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最新的 CPHQ Certification CPHQ 免費考試真題 (Q282-Q287):

問題 #282
Accountability for quality ultimately rests with the

A. quality manager.
B. governing body.
C. department leader.
D. CEO.

答案：B

解題說明：
* Accountability for quality ultimately rests with the governing body of a health care organization, such as the board of directors or trustees. The governing body is responsible for setting the vision, mission, values, and strategic goals of the organization, as well as overseeing its performance, compliance, and risk management. The governing body also appoints, evaluates, and supports the CEO, who is accountable to the governing body for implementing the organization's strategy and ensuring quality and safety throughout the organization.
* The quality manager, the CEO, and the department leader are all important roles in ensuring quality within their respective scopes of authority and responsibility, but they are not the ultimate source of accountability for quality. The quality manager is responsible for designing, coordinating, and evaluating quality improvement initiatives, as well as providing education, training, and support to staff and leaders on quality methods and tools. The CEO is responsible for providing leadership, direction, and oversight to the organization's operations, finances, and culture, as well as ensuring alignment and integration of quality across all functions and levels. The department leader is responsible for managing the daily activities, resources, and performance of a specific unit or service, as well as ensuring compliance with quality standards and policies within their area of responsibility.
* However, none of these roles can ensure quality without the support, guidance, and accountability of the governing body, which has the ultimate authority and responsibility for the organization's quality and safety. The governing body sets the tone and expectations for quality at the top, and holds the CEO and other leadersaccountable for delivering quality outcomes and improving quality processes. The governing body also monitors and evaluates the organization's quality performance and improvement efforts, and ensures that the organization has the necessary resources, structures, and systems to support
* quality. The governing body also ensures that the organization engages with external stakeholders, such as regulators, accreditors, payers, and patients, to demonstrate its commitment and accountability for quality.
References:
* NAHQ Code of Ethics, Principle 1: The healthcare quality professional acts as a change agent and leader within the organization and community, promoting a culture of excellence in quality, safety, and performance outcomes.
* NAHQ Learning Lab: The Role of the Healthcare Quality Professional in Population Health Management, Module 1: Introduction to Population Health Management, Slide 9: The Role of the Governing Body
* NAHQ Journal for Healthcare Quality, Volume 41, Issue 2, March/April 2019, Article: The Role of the Board in Quality and Safety Performance: Perceptions of Board Members and Quality Leaders, Page 72:
Abstract and Page 77: Discussion

問題 #283
The health department cited a clinic for storing used instruments improperly. From a quality perspective, which of the following should be done first?

A. Submit a statement of deficiencies.
B. Prepare a detailed action plan.
C. Conduct an audit of the corrective action.
D. Educate staff on the requirements.

答案：D

解題說明：
When the health department cites a clinic for improper storage of used instruments, the most immediate and effective first step from a quality perspective is to educate staff on the requirements for proper instrument storage.
Here's why:
Immediate Risk Mitigation: Educating staff ensures that they understand the correct procedures for instrument storage, which helps to immediately mitigate any risks associated with improper practices.
This step directly addresses the root cause of the citation, which is a lack of adherence to proper protocols.
Prevent Recurrence: By providing education and training, the clinic can prevent the recurrence of similar issues. Staff who are well-informed about the correct procedures are less likely to repeat mistakes, thereby improving overall compliance and reducing the likelihood of future citations.
Foundation for Further Actions: Education lays the groundwork for all subsequent actions, such as preparing action plans or conducting audits. Without ensuring that the staff is knowledgeable about the requirements, other steps may not be as effective.
Regulatory Compliance: Educating staff is also a necessary step to ensure the clinic meets regulatory requirements. It demonstrates the clinic's commitment to compliance and patient safety, which may be beneficial in interactions with regulatory bodies.
Reference: (Based on Healthcare Quality NAHQ documents and resources)
NAHQ CPHQ Study Guide, Section on Compliance and Risk Management.
Quality Management in Health Care, Chapter on Staff Education and Training.

問題 #284
A strategic plan Is developed by making decisions about the future of the organization. Which of the following Is true about the strategic plan?

A. It is developed by the healthcare quality professional.
B. It should be shared with everyone in the organization.
C. It ensures achievement of the objectives outlinedinthe plan.
D. It Is developed by a corporate planner.

答案：B

解題說明：
A strategic plan is a tool that helps organizations prioritize their goals, anticipate potential roadblocks, and quickly adapt to seize new opportunities12. It involves looking at the organization's internal and external environments using established strategic tools2. This ensures the organization is moving towards its long-term goals and objectives, even when making short-term decisions2. Sharing the strategic plan with everyone in the organization is crucial as it ensures alignment across different levels and functions, fosters a sense of ownership and commitment among employees, and facilitates effective execution of the plan12.
References:
https://www.cascade.app/blog/strategic-planning-in-healthcare

問題 #285
Which of the following tools provides the best way to display quarterly comparisons of patient satisfaction surveys?

A. run chart
B. pie chart
C. flowchart
D. fishbone diagram

答案：A

解題說明：
Comprehensive Step by Step Explanation:
A run chart is the best tool to display quarterly comparisons of patient satisfaction surveys. Here's why:
* Purpose of the Tools: Each of the tools mentioned in the options serves a different purpose.
* A fishbone diagram (also known as Ishikawa or cause and effect diagram) is used for root cause analysis. It helps identify, explore, and display the possible causes of a specific problem or quality characteristic1.
* A pie chart is a type of graph in which a circle is divided into sectors that each represent a proportion of the whole1. It's useful for showing simple proportional part-to-whole information, but it's not ideal for comparisons over time1.
* A flowchart is a type of diagram that represents a workflow or process, showing the steps as boxes of various kinds, and their order by connecting them with arrows1. This diagrammatic representation can give a step-by-step solution to a given problem.
* A run chart, on the other hand, is a graph that displays observed data in a time sequence1. It is an effective tool to use for displaying and analyzing the trend of data over time1.
* Why Run Chart: In the context of displaying quarterly comparisons of patient satisfaction surveys, a run chart is the most appropriate tool. It allows for the visualization of data trends over time, which is exactly what's needed when comparing patient satisfaction on a quarterly basis1. The x-axis represents time (in this case, quarters), and the y-axis represents the variable being measured (in this case, patient satisfaction). Each point on the chart represents a specific time period's data (a quarter's patient satisfaction survey results). The points are connected in the order of the time periods, creating a line that makes trends easy to spot1.
* Limitations of Other Tools: The other tools (fishbone diagram, pie chart, and flowchart) are not designed to display trends over time, which is crucial when comparing quarterly data1.
Therefore, based on the purpose of each tool and the need to display trends over time, a run chart is the best tool to display quarterly comparisons of patient satisfaction surveys.

問題 #286
An organization Is evaluating the data used to measure compliance with medication reconciliation by clinic.
Three abstractors have been assigned to collect the data. The compliance data by abstractor and unit are below:

Based on this table, which of the following Is the best next step to evaluate accuracy and reliability ol the data?

A. Develop a corrective action plan for Clinic B.
B. Educate Abstractor 1 and Abstractor 3 on data collection.
C. Implement an interrater reliability process.
D. Study best practices In Clinic D.

答案：C

解題說明：
The table shows the compliance data by three different abstractors across four clinics. There is a noticeable variation in the data collected by different abstractors for the same clinic.
According to NAHQ's resources, ensuring data accuracy and reliability is crucial in healthcare quality. One of the ways to achieve this is through an interrater reliability process, which assesses the degree of agreement among raters or evaluators.
Implementing an interrater reliability process will help in evaluating if the variations are due to errors or actual differences in compliance levels. It ensures that the data collected is consistent and reliable across all abstractors.
Educating Abstractor 1 and 3 or developing a corrective action plan for Clinic B might be necessary steps later on, but without first establishing the reliability of the data through an interrater reliability process, it would be premature to take these steps.
Studying best practices in Clinic D could be beneficial but does not directly address the issue of data accuracy and consistency among different abstractors.

問題 #287
......

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