MHA Quality and Performance Improvement 3

Question 1

Which CMS value-based purchasing program adjusts hospital payments based on performance across domains including clinical outcomes, patient safety, and patient experience?

Accepted Answer

Hospital Value-Based Purchasing Program

Answer

The Hospital Value-Based Purchasing (VBP) Program ties Medicare payment to performance on quality measures across multiple domains.

Question 2

In Six Sigma, a process operating at '6 sigma' level produces approximately how many defects per million opportunities?

Accepted Answer

3.4

Answer

A Six Sigma process achieves near-perfection at 3.4 defects per million opportunities, representing 99.9997% accuracy.

Question 3

Which quality improvement concept involves designing systems so that errors are physically impossible or immediately obvious, often called 'mistake-proofing'?

Accepted Answer

Poka-yoke

Answer

Poka-yoke (mistake-proofing) designs processes or devices that prevent errors from occurring or make them immediately detectable.

Question 4

A hospital quality team wants to determine if there is a correlation between nurse-to-patient staffing ratios and patient fall rates. Which QI tool is most appropriate?

Accepted Answer

Scatter diagram

Answer

A scatter diagram plots two variables against each other to visually identify whether a correlation or relationship exists between them.

Question 5

Under the Hospital-Acquired Condition (HAC) Reduction Program, hospitals in the worst-performing quartile receive:

Accepted Answer

A 1% reduction in Medicare payments

Answer

Hospitals in the lowest-performing quartile on HAC measures face a 1% reduction in all Medicare payments under this CMS program.

MHA - Master of Healthcare Administration Practice Test

MHA - Master of Healthcare Administration Practice Test

MHA Quality and Performance Improvement 3