1) Based on the principles of the Institute for Healthcare Improvement (IHI), who has the ultimate responsibility for the effectiveness of quality improvement
and patient safety within an organization?

2) The responsibility for providing organizational direction for a facility's continuous quality improvement program frequently rests with the quality

3) Which of the following best demonstrates the use of the Plan-Do-Check-Act performance improvement model?

4) The quality improvement director is responsible for the coordination of accreditation survey activities. Responsibilities will most likely include

5) The phrase "reaching consensus" is often used in performance improvement. The term consensus refers to

6) A number of specialty and primary care clinicians have participated in several meetings to develop clinical practice guidelines for the management of diabetes. The team leader has moved the team through the actual guideline development and is now concentrating on the "evaluation of quality of care" phase. Which of the following sequences of steps should the team consider in developing the evaluation phase?

7) Physician profiles are reviewed at the time of reappointment to

8) After brainstorming, which of the following should a quality improvement team use to identify items that need immediate attention?

9) Generic screening is an example of risk

10) When a case manager wants to demonstrate length of stay data that depicts both common cause and special cause variation, which of the following should be used?

11) In the context of quality awards, what role does organizational leadership play in strategic alignment?

12) Hospital A has recently merged with Hospital B. After 6 months it is noted that Hospital A has successfully transitioned their staff to new organizational values, while Hospital B still struggles. Hospital A's success can best be attributed to:

13) Which of the following principles applies to continuous quality improvement in an organization?

14) In conducting a multivote, all of the following steps are taken except

15) A quality improvement manager must decide how to present data that demonstrates the relationship between two process characteristics. Which of the following data display techniques is most appropriate?

16) A strategy used in brainstorming is that ideas are

17) Which of the following elements must be present in order to evaluate the effectiveness of a healthcare organization's quality improvement program?

18) A hospital-wide medical record audit on documentation has been completed. The following table shows the compliance rate of documentation:

Which of the following is the next step?

19) A team approach to problem solving is most useful when

20) Benchmarking is based on identifying which of the following?

21) A healthcare quality professional is conducting a study to determine how many patients contracted influenza despite receiving flu shots. This study is evaluating

22) In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing a

23) A health plan is required to have a mechanism for members to submit complaints. Which of the following actions must be included in the complaint analysis to ensure the plan makes full use of this type of information?

24) A healthcare quality professional has been asked to examine a new method of reviewing adverse events in an organization. It has been decided that a system of triggers will be established to alert the Quality Council of a potential problem. The best example of a trigger that should be set with a threshold of zero is a

25) A trend analysis of incidents occurring in a healthcare facility should focus on which of the following areas?