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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q178-Q183):

NEW QUESTION # 178
The preferred culture in promoting patient safety

A. audits standards and promotes learning from mistakes.
B. promotes learning from mistakes and fosters collaboration.
C. uses anonymous reporting and audits standards.
D. fosters collaboration and uses anonymous reporting.

Answer: B

Explanation:
The preferred culture in promoting patient safety is one that promotes learning from mistakes and fosters collaboration. This is because a culture that promotes learning from mistakes encourages a non-punitive environment where individuals feel safe to report errors and near misses. This openness allows for the identification of systemic issues that can be addressed to prevent future errors1.
On the other hand, fostering collaboration is crucial in patient safety as it encourages open communication and teamwork among healthcare professionals. Collaboration ensures that all team members can contribute their expertise to patient care, which can lead to improved patient outcomes23.
References:
* Clinical nurse competence and its effect on patient safety culture: a systematic review1
* Patient safety culture: a systematic review by characteristics of Hospital Survey on Patient Safety Culture dimensions2
* Key drivers of promoting patient safety culture from the perspective of3

NEW QUESTION # 179
A physician group with a patient population of 10,000 during the fourth quarter of a year reviewed 100 complaints regarding access to specialty care. During the fourth quarter of the next year, the patient population had grown to 60,000 with 360 complaints regarding access to specialty care. The group has a target goal of five complaints per 1,000 patients. Which of the following should a healthcare quality professional conclude based on the data?

A. The rate of complaints has decreased, but the target has not been reached.
B. The rate of complaints has increased and has exceeded the target.
C. The rate of complaints has increased, but remains within the target range.
D. The rate of complaints has decreased, and the target has been reached.

Answer: A

Explanation:
Detailed Explanation:
The complaint rate in the current year is 6 complaints per 1,000 patients (360 complaints/60,000 patients), which is an improvement from the previous rate of 10 complaints per 1,000 but still does not meet the target of 5 per 1,000.
References:
Calculating and interpreting complaint rates per 1,000 patients helps assess quality performance, as outlined in CPHQ study materials.

NEW QUESTION # 180
Which of the following technology enhancements will help the hospital most accurately identify hospital- acquired condition rates?

A. Computerized physician order entry for laboratory tests
B. Electronic health record alerts for present on admission indicators
C. Computer assisted coding for ICD-10
D. Electronically delivered medical record queries for physicians

Answer: B

Explanation:
Hospital-acquired conditions (HACs) are tracked for quality reporting (e.g., CMS HAC Reduction Program), requiring accurate documentation of whether conditions were present on admission (POA).
Option A (Computer assisted coding for ICD-10): Coding tools improve coding efficiency but do not specifically ensure POA accuracy for HACs.
Option B (Computerized physician order entry for laboratory tests): CPOE improves order accuracy but is unrelated to HAC documentation.
Option C (Electronic health record alerts for present on admission indicators): This is the correct answer. The NAHQ CPHQ study guide states, "EHR alerts for POA indicators ensure accurate documentation of whether conditions were present on admission, critical for identifying HAC rates" (Domain 1). Alerts prompt clinicians to document POA status, reducing errors.
Option D (Electronically delivered medical record queries for physicians): Queries clarify documentation but are reactive, less effective than proactive alerts.
CPHQ Objective Reference: Domain 1: Patient Safety, Objective 1.7, "Use technology to enhance safety reporting," includes EHR alerts for accurate HAC tracking. The NAHQ study guide notes, "POA alerts improve HAC identification accuracy" (Domain 1).
Rationale: EHR alerts ensure real-time POA documentation, directly improving HAC rate accuracy, as per CPHQ's safety technology principles.
Reference: NAHQ CPHQ Study Guide, Domain 1: Patient Safety, Objective 1.7.

NEW QUESTION # 181
A goal of measurement is to collect valid and reliable data that reflects

A. potential performance.
B. targeted performance.
C. desired performance.
D. actual performance.

Answer: D

Explanation:
The goal of measurement in healthcare is to collect valid and reliable data that reflects actual performance.
Accurate measurement is essential for understanding the current state of processes, outcomes, and patient care, which in turn informs decision-making and quality improvement initiatives. Data that reflects actual performance provides a true picture of how well an organization is functioning, allowing for meaningful analysis and targeted improvements.
* Targeted performance (B): Targeted performance refers to goals or benchmarks, but measurement should capture what is actually happening.
* Potential performance (C): This refers to what could be achieved under ideal circumstances, but measurement focuses on actual outcomes.
* Desired performance (D): Desired performance represents goals or expectations, but measurement must capture the reality of current operations.
References
* NAHQ Body of Knowledge: Data Measurement and Quality Improvement
* NAHQ CPHQ Exam Preparation Materials: Principles of Valid and Reliable Data Collection
=========

NEW QUESTION # 182
A continuous quality improvement team has proposed a major change in the billing process for home health service. Staff acceptance of the change is best facilitated by:

A. A pilot project
B. Long-range planning
C. Medical staff education
D. Immediate implementation

Answer: A

Explanation:
Detailed Explanation:
A pilot project allows for testing changes on a smaller scale, addressing concerns and gathering feedback before full implementation, which facilitates staff acceptance.
Option D: A pilot project
Piloting a change minimizes resistance by allowing for adjustments and staff involvement in the improvement process.
References:
CPHQ materials highlight the use of pilot projects to improve acceptance and refine processes before wide implementation.

NEW QUESTION # 183
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