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 type of data is collected when an activity professional observes and records how many residents are actively engaged versus passively present during a program?
Answer: Observational/process data
Observational process data is gathered through direct, structured observation of care delivery and participant behavior during an activity.
A quality indicator report shows that 40% of residents did not receive an activity assessment within 14 days of admission. The FIRST corrective action priority should be:
Answer: Establish a reliable admission notification system between departments
A systematic notification breakdown is likely the root process failure; fixing the notification system addresses the cause rather than blaming individuals.
In a cause-and-effect (fishbone) diagram analyzing low resident satisfaction with activities, which category would 'inadequate assessment of resident interests' fall under?
Answer: Methods/Processes
Inadequate assessment is a process failure, placing it in the 'Methods/Processes' branch of a fishbone diagram.
When a new activity consultant joins a facility and discovers no formal quality monitoring has occurred, which action should be taken FIRST?
Answer: Conduct a baseline assessment of current programming, documentation, and outcomes
A baseline assessment establishes the current state, which is essential before setting improvement goals or implementing changes.
Which practice BEST supports ongoing quality improvement in an activity department rather than just responding to survey citations?
Answer: Conducting weekly internal mock surveys of activity documentation
Regular internal audits proactively identify gaps before external surveyors do, fostering a culture of continuous improvement.
A facility's QAPI data shows that residents in short-term rehabilitation have significantly lower activity participation than long-term residents. The MOST likely barrier to address is:
Answer: Shorter length of stay limiting relationship building with staff
Short-term rehab stays limit time for relationship building and interest assessment, making tailored, proactive outreach especially important for this population.
Which of the following is an example of a STRUCTURAL quality indicator in an activity program?
Answer: Whether the facility employs a certified activity professional
Structural indicators measure the presence of resources, credentials, and systems (inputs), while process and outcome indicators measure what is done and what results.