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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q560-Q565):

NEW QUESTION # 560
In reviewing information offered by the Agency for Healthcare Research and Quality (AHRQ), the quality improvement (QI) specialist recognizes that the three broad aims pursued by the National Quality Strategy are

A. reduce complications, reduce readmissions, and improve health outcomes.
B. reduce medical waste, use Lean, and achieve equity and better access to care.
C. better care, healthy people/health communities, and affordable care.
D. triple aim, reduce utilization, and affordable care.

Answer: C

Explanation:
The three broad aims pursued by the National Quality Strategy (NQS), as recognized by the Agency for Healthcare Research and Quality (AHRQ), are better care, healthy people/healthy communities, and affordable care. These aims reflect a comprehensive approach to improving healthcare by focusing on enhancing the overall quality of care, improving the health of populations, and reducing the cost of care to ensure it is affordable for all.
Reduce medical waste, use Lean, and achieve equity and better access to care (A): These are important goals, but they do not summarize the NQS's broad aims.
Reduce complications, reduce readmissions, and improve health outcomes (B): These are specific targets within the broader framework but not the three broad aims.
Triple aim, reduce utilization, and affordable care (D): The triple aim concept is related, but it is not identical to the three broad aims of the NQS.
Reference
NAHQ Body of Knowledge: National Quality Strategy and Healthcare Improvement NAHQ CPHQ Exam Preparation Materials: Understanding National Quality Initiatives

NEW QUESTION # 561
Which of the following best describes how a quality professional should conduct an organizational assessment to ensure safe transitions of care?

A. Review patient feedback about transfers to skilled nursing facilities
B. Assess case management discharge and transfer records
C. Evaluate processes for discharges and transfers
D. Audit documentation of patient discharge summaries

Answer: C

Explanation:
Safe transitions of care (e.g., from hospital to home or skilled nursing facilities) require robust processes to prevent errors like medication discrepancies or lack of follow-up. An organizational assessment should focus on evaluating these processes comprehensively.
Option A (Review patient feedback about transfers to skilled nursing facilities): Patient feedback provides insights but is limited to perceptions, not a comprehensive process evaluation.
Option B (Assess case management discharge and transfer records): Records show outcomes but do not evaluate the underlying processes driving safety.
Option C (Evaluate processes for discharges and transfers): This is the correct answer. The NAHQ CPHQ study guide states, "To ensure safe transitions of care, quality professionals should evaluate discharge and transfer processes, including communication, medication reconciliation, and follow-up planning" (Domain 5).
Tools like process mapping or tracers assess these processes.
Option D (Audit documentation of patient discharge summaries): Auditing documentation is a narrow aspect of transitions, not a full process evaluation.
CPHQ Objective Reference: Domain 5: Population Health and Care Transitions, Objective 5.3, "Assess processes for safe care transitions," emphasizes evaluating discharge and transfer processes. The NAHQ study guide notes, "Process evaluation ensures safe handoffs and continuity of care" (Domain 5).
Rationale: Evaluating processes provides a comprehensive assessment of transition safety, aligning with CPHQ's care transition principles.
Reference: NAHQ CPHQ Study Guide, Domain 5: Population Health and Care Transitions, Objective 5.3.

NEW QUESTION # 562
The control chart above indicates which of the following?

A. Unique cause variation
B. No variation
C. Special cause variation
D. Common cause variation

Answer: C

Explanation:
* Understanding Control Charts and Variation TypesControl charts are used to monitor process stability over time by identifying different types of variation. Variations on a control chart can generally be categorized as:
* Common Cause Variation: Random variation that is inherent to the process, typically within control limits.
* Special Cause Variation: Variation that is unusual, not inherent to the process, and suggests an external factor or a change in the process.
* Unique Cause Variation: This term is not commonly used in statistical process control; it likely refers to a special or unusual cause.
* No Variation: Indicates a completely stable process with no changes over time, which is rarely the case in practice.
* Interpreting the Control ChartThe control chart shows the rate of restraint hours per 1000 patient hours over time. Key indicators of special cause variation include:
* Data points outside the control limits (Upper Control Limit and Lower Control Limit).
* Patterns, such as runs of data points above or below the mean, or sudden shifts and spikes in data.
In this chart, we see several spikes (particularly in July and September of 2013 and again in October 2014) that reach or exceed the upper control limit. This suggests that certain events or changes in these periods caused the restraint hours to increase significantly, which is not due to the inherent process variation.
* Conclusion for the Correct AnswerSince the chart displays data points that go outside the control limits and exhibit unusual patterns, it is indicative of Special Cause Variation. This suggests external factors or specific changes in the facility process during those periods that require further investigation to determine the cause of the spikes.
References:
* NAHQ Documentation on Control Charts and Process Variation
* "Using Statistical Process Control to Monitor Quality Improvement in Healthcare" (NAHQ, 2019)

NEW QUESTION # 563
A healthcare quality professional receives the following Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey results:
Which of the following should be the next action by the professional?

A. Solicit Input from the member advocacy panel regarding barriers to service.
B. Request a population demographic report on current membership diversity.
C. Initiate a practitioner communication initiative on access to care standards.
D. Recommend a member education Initiative on access to care standards.

Answer: C

Explanation:
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey results provide insights into patients' experiences with healthcare services12. In this case, the survey results indicate that there may be issues with how well doctors communicate and the ease of getting necessary care. These are areas where practitioners can directly influence patient experience. Therefore, initiating a practitioner communication initiative on access to care standards (option B) would be an appropriate next step. This initiative could involve training or workshops to improve communication skills and strategies to enhance access to care3. It's also important to continuously monitor CAHPS survey results to track progress and identify new areas for improvement4.
The CAHPS survey results indicate that the health plan's score on how well doctors communicate is lower than the Quality Compass Mean. Since communication with healthcare providers is a key aspect of patient experience and can greatly affect patient satisfaction and outcomes, focusing on improving practitioners' communication skills is essential. A practitioner communication initiative could address the gap in communication scores by providing training and resources to enhance how doctors interact with patients. This initiative would likely involve coaching for practitioners on how to effectively listen, explain, and engage with patients to ensure they understand their health conditions and the care provided.
References:The National Association for Healthcare Quality (NAHQ) provides resources on improving communication as part of quality improvement in healthcare. Such initiatives are supported by evidence showing that effective communication can lead to better patient satisfaction, adherence to treatment plans, and overall health outcomes. This is also in line with the principles outlined in the NAHQ Healthcare Quality Competency Framework under the domain of Patient Safety and Person-Centered Care, which emphasizes the importance of communication in providing high-quality, safe, and patient-centered care.

NEW QUESTION # 564
An emergency department's quality Improvement report for the first quarter showed the following data:

What was the approximate overall problem rate for March?

A. 18%
B. 1%
C. 15%
D. 2%

Answer: D

NEW QUESTION # 565
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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q560-Q565):

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