Quality Review and Accountability Flashcards
7 cards from real CPHQ practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Review and Accountability flashcards as text
A hospital implements a new hand hygiene protocol but compliance rates remain low six months later. According to the Model for Improvement, what should the quality team do?
Answer: Run additional PDSA cycles to test modified change strategies
The Model for Improvement uses iterative PDSA cycles to test, learn from, and refine changes until the desired improvement is achieved.
Which of the following BEST describes the primary purpose of the Patient Safety and Quality Improvement Act (PSQIA) of 2005?
Answer: Providing federal privilege and confidentiality protections for patient safety work product reported to PSOs
PSQIA established federal privilege protections for information reported to Patient Safety Organizations (PSOs) to encourage voluntary reporting of safety events.
A Pareto chart is used in quality improvement to illustrate that:
Answer: A small number of causes account for the majority of problems
The Pareto principle (80/20 rule) states that roughly 80% of problems stem from 20% of causes, visualized by a Pareto chart to prioritize improvement efforts.
When a hospital reports a quality measure to CMS for public reporting, this is an example of:
Answer: External accountability and transparency
Reporting to CMS for public display (e.g., Hospital Compare) represents external accountability because results are disclosed to regulators and the public.
A quality team discovers that medication reconciliation is performed inconsistently at discharge. Which Lean tool would BEST help visualize where in the process the inconsistency occurs?
Answer: Value stream map
A value stream map is a Lean tool that visually maps all steps in a care process to identify waste, delays, and inconsistencies.
Which of the following is an example of a structural measure of quality in healthcare?
Answer: The presence of a board-certified intensivist covering the ICU 24/7
Structural measures reflect the capacity and organization of care delivery, such as whether qualified staff or resources are in place.
A quality professional is asked to calculate the positive predictive value (PPV) of a screening test. PPV answers which question?
Answer: What proportion of positive test results truly have the disease?
Positive predictive value (PPV) is the proportion of individuals with a positive test result who truly have the condition being tested.