Reduction Program

Answer

Merit-Based Incentive Payment System (MIPS)

Question 2

A quality team wants to understand the patient's perspective of the care journey from ED triage to inpatient admission. Which quality improvement tool is most useful?

Accepted Answer

Swim lane process map (cross-functional flowchart)

Answer

Control chart

Answer

Pareto chart

Answer

Scatter diagram

Question 3

Which statistical concept describes the degree to which a measurement tool consistently produces the same results when measuring the same phenomenon repeatedly?

Accepted Answer

Reliability

Answer

Validity

Answer

Sensitivity

Answer

Specificity

Question 4

A hospital's quality dashboard shows its 30-day heart failure readmission rate is 22%, above the national average of 18%. Which improvement approach directly addresses preventable readmissions?

Accepted Answer

Adopt a structured transition-of-care program including post-discharge follow-up calls

Answer

Implement daily huddles in the ICU

Answer

Increase nurse-to-patient ratios on the cardiac floor

Answer

Expand the number of cardiologists on staff

Question 5

Which term describes the unintended and potentially harmful consequences that occur when a quality improvement change is made in one part of a healthcare system?

Accepted Answer

Second-order effects (unintended consequences)

Answer

Sentinel event

Answer

Special cause variation

Answer

Adverse drug event

Question 6

In Lean healthcare methodology, which concept refers to any activity that consumes resources but does not add value from the patient's perspective?

Accepted Answer

Waste (muda)

Answer

Standard work

Answer

Value stream mapping

Answer

Kaizen event

Question 7

A peer review committee evaluates a physician's clinical decision-making following an unexpected patient death. This activity is best described as which type of quality function?

Accepted Answer

Medical staff performance improvement and peer review

Answer

Utilization management

Answer

Credentialing and privileging

Answer

Risk management investigation