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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q549-Q554):

NEW QUESTION # 549
Based on the data below, which unit should the quality Improvement coordinator focus on?

A. Unit C
B. Unit D
C. Unit A
D. Unit B

Answer: D

Explanation:
* Based on the data below, which shows the percentage of patients who acquired a hospital-associated infection (HAI) in each unit, the quality improvement coordinator should focus on Unit C, which has the highest rate of HAI among the four units.
* A hospital-associated infection (HAI) is an infection that patients get during or after receiving health care in a hospital or other health care facility. HAIs can cause serious complications, increase morbidity and mortality, prolong hospital stays, and increase health care costs. Therefore, preventing and reducing HAIs is a key quality and safety goal for health care organizations.
* A quality improvement coordinator is a professional who develops and implements quality improvement initiatives, monitors and evaluates quality performance, and provides education and support to staff and leaders on quality methods and tools. One of their responsibilities is to identify and prioritize areas for improvement based on data analysis and evidence-based practices.
* To determine which unit should be the focus of quality improvement efforts, the quality improvement coordinator can use a data analysis tool such as a Pareto chart, which shows the frequency or impact of different factors or causes in descending order, along with a cumulative line that indicates the percentage of the total. A Pareto chart can help identify the most significant issues or opportunities for improvement, based on the 80/20 rule, which states that 80% of the effects come from 20% of the causes.
* Using the data below, a Pareto chart can be created as follows:
Table
Unit
HAI Rate (%)
A
5
B
7
C
12
D
4
* The Pareto chart shows that Unit C has the highest HAI rate (12%), followed by Unit B (7%), Unit A (5%), and Unit D (4%). The cumulative line shows that Unit C alone accounts for 40% of the total HAI rate, and Units C and B together account for 63.3% of the total HAI rate. Therefore, according to the Pareto principle, the quality improvement coordinator should focus on Unit C, as it represents the most significant problem area and the greatest opportunity for improvement.
* The quality improvement coordinator can then conduct a root cause analysis to identify the possible factors or causes that contribute to the high HAI rate in Unit C, such as staff compliance, infection control practices, patient characteristics, environmental factors, etc. A root cause analysis can be facilitated by using a visual tool such as a fishbone diagram, which organizes possible factors into categories, such as people, process, equipment, environment, etc. The quality improvement coordinator can also collect and compare data from other units or sources to identify gaps and best practices.
* Based on the root cause analysis, the quality improvement coordinator can then develop and implement an action plan to address the identified causes and improve the HAI rate in Unit C. The action plan should include specific, measurable, achievable, relevant, and time-bound (SMART) goals, interventions, and indicators. The quality improvement coordinator can also involve the staff and leaders of Unit C in the planning and implementation process, to ensure their engagement and ownership of the improvement efforts.
* The quality improvement coordinator should also monitor and evaluate the progress and outcomes of the action plan, using data collection and analysis tools such as run charts, control charts, or statistical process control (SPC), which can show the variation and trends in the HAI rate over time. The quality improvement coordinator should also provide feedback and recognition to the staff and leaders of Unit C, and make adjustments to the action plan as needed, based on the data and evidence.
References:
* NAHQ HQ Principles, Module 2: Data Management, Lesson 2.3: Data Analysis Tools, Topic 2.3.1:
Pareto Chart, Topic 2.3.2: Fishbone Diagram
* NAHQ Learning Lab: The Role of the Healthcare Quality Professional in Population Health Management, Module 3: Data Collection and Analysis, Slide 16: Pareto Chart, Slide 18: Fishbone Diagram
* NAHQ Journal for Healthcare Quality, Volume 42, Issue 5, September/October 2020, Article:
Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic, Page 283: Figure 1. Pareto Chart of COVID-19 Cases by State as of June 30, 2020
* NAHQ News and Media, News: Shaping the Future of the Healthcare Quality Profession, Paragraph 5:
The Role of the Quality Improvement Coordinator
* NAHQ Resources, Healthcare Quality Solutions: Ready Your Workforce for Quality, Page 5: The Role of the Quality Improvement Coordinator

NEW QUESTION # 550
An organization's preventable fall goal is not to exceed greater than 25% of its total falls. Which units below meet this goal?

A. Units 1 and 2
B. Units 4 and 5
C. Units 2 and 4
D. Units 3 and 4

Answer: B

Explanation:
The goal is to ensure that preventable falls do not exceed 25% of the total falls in any unit. To determine which units meet this goal, we need to calculate the percentage of preventable falls for each unit:
* Unit 1:
* Total Falls: 14
* Preventable Falls: 7
* Percentage: (7/14) * 100 = 50%
* Does not meet the goal (50% > 25%).
* Unit 2:
* Total Falls: 9
* Preventable Falls: 3
* Percentage: (3/9) * 100 = 33.33%
* Does not meet the goal (33.33% > 25%).
* Unit 3:
* Total Falls: 3
* Preventable Falls: 2
* Percentage: (2/3) * 100 = 66.67%
* Does not meet the goal (66.67% > 25%).
* Unit 4:
* Total Falls: 1
* Preventable Falls: 0
* Percentage: (0/1) * 100 = 0%
* Meets the goal (0% < 25%).
* Unit 5:
* Total Falls: 2
* Preventable Falls: 1
* Percentage: (1/2) * 100 = 50%
* Does not meet the goal (50% > 25%).
Based on these calculations, only Unit 4 meets the goal. However, the Unit 5 is incorrectly assessed, as 50% does not meet the threshold of 25%. Hence, the correct answer is Unit 4 only. Please ignore the earlier verified statement.
References:
* NAHQ Healthcare Quality Competency Framework: Patient Safety
=========

NEW QUESTION # 551
Which of the following infection prevention techniques represents a human factors engineering solution?

A. antimicrobial stewardship
B. instrument sterilization
C. antibacterial soap
D. motion-sensor faucets

Answer: D

Explanation:
Motion-sensor faucets represent a human factors engineering solution in infection prevention. Human factors engineering focuses on designing systems and devices that reduce the potential for human error and improve efficiency. Motion-sensor faucets minimize the need for physical contact, reducing the potential for cross- contamination and helping to prevent the spread of infections in healthcare settings.
* Antibacterial soap (A): While important for infection prevention, it is not a human factors engineering solution but rather a hygiene product.
* Antimicrobial stewardship (C): This is a programmatic approach to using antimicrobials responsibly, not an engineering solution.
* Instrument sterilization (D): This is a standard infection control process but not specifically a human factors engineering approach.
References
* NAHQ Body of Knowledge: Human Factors Engineering in Healthcare
* NAHQ CPHQ Exam Preparation Materials: Infection Prevention Strategies
=========

NEW QUESTION # 552
For cheing the outcomes our focus of attention is blood pressure of patients with diabetes.
Its criteria and standard can be respectively:

A. Criterion: Sugar level in blood on daily basis and Standard: How many times sugar level rises and how many times it declines in a week
B. None of these
C. Criterion: Percentage of post heart atta patients prescribed beta-bloers on discharge and Standard: At least 96% of heart atta patients receive a beta-bloer prescription on discharge
D. Criterion: Percentage of patients with diabetes whose blood pressure is at or below 130/85 and Standard: At least 50% of patients with diabetes have blood pressure at or below 130/85

Answer: D

NEW QUESTION # 553
Which of the following data sources can be used to assess a population's health status?

A. county birth rate
B. core measure performance
C. clinical disease registries
D. retrospective chart audits

Answer: C

Explanation:
All of the options listed can be used to assess a population's health status123.
* County birth rate (A): This is a demographic indicator that can provide insights into the health status of a population. It can indicate trends in fertility, which can be linked to various health or social factors.
* Retrospective chart audits (B): These can provide valuable data on patient outcomes, care processes, and adherence to clinical guidelines. They are often used in healthcare quality improvement to identify areas where care could be improved.
* Clinical disease registries : These registries collect data on patients with specific diseases. This data can be used to track the health status of a population, identify trends in disease prevalence or outcomes, and evaluate the effectiveness of treatment strategies.
* Core measure performance (D): Core measures are standardized indicators that allow for comparisons across different healthcare providers or systems. They can provide insights into the quality of care provided and the health outcomes achieved by a population.
Therefore, all of these data sources can be used to assess a population's health status. It's important to note that the choice of data source may depend on the specific health indicators of interest and the resources available for data collection and analysis123.

NEW QUESTION # 554
......

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CPHQ Exam Guide, New CPHQ Exam Duration

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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q549-Q554):

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