FREE Certified Accreditation Professional Assessment and Monitoring Questions and Answers

0%

Which of the following best describes the primary purpose of conducting an internal audit as part of the CAP’s responsibilities?

Correct! Wrong!

The primary goal of an internal audit is to proactively identify areas of non-compliance and address them before the external audit. While staff testing (B) may occur, it’s not the primary purpose. Fulfilling requirements (C) or marketing (D) is not the focus of an internal audit.

A CAP is responsible for monitoring ongoing compliance within an organization. What is the most effective tool for tracking compliance metrics over time?

Correct! Wrong!

A centralized database allows for real-time tracking of compliance metrics, consolidates data across departments, and generates actionable reports. Manual checklists (A) and paper logs (C) are inefficient and prone to errors, while relying on emails (D) lacks structure.

The CAP notices an upward trend in patient safety incidents during routine monitoring in a healthcare organization. What should the CAP do first?

Correct! Wrong!

Before implementing corrective actions (A) or escalating the issue (C), the CAP must conduct a root cause analysis to understand the underlying factors contributing to the trend. Scheduling follow-ups (D) without addressing the issue is premature.

What is the CAP’s role in ensuring ongoing compliance with accreditation standards?

Correct! Wrong!

Ongoing compliance requires consistent process review and proactive improvements to maintain alignment with standards. Random audits (A) can be part of monitoring but aren’t sufficient on their own. Waiting for external feedback (C) or fully delegating tasks (D) neglects the CAP’s responsibility.

Which of the following steps is critical when conducting a risk assessment as part of monitoring?

Correct! Wrong!

Effective risk assessment involves identifying and prioritizing risks that pose the greatest threat to compliance and safety. Focusing only on past risks (B) or delegating the task (C) undermines a comprehensive assessment. Addressing all risks equally (D) may waste resources on less critical issues.