Quality Improvement Flashcards
7 cards from real CPHRM 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 Improvement flashcards as text
Under value-based purchasing (VBP), hospitals face financial incentives tied to quality metrics. Which federal program administers hospital VBP?
Answer: CMS Hospital Value-Based Purchasing Program
CMS's Hospital Value-Based Purchasing Program adjusts Medicare payments based on hospitals' performance on quality, safety, efficiency, and patient experience measures.
A hospital uses 'Plan-Do-Study-Act' cycles iteratively. After the 'Study' phase reveals the change did not improve outcomes, the team should:
Answer: Use the findings to inform a revised plan in the next PDSA cycle
The PDSA model is iterative; failed tests provide learning that informs the next cycle's Plan phase, refining the intervention until improvement is achieved.
Which concept describes the cultural environment in which staff feel safe reporting errors and near misses without fear of punishment?
Answer: Just culture
Just culture balances accountability with learning by distinguishing between human error, at-risk behavior, and reckless behavior, encouraging reporting without fear of unjust blame.
When a hospital's mortality rate is risk-adjusted, the purpose is to:
Answer: Account for differences in patient population severity before comparing outcomes
Risk adjustment controls for patient case-mix differences so that outcome comparisons between facilities reflect care quality rather than population sickness levels.
The 'Swiss Cheese Model' of accident causation in healthcare illustrates that:
Answer: Errors occur when holes in multiple system defenses align simultaneously
The Swiss Cheese Model (Reason's model) depicts how latent system failures create holes in defenses that, when aligned, allow errors to reach and harm patients.
Which of the following BEST represents an example of a 'process measure' in healthcare quality?
Answer: Percentage of AMI patients receiving aspirin within 24 hours of arrival
Process measures assess whether evidence-based care steps were performed, such as administering aspirin to AMI patients, which is a clinician action rather than an end result.
A hospital's performance improvement committee reviews data showing longer-than-expected surgical procedure times for laparoscopic cholecystectomies. The MOST useful tool to map and analyze the current surgical workflow would be:
Answer: Flowchart or process map of the surgical workflow steps
A flowchart visually maps each step in the surgical process, making it easier to identify inefficiencies, redundancies, and potential bottlenecks causing delays.