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Download Real NAHQ CPHQ Practice Test Questions And Start Preparation

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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q81-Q86):

NEW QUESTION # 81
Which of the following tools should be used to determine the root cause of variations in a process?

A. histogram
B. Shewhart chart
C. scatter plot
D. Ishikawa diagram

Answer: D

Explanation:
The Ishikawa diagram, also known as a fishbone diagram or cause-and-effect diagram, is the best tool to determine the root cause of variations in a process. This diagram helps teams visually map out all potential causes of a problem, categorizing them into major factors such as methods, machinery, materials, and people.
By exploring these potential causes systematically, teams can identify the root causes of variations and focus their improvement efforts accordingly.
* Histogram (A): A histogram is used to display the distribution of data points but does not help in identifying root causes.
* Shewhart chart (C): Also known as a control chart, it monitors process stability over time but is not specifically for root cause analysis.
* Scatter plot (D): A scatter plot shows relationships between two variables but does not identify root causes of variations.
References
* NAHQ Body of Knowledge: Root Cause Analysis Tools in Quality Improvement
* NAHQ CPHQ Exam Preparation Materials: Using Ishikawa Diagrams for Root Cause Analysis
=========

NEW QUESTION # 82
The following hospital Medicare readmission findings are available:

Based on the provided information and an understanding of factors that drive readmissions, the hospital should first

A. analyze data to determine the best approach for readmission reduction.
B. initiate post-discharge follow-up calls.
C. work with the medical staff to increase follow-up visits after discharge.
D. instruct physicians to place patients in observation whenever possible.

Answer: A

Explanation:
Reducing Medicare readmissions is a key focus in population health, as readmissions impact patient outcomes and hospital reimbursement under programs like the Hospital Readmissions Reduction Program (HRRP).
Factors driving readmissions often include inadequate discharge planning, lack of follow-up care, social determinants of health (e.g., transportation, support systems), and patient-specific risks (e.g., comorbidities).
NAHQ CPHQ study materials emphasize a systematic, data-driven approach to quality improvement, particularly for complex issues like readmissions.
Since the specific Medicare readmission findings are not provided, I'll base the answer on CPHQ best practices. The first step in addressing readmissions should always be to analyze data to determine the best approach for readmission reduction (D). This involves reviewing the readmission findings to identify patterns, such as high-risk patient groups, common diagnoses (e.g., heart failure, pneumonia), or process failures (e.g., medication reconciliation issues). Data analysis helps pinpoint root causes and informs targeted interventions, ensuring resources are used effectively. For example, if data show readmissions are due to lack of follow-up care, then strategies like follow-up calls or visits can be prioritized. Without this analysis, interventions may be misdirected.
Instructing physicians to place patients in observation (A) may reduce reported readmissions by reclassifying stays, but this does not address underlying causes and could be seen as gaming the system, which is not aligned with quality improvement principles. Initiating post-discharge follow-up calls (B) or increasing follow-up visits (C) are potential interventions, but they assume specific causes (e.g., lack of follow-up) without evidence from the data. NAHQ emphasizes that quality improvement starts with understanding the problem through data analysis, making option D the first step.
Reference: NAHQ CPHQ Study Guide, Population Health and Care Transitions Section, "Readmission Reduction Strategies"; NAHQ CPHQ Practice Exam, Data-Driven Quality Improvement for Population Health.

NEW QUESTION # 83
Because of the goals of care can be defined broadly, outcome measures have come to include the costs of care as well
as patients' satisfaction with care. In formulations that stress the technical aspects of care, however outcome typically
refers to:

A. Health status-related indicators such as whether the pain subsided
B. Special set of clinical activities
C. Desired results
D. Appropriate and potentially harmless care

Answer: A

NEW QUESTION # 84
An optimal response rate is necessary to have a representative sample; therefore boosting response rates should be a
priority. Methods to improve response rates include all of the following EXCEPT:

A. Making telephone reminder calls for certain types of surveys
B. Offering incentives appropriate for the focus group population
C. Ensuring that telephone numbers or addresses are drawn from as accurate rate a source as possible
D. Using the Dillman method, a three wave mailing protocol designed to boost response rates

Answer: B

NEW QUESTION # 85
Baldrige's scoring system is based on a __________point scale. Each of seven criteria is assigned maximum value ranging from 85 to 450 maximum points.

A. 1000-point scale
B. 1500-point scale
C. 2000-point scale
D. 500 points

Answer: A

NEW QUESTION # 86
......

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