NAHQ CPHQ Dumps (V11.03) Are Quite Good: Read CPHQ Free Dumps (Part 3, Q81-Q120) to Feel the Quality

1. Once you have resolved these issues, the data collection should go smoothly. Unfortunately, many quality improvement teams do not spend sufficient time discussing their data collection plans. They want to move immediately to data collection step.

This haste usually guarantees that the team will:

2. Two key data collection skills satisfaction and sampling enhance any data collection effort. These skills are based more on___________ and _____________ then on statistics, yet many healthcare professionals have received limited training in both concepts.

3. Stratification is the separation and classification of data into reasonably homogenous categories, within the data, that are mutually exclusive and facilitate:

4. For example, if you are using a survey to gather patient satisfaction feedback by email, you would not send a survey t o ever y patient. You would start by sending surveys t o roughly 50 percent of the patients an see how many are returned. This limited survey allows you to determine the response rate. Assume that 25 percent of these patients return the surveys. The next task is to determine how representative of the total population these respondents are. To test this question, you need to develop a profile of the total population. Typically, this profile is based on standard demographics such as gender, age, type of visit, payer class, and whether the respondent is a new or returning patient. If the distribution of these characteristics in the sample is similar (within 5 percent) to that found in the total population, you can be comfort able t hat your sample is reasonably representative of the population. If the characteristics of the sample and the population show considerable variation, however, you should adjust your sampling plan. This example clarifies that:

5. All of the following are characteristics of probability sampling EXCEPT:

6. Systematic sampling is achieved by numbering or ordering each element in the population (e.g., time order, alphabetical order, and medical order) and then selecting every kth element.

The key point that most people ignore when doing a systematic sample is that:

7. A random sampling also can be drawn by placing equally sized pieces of paper with a range of numbers on them (e.g., 1 to 100) in a bowl and picking a predetermined number to be the sample.

The problem with simple random samples is that:

8. Convenience sampling produces a biased sample that is basically a collection of anecdotes that cannot be applied generally to larger populations.

Convenience sampling is also known as:

9. Quota sampling was developed in the late 1930s and used extensively by the Gallup organization. Babbie (1979) describes the steps involved in developing a quota sample.

All of the following are out of those steps EXCEPT:

10. Statistical analysis conducted with control charts is different from what some consider “traditional research” (e.g. hypothesis testing, development of p-values, design of randomized clinic trials). Traditional research is designed to compare the results at time one (e.g. the cholesterol levels of a group of middle-aged men) with the results at time two (typically months after the initial measure). Research conducted in this manner is referred to as___________________.

11. When groups are asked to evaluate how effective they are with respect to will, ideas and execution, they consistently provide bothersome answers. Self-assessment to hundreds of healthcare professional is administered in United States and abroad.

Most respondents mark:

12. Which of the following is NOT out of Quality measurement categories or domains?

13. Generally, medical record review and prospective data collection are considered the most time-intensive and expensive ways to collect information.

Many reserve these methods for highly specialized improvement projects or use them to answer questions that have:

14. A data analyst, using a clinical decision support system (administrative database), discovered a higher-than-expected incidence of renal failure (a serious complication) following coronary artery bypass surgery. The rat e was well above 10 percent for the most recent 12 months increased over the last six quarters. However, the clinical decision support system did not contain enough detail to explain whether this complication resulted from the coronary artery bypass graft procedures or was a chronic condition present on admission.

To find the answer, the data analyst use different steps.

This example illustrates:

15. The syndrome of stockpiling is proven to be ineffective and inefficient. It also creates quality issues. This approach provides little value to the data collection effort and is one of the biggest mistake quality improvement teams make.

Rather than provide a rich source of information, this approach unnecessarily derives up:

16. The distinction between inpatient and outpatient data is an important consideration in planning the data collection process because:

17. What approach should be followed by the healthcare improvement team for the best outcomes?

18. To identify outpatient data sources, the team should consider the following questions EXCEPT:

19. Which of following objectives is/are NOT essential for successful quality improvement project and data collection initiative?

20. Some database projects rely on medical record review because many of the data are not available in administrative database, e.g.

21. It involves identification and selection of a patient’s medical record or group of records after the patient has been discharged from the hospital or clinic. Many proponents of medical record review believe it to be the most accurate method of data collection.

What is it?

22. The percentage of patients with congestive heart failure who are receiving an ACE inhibitor is an example of retrospective measure. The use of ACE inhibitors in the population is indicated for all patients with an ejection fraction of less than 40 percent.

The ejection fraction is not part of the typical administrative database. Sometimes the information is contained:

23. The approach to medical record review involves well-conceived steps, beginning with the development of a data collection tool and ending with:

24. The downside to asking nursing staff to perform data collection is that can district nurses from their direct patient care responsibilities.

A better approach would be:

25. Prospective data collection also relies on medical record review, but it is completed during a patient’s hospitalization or visits rather than retrospectively.

Obviously this method of data collection is expensive but:

26. The most effective data collection tools follow the _____________ of patient care and medical

record documentation, whether the data are collected retrospectively or prospectively.

27. Advantages of prospective data collection are all of the following EXCEPT:

28. Through ___________ the data collection staff can spot patient trends as they develop rather than receive the information after the patient have been discharged. For instance, the incidence of ventilator-associated pneumonia sooner, or it may spot an increase in the rate of aspiration in stroke patients as it occurs.

29. Administrative data are information collected, processed and stored in automated information system.

Which of the following is NOT included in that data?

30. Examples of administrative data sources are all of the following EXCEPT:

31. Administrative databases are an excellent source of data for reporting on clinical quality, financial performance, and certain patient outcomes.

Use of administrative database is advantageous for the following reason EXCEPT:

32. The downside of _____________ is cost. It is very costly and time consuming, and it often requires several full time data analysts.

33. Some argue that administrative data are less reliable than data gathered by chart review. However, administrative data can be just as reliable as data from chart review when they are properly cleaned and validated, the indicator definitions are clear and concise, and measures from the CR system were validated using approach/es:

34. There is an art to constructing patient satisfaction surveys that produce valid, reliable, and relevant information. Likewise, survey validation itself is a time-consuming and complex undertaking.

A quality improvement team can:

35. The ability to report survey results at an actionable level is critical; in most cases, actionable level means:

36. Patients hospitalized for congestive heart failure should be able to walk farther, have more energy, and experience less shortness of breath following hospital treatment. Patients who undergo total knee replacements should have less knee pain when they talk; have a good range of joint motion; and be able to perform activities of daily living such as walking, doing yard work, and performing normal household chores.

This example shows that:

37. Health plan databases are an excellent source of data for quality improvement projects particular projects that have _______________. For many years, health plans have used a variety of means to collect data on their performance, track the management of care received by their numbers and direct program in disease management and care management.

38. Health plan databases are valuable because they contain detailed information on all care received by health plan members.

These databases are commonly used to identify patients who have not received preventive services such as:

39. Limitations of health plan databases are all of the following EXCEPT:

40. Because of their detail and straightforward design, patient registries are a powerful source of quality improvement data. Registries usually are specialty or procedure specific.

For instance: