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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q50-Q55):
NEW QUESTION # 50
Four surgical centers formed a collaboration to reduce post-operative infection rates. The goal was to reduce infection rates by 20% from baseline.
Which center met the goal?
Answer: D
Explanation:
Detailed Explanation:
To meet the goal, each center must reduce infection rates by at least 20% from their baseline:
Center D:
Baseline = 4.7%, Outcome = 3.7%
Reduction =
(
4.7
#
3.7
)
/
4.7
=
21.3
%
(4.7#3.7)/4.7=21.3%, meeting the 20% reduction target.
Other Centers:
Centers A and B did not show a 20% reduction; Center C reduced from 5.2% to 4.3%, which is only around
17.3%.
References:
CPHQ literature on collaborative quality goals emphasizes calculating percentage reduction to confirm if targets are met.
NEW QUESTION # 51
Annual evaluation of a quality Improvement process must
Answer: D
Explanation:
The annual evaluation of a quality improvement process should be based on organizational objectives.
This is because the quality improvement process is designed to enhance the effectiveness and efficiency of an organization's operations and align them with the organization's strategic goals12. The AAAHC (Accreditation Association for Ambulatory Health Care) requires that documentation demonstrates at least an annual governing body review of the Quality Improvement (QI) program to evaluate effectiveness and determine if the purposes and objectives continue to be met3. Therefore, the annual evaluation of a quality improvement process must be based on organizational objectives to ensure that the process is effectively contributing to the achievement of these objectives.
Reference: 123
NEW QUESTION # 52
A healthcare quality professional has the following data on a hospital's surgical site infection rates:
Procedure
Hospital Infection Rate
95% Confidence Interval
State Mean Infection Rate
Total Hip Replacement
0.4%
0.2%-0.6%
0.9%
Total Knee Replacement
1.1%
0.8%-1.2%
1.0%
ACL Reconstruction
1.5%
1.4%-1.6%
1.5%
Total Shoulder Replacement
1.3%
1.0%-1.6%
0.9%
Which procedure is the best area for focused quality improvement?
Answer: A
Explanation:
Detailed Explanation:
The best area for focused quality improvement is determined by comparing the hospital's infection rate to the state mean infection rate and the confidence interval:
Analysis of Each Procedure
Total Hip Replacement: Hospital infection rate is lower than the state mean (0.4% vs. 0.9%), suggesting a lower risk than average.
Total Knee Replacement: Infection rate is slightly above the state mean (1.1% vs. 1.0%), but within a narrow confidence interval (0.8%-1.2%).
ACL Reconstruction: Infection rate aligns with the state mean (1.5%) and has a narrow confidence interval (1.4%-1.6%), indicating less room for reduction.
Total Shoulder Replacement: Hospital rate (1.3%) is higher than the state mean (0.9%), with a broader confidence interval (1.0%-1.6%), suggesting potential variability and room for improvement.
Conclusion
Total Shoulder Replacement (D) has the greatest opportunity for improvement, as its infection rate is notably higher than the state mean, and the confidence interval suggests variability in infection rates.
References:
This approach is consistent with CPHQ guidelines for identifying performance improvement areas, where quality professionals focus on processes with higher-than-average rates and wider confidence intervals.
NEW QUESTION # 53
Face validity is based on the logical relationship among variables (or questions) and refers to the extent to which a
scale measures the structure, or theoretical framework, it is designed to measure (e.g., satisfaction).
Answer: D
NEW QUESTION # 54
The chairperson of the governing body has requested an annual report on improvements in patient care. The report should include
Answer: D
Explanation:
When the chairperson of the governing body requests an annual report on improvements in patient care, the report should provide an overview of the quality program, with a specific focus on how these activities have impacted patient care. This approach gives the governing body a comprehensive understanding of the effectiveness of the quality initiatives and their direct influence on patient outcomes, safety, and satisfaction.
It helps the leadership to assess the overall performance and supports informed decision-making for future improvements.
* The names of physicians who fall below the threshold of standards of care (A): This information could lead to a punitive focus and might not be suitable for a high-level annual report.
* A detailed description of all quality activities (B): While detailed information is valuable, an annual report should focus on the impact rather than every activity.
* The results of peer review (D): Peer review results are typically confidential and might not be included in a high-level report to the governing body.
References
* NAHQ Body of Knowledge: Quality Program Reporting and Governance
* NAHQ CPHQ Exam Preparation Materials: Reporting to the Governing Body
=========
NEW QUESTION # 55
......
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