Quality Assurance & Improvement Flashcards
7 cards from real ACC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Assurance & Improvement flashcards as text
Which tool is MOST appropriate for displaying the frequency of activity documentation errors by category to identify the most common problem?
Answer: Pareto chart
A Pareto chart displays categories in descending frequency, helping teams focus on the 'vital few' causes that account for most problems (the 80/20 rule).
When benchmarking an activity program, the MOST meaningful external comparison source for a US skilled nursing facility would be:
Answer: CMS national quality measure data and peer facility surveys
CMS national quality measures and peer facility data provide regulated, standardized benchmarks specifically applicable to skilled nursing facilities.
An activity professional notices that residents on the memory care unit have significantly lower participation rates on evening shifts. This finding is BEST described as:
Answer: A data-driven quality concern warranting deeper investigation
Consistently lower participation on a specific shift points to a systemic pattern that warrants root cause analysis and targeted improvement.
Which statement BEST describes the purpose of tracking 'declined' activity invitations in resident records?
Answer: It provides data to identify residents at risk of social isolation and guides care plan updates
Tracking declines helps identify residents at risk of isolation, allowing the care team to reassess interests, barriers, and individualized approaches.
A facility implements a new structured activity assessment tool facility-wide. To evaluate whether it improved care plan quality, the team should:
Answer: Compare care plan individualization scores before and after implementation
Comparing pre- and post-implementation care plan quality scores directly measures whether the intervention achieved its intended outcome.
Under QAPI principles, 'performance improvement projects' (PIPs) should be selected based on:
Answer: Areas with identified problems, opportunities, or high-risk/high-volume concerns
CMS QAPI guidance directs facilities to select PIPs based on data-identified problems, high-risk areas, high-volume concerns, or improvement opportunities.
A resident's MDS Section F (Preferences for Customary Routine and Activities) shows a preference for outdoor activities, but the care plan lists only indoor programs. This discrepancy primarily indicates a failure in:
Answer: Assessment-to-care-plan translation and individualization
MDS assessment data must be translated into individualized care plan interventions; a mismatch indicates a breakdown in the care planning process.