Quality Assurance & Performance Improvement Flashcards
7 cards from real CHC 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 & Performance Improvement flashcards as text
The Joint Commission's Environment of Care (EC) standards most directly affect healthcare construction by requiring:
Answer: Facilities to maintain safe, functional, and effective physical environments meeting defined performance elements
TJC EC standards define requirements for the physical environment that healthcare facilities must meet, directly shaping construction quality expectations.
A healthcare facility requires a Certificate of Occupancy (CO) and a Conditional Occupancy (CofO) differs from a full CO in that a CofO:
Answer: Allows limited occupancy while specific outstanding items are resolved under an agreed timeline
A Conditional Occupancy allows a facility to open or use a space while a defined list of minor outstanding items is completed within a set timeframe.
Which document formally records that a healthcare construction element was installed and tested in compliance with contract specifications?
Answer: Substantial Completion Certificate
The Substantial Completion Certificate documents that the work (or a defined portion) has been completed per contract requirements and is suitable for its intended use.
During performance improvement reviews, a Pareto chart helps healthcare construction managers by:
Answer: Identifying the vital few causes responsible for the majority of defects
A Pareto chart ranks causes by frequency or impact, revealing that roughly 80% of problems stem from 20% of causes, guiding corrective focus.
When a healthcare construction project undergoes a commissioning process, the primary goal is to:
Answer: Verify that all systems are installed, tested, and operating per design intent before occupancy
Commissioning systematically verifies that building systems perform interactively as intended, ensuring quality and safety prior to patient occupancy.
A healthcare facility's quality improvement team uses a fishbone (Ishikawa) diagram during a post-project review. This tool is designed to:
Answer: Visually organize potential causes of a problem into categories for structured analysis
A fishbone diagram categorizes potential root causes (e.g., people, materials, methods, equipment) branching from a central problem statement.
Under FGI Guidelines, the term 'functional program' in healthcare construction refers to:
Answer: A document that defines the operational needs, patient volumes, and functional relationships a facility must accommodate
The functional program translates clinical operations into spatial and performance requirements that guide design and construction quality benchmarks.