KAMA QUIZ 01 - KAMA GROUP

Created on March 05, 2021

Healthcare Management

These MCQs test your information on Healthcare Leadership, Information Management, Quality Improvement, and Patient Safety.

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1) In the context of Total Quality Management (TQM) principles in healthcare, which of the following best exemplifies the concept of "continuous improvement"?

Outsourcing quality control measures to third-party agencies.

Conducting regular performance evaluations and adjusting processes accordingly.

Setting static quality standards for patient care and services.

Implementing a one-time staff training session on patient communication skills.

2) Failure modes can be prioritized by calculating the criticality index. Which of the following three categories are normally used to calculate a criticality index?

response, evidence, and outcome

effectiveness, risk, and priority

probability, likelihood, and criticality

frequency, severity, and ease of detection

3) Problem-solving, cross-functional understanding, expanded areas of expertise, and increased span of knowledge are examples of

strategic alliances.

customer expectations.

resource requirements.

the benefits of teams.

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

Compliance Rate (%) Documentation	1st Qtr	2nd Qtr
Surgical "time-outs" performed	90	95
Communication of critical results	91	95
Pain score used	50	60
Initial patient assessment performed	52	45

Which of the following is the next step?

Conduct a focused review on the patient assessment process.

Benchmark the compliance rates against another facility.

Give data feedback on physician signature to the units.

Conduct training regarding pain score.

5) A private insurer has contracts with two area hospitals. Hospital A is a 250- bed community facility and Hospital B is a 900-bed tertiary care center. It was
noted that costs were less at the tertiary care center. From a financial standpoint, the best option for the private insurer is to

recommend that Hospital B acquire Hospital A.

monitor the expenses of both institutions for the next year.

maintain both contracts with no further action.

negotiate an exclusive arrangement with Hospital B.

6) Which of the following is the best example of an outcome measure?

mortality rate

pathway compliance

availability of computers

laboratory turnaround

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

pie chart.

histogram.

Ishikawa diagram.

run chart.

8) To reduce the incidence of ventilator-associated pneumonia (VAP) in a critical care unit, who should be included on a quality improvement team?

intensivist, ICU nurse, and respiratory therapist

pharmacist, intensivist, and infection control nurse

primary care physician, infection control nurse, and surgeon

ICU manager, respiratory therapist, and pharmacist

9) A healthcare quality professional has been asked to provide a report on the rate of Cesarean sections performed at a hospital over the past five years. Which of
the following is the best way to present the data.

Pareto chart

stratified histogram

cause-effect diagram

control chart

10) The concept of "patient safety" applies most appropriately to

risk prevention.

environmental safety measures.

serious physical injuries.

patient complaint management.

11) A facility is becoming part of a healthcare network. Which of the following employee education programs is most important?

quality teams

conflict resolution

consumer expectations

organizational change

12) The authority and responsibility of each level of the organization concerning quality management mechanisms must be specified in the

Organizational plan for the provision of patient care

Medical/professional staff bylaws

Corporate by laws

Administrative policies and procedures

13) The relationship between patient satisfaction and hours per patient day on a medical unit was found to be (r= 0.60, p < 0.05). What is the correlation between these two values?

0.36

0.05

0.55

0.60

14) A Quality Council has created a Patient Safety Council. The council is concerned that staff may see this as another program that has been added to their
busy schedules that will eventually go away. The best way for the organization to establish patient safety as an ongoing part of the organization's culture is to

make patient safety a part of the employees' job descriptions.

include a presentation on patient safety in employee orientation.

identify the patient safety goals and how they will be monitored.

display the number of incident reports monthly with lessons learned.

15) The perception of how an organization operates, including how employees relate to internal and external customers, is the organizational

structure.

vision

mission.

culture.

16) A Quality Council has decided that a Patient Safety Committee needs to be established to oversee the patient safety program. The Quality Council has asked this committee to prepare a Patient Safety Plan that would guide the program. A key factor that needs to be considered for the long-term success of the patient safety program is to

involve the entire organization in the program.

review incident reports to identify where the errors are occurring.

research how technology can be used to prevent errors.

determine which patient safety goals need to be monitored.

17) When developing department-specific performance measures and indicators, the quality manager as a consultant should

ensure that the numerator and denominator are clearly defined.

prioritize the quality indicators for selection by the department leader.

conduct a literature search and select quality indicators.

review the mission statement and seek physician input.

18) 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?

consider costs of the review, identify clinicians and sites of care, define objectives of the performance review, develop data collection form.

define objectives of the performance review, identify populations covered by the guideline, develop data collection form, pilot test.

identify medical review criteria, identify sampling methods to be used, define objectives of the performance review, pilot test.

develop data collection form, identify populations covered by the guideline, identify the data sources, conduct the review

19) Situation-Background-Assessment-Recommendation (SBAR) is a

method that measures process variation.

software package used in quality improvement.

tool to improve communication among caregivers.

Six Sigma methodology.

20) Organizational leaders can best demonstrate commitment to a new quality improvement initiative by

maintaining performance appraisals for staff.

allocating resources for the process.

offering solutions to identified problems.

reviewing the quality improvement plan.

21) Which of the following is an example of a leadership strategy to integrate the patient safety program into a healthcare organization's overall performance improvement system?

Evaluate training data to plan leadership retreats.

Use a system-wide failure mode and effects analysis (FMEA).

Identify quarterly discharge rates for the organization.

Conduct a root cause analysis to proactively identify risks.

22) A staff member reports that a colon perforation occurred during a colonoscopy. Which of the following is a healthcare quality professional's next step?

Refer the case for peer review.

Review 100% of colonoscopy procedures.

Assign a proctor to the physician.

Modify the physician's privileges.

23) When conducting a sentinel event review, a root cause analysis

proactively identifies causes and effects.

requires team consensus.

identifies gaps in patient care processes.

provides judgment of staff behaviors.

24) A facility has identified a trend of increased falls for patients aged 60 to 85 years. An effective fall prevention program should include

a patient assessment process, a fall protocol, and staff education.

a fall protocol, restraint criteria, and a family sitter program.

restraint criteria, staff education, and a sedation protocol.

a patient assessment process, a family sitter program, and a sedation protocol.

25) Which of the following scenarios best illustrates the principles of Lean management in healthcare delivery?

A healthcare insurer increasing paperwork requirements for claims processing to enhance accuracy.

A hospital implementing excessive layers of bureaucracy to improve decision-making efficiency.

A clinic reducing patient waiting times by optimizing appointment scheduling and resource allocation.

A pharmaceutical company prioritizing speed of drug development over safety and efficacy testing.

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