CPHQ Care Transition Processes 4

Question 1

A patient is transitioning from acute care to home health services. The primary care physician has not received the discharge summary 5 days post-discharge. This represents a failure in which domain of care transitions?

Accepted Answer

Information transfer

Answer

Timely and complete information transfer to outpatient and community providers is a critical domain of successful care transitions; delays create significant safety gaps.

Question 2

Which quality improvement framework is MOST commonly used to structure care transition improvement projects in healthcare organizations?

Accepted Answer

Plan-Do-Study-Act (PDSA) cycles

Answer

PDSA cycles are the most commonly applied QI framework for iterative testing and implementing care transition improvements in clinical settings.

Question 3

A CPHQ candidate is reviewing a care transition program's outcomes. Which measure best captures the patient experience dimension of a transition?

Accepted Answer

CTM-3 (Care Transitions Measure) patient survey score

Answer

The CTM-3 is a validated patient-reported survey measuring patients' perceptions of preparation, medication understanding, and care continuity during transitions.

Question 4

During a care transitions audit, a quality professional finds that 40% of patients discharged with new prescriptions had at least one discrepancy between their discharge medication list and what was actually prescribed. The FIRST corrective action should be:

Accepted Answer

Standardizing the medication reconciliation process at discharge with pharmacist involvement

Answer

Standardizing discharge medication reconciliation with active pharmacist involvement addresses the root systemic cause of prescription discrepancies at the point of transition.

Question 5

A hospital's readmission reduction team wants to stratify patients by readmission risk at discharge. Which tool is designed for this purpose in the care transitions context?

Accepted Answer

LACE Index (Length of stay, Acuity, Comorbidity, ED visits)

Answer

The LACE Index combines length of stay, acuity of admission, comorbidity burden, and ED visit history to predict 30-day readmission risk at the time of discharge.

CPHQ - Certified Professional in Healthcare Quality Practice Test

CPHQ - Certified Professional in Healthcare Quality Practice Test

CPHQ Care Transition Processes 4