CPHRM Quality Improvement 5

Question 1

Under value-based purchasing (VBP), hospitals face financial incentives tied to quality metrics. Which federal program administers hospital VBP?

Accepted Answer

CMS Hospital Value-Based Purchasing Program

Answer

CMS's Hospital Value-Based Purchasing Program adjusts Medicare payments based on hospitals' performance on quality, safety, efficiency, and patient experience measures.

Question 2

A hospital uses 'Plan-Do-Study-Act' cycles iteratively. After the 'Study' phase reveals the change did not improve outcomes, the team should:

Accepted Answer

Use the findings to inform a revised plan in the next PDSA cycle

Answer

The PDSA model is iterative; failed tests provide learning that informs the next cycle's Plan phase, refining the intervention until improvement is achieved.

Question 3

Which concept describes the cultural environment in which staff feel safe reporting errors and near misses without fear of punishment?

Accepted Answer

Just culture

Answer

Just culture balances accountability with learning by distinguishing between human error, at-risk behavior, and reckless behavior, encouraging reporting without fear of unjust blame.

Question 4

When a hospital's mortality rate is risk-adjusted, the purpose is to:

Accepted Answer

Account for differences in patient population severity before comparing outcomes

Answer

Risk adjustment controls for patient case-mix differences so that outcome comparisons between facilities reflect care quality rather than population sickness levels.

Question 5

The 'Swiss Cheese Model' of accident causation in healthcare illustrates that:

Accepted Answer

Errors occur when holes in multiple system defenses align simultaneously

Answer

The Swiss Cheese Model (Reason's model) depicts how latent system failures create holes in defenses that, when aligned, allow errors to reach and harm patients.

CPHRM Exam Practice Test

CPHRM Exam Practice Test

CPHRM Quality Improvement 5