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NEW QUESTION 107
In fact, because patients' satisfaction is so influenced by __________________ rather than to the more indiscernible technical ones-health maintenance organizations, hospitals and other health care delivery organizations have come to view the quality of nontechnical aspects of care as crucial to attractions and retaining patients.
- A. Their likelihood of desires outcomes
- B. Their reactions to interpersonal and amenity aspect of care
- C. Patients recognize that they do not possess the wherewithal to evaluate all technical elements of care
- D. Every patient has definite preference in every clinical situation
Answer: B
NEW QUESTION 108
Administrative data are information collected, processed and stored in automated information system. Which of the
following is NOT included in that data?
- A. Claims information
- B. Manage care encounters
- C. Enrollment or eligibility information
- D. Timely administration of therapies
Answer: D
NEW QUESTION 109
Basically an operational definition is a description in quantifiable terms, of what to measure and the specific steps
needed to measure it constantly. A good operational definition:
- A. Is a decision-making criteria
- B. Gives communicable meaning to a concept or an idea
- C. Enables consistently in data collection
- D. Is no doubt clear but somewhat ambiguous
Answer: B,C
NEW QUESTION 110
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:
- A. Sampling consists of series of compromises and tradeoffs
- B. The basic purpose of sampling is to be able to draw a limited number of observations
- C. Sampling is probably the most important thing you can do to reduce the amount of time and resources spent on
data collection - D. A well-drawn sample, therefore, should be representative of the larger population
Answer: D
NEW QUESTION 111
The downside of _____________ is cost. It is very costly and time consuming, and it often requires several full time data analysts.
- A. Scanners
- B. Flow charts
- C. Prospective data collection approach
- D. Retrospective approach
Answer: C
NEW QUESTION 112
Familiarity with terms describing the psychometric properties of survey instruments and methods for data collection can help an organization choose a survey that will provide it with credible information for quality improvement. There are two different and complementary approaches to assessing the reliability and validity of a questionnaire.
Which of the following are out of those approaches?
- A. Technical excellence testing
- B. Psychometric testing
- C. Cognitive testing
- D. Both A and C
Answer: D
NEW QUESTION 113
Some database projects rely on medical record review because many of the data are not available in administrative
database, e.g.
- A. Patient's of test and lab reports
- B. Nursing record
- C. Measurement that require time stamp, such as administration of antibiotics within one hour before surgical
incision - D. Patient's entries and visits to the physician
Answer: C
NEW QUESTION 114
An alternative to a walk-through is a similar technique called ___________. A staff member asks permission to
accompany a patient through the visit and take notes on patients' experience.
- A. Patient shadowing
- B. Patient graphing
- C. Patient counselling
- D. Patient profiling
Answer: A
NEW QUESTION 115
Crossby's quality improvement process is based on the Absolutes of Quality Management.
Which of the following is/are out of those absolutes?
- A. Quality is defined as conformance to requirements, not as goodness or elegance
- B. All of the above
- C. The performance standard must be zero defects, not "that's close enough"
- D. The system for causing quality is prevention, not appraisal
Answer: B
NEW QUESTION 116
Which of the following types of budgets itemizes the major equipment to be purchased in the next year?
- A. Operating
- B. Zero-based
- C. Capital
- D. Variable
Answer: C
NEW QUESTION 117
________________ is the degree to difference between survey results when the scales are applied in different settings. Survey scores should reflect differences institutions, where care is presumably different.
- A. Criterion validity
- B. Discriminant validity
- C. Construct validity
- D. Content validity
Answer: B
NEW QUESTION 118
The approach to medical record review involves well-conceived steps, beginning with the development of a data
collection tool and ending with:
- A. Execution of the future activities on the finding of this record review
- B. Compilation of collected data element into a register or physical record system
- C. Implementation of the analysis of collected data set
- D. Compilation of collected data element into a registry or electronic database software for review and analysis
Answer: D
NEW QUESTION 119
Advantages of prospective data collection are all of the following EXCEPT:
- A. Detailed information not routinely available in administrative databases can be gathered
- B. Data requiring a time stamp also can be captured
- C. Physiologic parameters can be captured, such as the range of blood pressures for a patient on vasoactive infusions
or 24-hour intake and output for patients with heart failure - D. Before time administration of certain therapies
Answer: D
NEW QUESTION 120
A surgeon's wound infection rate is 32%. Further examination of which of the following data will provide the most
useful information in determining the cause of this surgeon's infection rate?
- A. Type of anesthesia used
- B. Facility infection rate
- C. Mortality rate
- D. Use of prophylactic antibiotics
Answer: D
NEW QUESTION 121
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 t o answer questions t hat have:
- A. Combine code and chart based on the overall population
- B. Use rule-based software development
- C. Situation related characteristics
- D. Surfaced following review of administrative data sets
Answer: D
NEW QUESTION 122
The ability to report survey results at an actionable level is critical; in most cases, actionable level means:
- A. The nursing unit
- B. Service level
- C. Average time frame of a service
- D. Location of service
Answer: A
NEW QUESTION 123
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.
- A. Logic and reliability
- B. Relatedness and latest happenings
- C. Ethics and reliability
- D. Logic and clear thinking
Answer: D
NEW QUESTION 124
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.
- A. Full engagement at nursing unit
- B. Baseline assessment
- C. Sophisticated data warehouses
- D. A population health management focus
Answer: D
NEW QUESTION 125
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