NCTRC Test Quality Improvement and Outcome Measurement

Question 1

A therapeutic recreation specialist wants to implement a continuous quality improvement (CQI) program. Which step should occur FIRST?

Accepted Answer

Identify the problem or area for improvement

Answer

Collect baseline data on current program outcomes

Answer

Implement the proposed change

Answer

Evaluate the effectiveness of the change

Question 2

Which of the following best describes a 'utilization review' in a therapeutic recreation department?

Accepted Answer

Evaluating whether the level of TR services provided matches the client's clinical needs

Answer

Tracking how many clients attend each TR program session

Answer

Reviewing client satisfaction surveys after discharge

Answer

Auditing staff credentials to ensure licensure is current

Question 3

An outcome measure in therapeutic recreation is BEST defined as:

Accepted Answer

A measurable change in a client's functional status attributable to TR intervention

Answer

The number of TR sessions a client attends per week

Answer

The therapist's subjective rating of client engagement

Answer

The total cost of providing TR services per client

Question 4

Which accreditation body is most commonly associated with establishing quality standards for rehabilitation and community-based TR programs?

Accepted Answer

CARF International

Answer

ATRA (American Therapeutic Recreation Association)

Answer

NCTRC (National Council for Therapeutic Recreation Certification)

Answer

CMS (Centers for Medicare & Medicaid Services)

Question 5

A CTRS reviews discharge data and finds that 40% of clients did not achieve their leisure functioning goals. The MOST appropriate next step using a CQI approach is to:

Accepted Answer

Analyze potential causes for the gap before making any program changes

Answer

Immediately replace the current intervention protocols with new ones

Answer

Report the finding to administration and take no further action

Answer

Lower the goal standards so more clients achieve them

Question 6

Benchmarking in a therapeutic recreation quality program involves:

Accepted Answer

Comparing your program's outcomes or practices against recognized best performers or standards

Answer

Setting a minimum acceptable score on client satisfaction surveys

Answer

Recording the time taken to complete each client assessment

Answer

Counting the number of modalities offered in the TR program