PCE Quality Assurance and Improvement 5

Question 1

Which accreditation body sets standards for physiotherapy service quality in US healthcare organizations?

Accepted Answer

The Joint Commission (TJC)

Answer

APTA Commission on Accreditation

Answer

Centers for Medicare and Medicaid Services (CMS) only

Answer

American Medical Association

Question 2

A clinic conducts a peer review of physiotherapy charts. A peer reviewer discovers that treatment rationale is routinely missing from progress notes. This finding is BEST classified as:

Accepted Answer

A documentation quality gap requiring a corrective action plan

Answer

A sentinel event

Answer

Normal variation in clinical practice

Answer

A billing compliance issue only

Question 3

In quality improvement science, 'spread' refers to:

Accepted Answer

Scaling a tested improvement to other units, sites, or populations after success

Answer

Disseminating research findings in peer-reviewed journals

Answer

Spreading workload evenly among staff

Answer

Publishing adverse event data publicly

Question 4

Which of the following is an example of an OUTCOME measure rather than a process or structural measure?

Accepted Answer

Mean change in Numeric Pain Rating Scale from admission to discharge

Answer

Therapist-to-patient ratio

Answer

Percentage of patients screened for depression

Answer

Hours of continuing education completed annually

Question 5

A physiotherapist working in an outpatient clinic is asked to participate in a morbidity and mortality (M&M) review. The PRIMARY purpose of M&M reviews in quality improvement is to:

Accepted Answer

Learn from adverse events to prevent future occurrences through systems thinking

Answer

Assign blame and liability for adverse outcomes

Answer

Provide disciplinary records for regulatory bodies

Answer

Satisfy insurance audit requirements

Question 6

Which of the following BEST describes the role of a physiotherapist in a continuous quality improvement (CQI) culture?

Accepted Answer

Actively identifying inefficiencies, collecting data, and proposing solutions at the front line

Answer

Implementing only changes mandated by management

Answer

Delegating all QI responsibilities to administrators

Answer

Waiting for annual performance reviews to raise quality concerns

Question 7

A physiotherapy manager wants to assess whether a recently introduced group exercise class improves patient adherence compared to individual sessions. Which study design is MOST appropriate for this QI question?

Accepted Answer

Pre-post comparison with control group using existing clinical data

Answer

Double-blind randomized controlled trial

Answer

Single-case experimental design

Answer

Systematic review of existing literature