1) Performance expectations established by individuals or groups

2) Which of the following is considered as waste?

3) Quantitative tools used to evaluate an element of patient care

4) Which of the following is not considered a performance measure? a home health care patient

5) A key focus of quality improvement is to ………of the system and clinical processes

6) The number written above the line in a common fraction to indicate the number of parts of the whole is…

7) Action designed to lower the risk of failure

8) …….is developing a theory of change?

9) …….. ensuring that health and care services are appropriately resourced to deliver an agreed standard of quality.

10) A bakery is supposed to produce cookies whose average weight after baking is 31 grams. To meet quality requirements, it has been decided that USL=35.0 grams and LSL=28.0 grams. The process standard deviation is 0.8grams and the process centerline is set at 31 grams. The company requires a capability index of at least 1.33

11) Which of the following is associated with defining of product or service features and specifications?

12) ……is defined as a formalized system that documents processes, procedures, and responsibilities for achieving quality policies and objectives. Standard deviation

13) They use their resources responsibly and efficiently, providing fair access to all, and according to need of their populations?

14) Data describing the results of healthcare services?

15) According to the Institute of Medicine, how many dimension of quality of care are there?

16) Which statement best describes quality improvement?

17) …. It is important to know about

18) Incorrect diagnoses, medical errors, and other sources of avoidable complications

19) In any organization, the technique of quality improvement that is used the most is……

20) Products, services, or information produced by a process?

21) Products and services that process customers view as unnecessary (e.g., making a copy of the patient’s insurance card at each clinic visit)

22) ………… can lead to lower health care costs?

23) Use of performance information to determine whether an acceptable level of quality has been achieved

24) Care should be based on scientific knowledge and provided to patients who could benefit.

25) ….. are Aspects of patient outcome

26) The objectives of the improvement project?

27) They provide care that does not vary in quality because of a person’s characteristics?

28) Comparing results of QI with expectations is part of which stage of the QI cycle?

29) Care intended to help patients should not harm them.

30) A subgroup of respondents derived from the target population Defects

31) The ability to influence a group toward the achievement of goals

32) Individuals and organizations that pay for healthcare services directly or indirectly

33) ……….is the most prominent approach to quality management systems.

34) Evaluation activities aimed at ensuring compliance with minimum quality standards

35) Two concepts of descriptive statistics that are essential for identifying opportunities for performance improvement are?

36) What statistics you can compare patient stay cost for two .

37) Quality management is a method for?

38) ………is one that meets a personal need or provides some benefit?

39) Collection of information for the purpose of understanding current performance and seeing how performance changes or improves over time

40) …. Published articles information in scientific journals is set in the following sequence?

41) Graphs used to show the center, dispersion, and shape of the distribution of a collection of performance data

42) Graphs in which each unit of data is represented as a pie-shaped piece of a circle

43) When a manager monitors the work performance of workers in his department to determine if the quality of their work is ‘up to standard’, this manager is engaging in which function?

44) The patient cost-to-charge ratio…..

45) …. is about making healthcare safe, effective, patient-centred, timely, efficient and equitable.

46) Which of the following scenarios does not represent timeliness of care?

47) ……………. are used to identify all possible causes of an effect (a problem or an objective).

48) The first step in problem solving is to

49) Identifying and describing data that need to be collected to determine whether changes produced desired results is part of which stage of QI cycle?

50) …is one that meets or exceeds expectations. Expectations can change, so quality must be continuously improved.

51) It is important to know about ……….. for quality planning?

52) A …… is used to compare two things. For instance, the nurse-to-patient ratio reports the number of hospital patients cared for by each nurse

53) Events, actions, or things that can cause harm

54) Performance improvement projects should be …….

55) Analysing performance of various processes and improving them repeatedly to achieve quality objectives

56) Quality management involves three things people do almost every day

57) Data describing organizational facilities, environment, equipment, policies, and procedures

58) Writing down details related to objectives of QI cycle, process of changes and plans for implementation is part of which of the following in QI cycle?

59) Planning and making changes to current practices to achieve better performance

60) ………conducted using step by-step proceed.

61) Data describing the results of healthcare services

62) Choose a problem, and write a statement to describe it?

63) Graphs used to show the relative size of different categories of a variable, on which each category or value of the variable is represented by a bar, usually with a gap between the bars; also called bar charts

64) ……are process of care

65) Levels of performance excellence that organizations must attain to become credentialed by a competent authority

66) An ………, sometimes called an arithmetic mean, is the sum of a set of quantities divided by the number of quantities in the set

67) Analyzing data to determine whether the changes were effective is part of which stage of QI cycle?

68) …. Which one piece of information is the most usefull to describe the age of population that is served in an anticoagulation monitoring service clinic??

69) Which of the following does not constitute patient-centered care? family planning

70) Application of statistical methods to identify and control performance

71) Data describing the extent to which current best evidence is used in making decisions about patient care?

72) A measure expressed as a ………. is generally more useful than a measure expressed as an absolute number

73) Gathering data to assess the changes affect on the process is part of which stage of QI cycle?

74) Provision of a health service that is more likely to harm than benefit the patient

75) …… shows how often each different value in a set of data occurs

76) Avoiding harm to people for whom the care is intended

77) ………is achieved by continual improvement in terms of customers’ expectations. The aim of continuous quality improvement is to meet the customer, not just the competition?

78) What is the first step in a control process?

79) Your community hospital has coordinated with local municipality authority to convert a busy intersection to a roundabout (i.e., traffic circle) to alleviate long standing condestion, but after completion it was realized that large fire trucks cannot fit through the new configuration. This is an example of?

80) To ensure………, the steps perpetually cycle and repeat

81) Hundreds of measures can be used to evaluate healthcare performance. These measures are grouped into three categories:

82) The relationship between cost and quality is

83) Management is………………………?

84) ………is about giving the people closest to issues affecting care quality the time, permission, skills and resources.

85) Implement the changes on a small scale?

86) Outcomes are …… (Measuring and evaluating results before and after intervention)

87) Doing something that doesn’t add value (e.g., performing unnecessary tests to prevent a lawsuit for malpractice)

88) Analyze data to determine whether the changes were effective?

89) The process of checking the actual performance with the standard performance is associated with….?

90) A long-term, integrated whole-system approach is needed to ensure sustained improvements in …………….

91) Which of the following is not a basic component of descriptive statistics?

92) Use of authority inherent in designated formal rank to obtain compliance from organizational members

93) Data describing the delivery of healthcare services

94) The benefit of available resources and avoiding waste

95) …….is its ability to satisfy the needs and expectations of the customer

96) Charts used by improvement teams to organize ideas and issues, gain a better understanding of a problem, and brainstorm potential solutions

97) …. Research, Quality Assessment and Quality Improvement?

98) Implementing quality improvement to reduce complications from surgery can be done in

99) Not providing a health service that might have been medically beneficial

100) ……is the combination of the quality of a product and the cost at which that level of quality is achieved?

101) Process Control and Regulatory is a part of…

102) Which one piece of information is the most usefull to describe the gender of population that is served in an anticoagulation monitoring service clinic??

103) Which of the following is not the dimension of quality of care defined by the Institute of Medicine?

104) A way of doing business that continuously improves products and services to achieve better performance

105) Which of the following best describes the nature of quality measurement?

106) …… Identify an opportunity and plan for change

107) Learn more about the problem by gathering performance data

108) To realize the benefits of quality health care, health services must be

109) ………is a broad philosophy to reduce cost, eliminate variability, and improve customer satisfaction through improved design and better management strategy

110) The goal of performance improvement is to ……from recurring, not just clean up the mess after something undesirable happens.

111) ….. is about making organizations perform for their stakeholders from improving products, services, systems and processes, to making sure that the whole organisation is fit and effective?

112) A measure of the middle or expected value of a data set

113) The best possible care should be provided to everyone, regardless of age, sex, race, financial status, or any other demographic variable

114) …………..negatively impact the company’s image when reported to the public?

115) A leadership style that is said to motivate employees, and that optimizes the introduction of change

116) Which of the following are key components of a Total Quality Management system?

117) A dichotomous response scale

118) Which phrase is not related to quality improvement?

119) Establishing effective leadership for ……

120) Which of the following should not be included in the planning stage of Quality Improvement cycle?

121) Caring. Staff involve and treat people with compassion, dignity and respect?

122) Products, services, or information flowing into a process?

123) Which of the following is not suitable data for quality measurement?

124) Analysing performance of various processes and improving them repeatedly to achieve quality objectives?

125) Care should be based on scientific knowledge and provided to patients who could benefit. Care should not be provided to patients unlikely to benefit from it. In other words, underuse and overuse should be avoided

126) Creating governance arrangements and processes to identify ………that require investigation and improvement

127) Formal discussions between two parties in which information is exchanged?

128) Graphs used to show the correlation between two characteristics or variables

129) …… Implement the change on a small scale

130) Quality improvement can deliver sustained improvements not only in…….., but also in the lives of the people working in health

131) Avoiding harm to people from care that is intended to help them?

132) Measures used to determine an organization’s performance over time; also called performance measures

133) ……are structure of care provision

134) Treatment results are found in patient records

135) ……is the number written below the line in a common fraction that indicates the number of parts into, which one whole is divided

136) Which of the following best describes movement as waste?

137) Which statement by a healthcare professional shows the best understanding of QI? others involved in health care that leads to better health outcomes, better system performance and better professional development.”

138) One crucial elements of or steps in a quality improvement system is Staff, doctors, nurse

139) Participants …… the change (Implementing potential solutions in a small subset)

140) A performance improvement approach aimed at eliminating waste; also called …

141) vital elements of any attempt to improve performance or quality and are needed to assess the impact against set objectives?

142) Improvement teams can use a ………… (sometimes called a selection or prioritization matrix) to systematically identify, analyze, and rate the strength of relationships between sets of information.

143) ………. tool helps an improvement team dig deeper into the causes of problems by successively asking what and why until all aspects of the situation are reviewed and the underlying contributing factors are considered.

144) Which of the following objectives is not time-bound? health facilities will have reached 5000. increase by 25%

145) …… results from the most efficient expenditure of resources to achieve an established high level of clinical quality?

146) …… Use data to analyze the results of the change and determine whether it made a difference

147) Of a quality improvement perspective, the most desirable state is when?

148) …. Incorrect diagnoses, medical errors, and other sources of avoidable complications?

149) Develop a solution for the problem and a plan for implementing the solution

150) ………..supporting efforts to develop whole-system approaches to improvement.

151) …… are the people responsible for supervising the use of an organization’s resources to meet the goals?

152) Developing …….to identify and implement new evidence-based interventions, innovations and technologies, with the ability to adapt these to local context

153) Health care systems across the UK are also looking at the environmental impact of the services they provide as part of their efforts to ……..

154) The Shewhart performance improvement model

155) According to the Institute of Medicine, quality of care is: desired health outcomes are consistent with current professional knowledge current professional knowledge

156) A self-assessment and external assessment process used by healthcare organizations to assess their level of performance in relation to established standards and implement ways to continuously improve

157) Building ………at every level, from the top tiers of organisations, such as the boards of acute trusts or primary care networks, through to front-line staff.

158) Quality improvement program focuses on?

159) Quality assurance is related to ……

160) Meaningful quality process measures must be?

161) ……. must provide a good or service desired by its customers?

162) …. The leader of a quality improvement team needs to deal effectively with a conflict between two units, it is best to appoint which of the following to its membership?

163) Which is less relevant in the formulation of monitoring framework?

164) Where was Total Quality Management first developed?

165) .…………are used to plot five to ten performance measures for an interval of time, along with performance expectations

166) The patient wait time in the emergency department is….

167) A methodical procedure used to identify factors that cause errors and then reduce or minimize them?

168) Groups that contract with the centers for Medicare & Medicaid Services to monitor the appropriateness, effectiveness, and quality of care provided to Medicare and Medicaid beneficiaries?

169) Graphic representations of a process

170) In health care, systematic quality improvement approaches such as Lean (see Section 4) have been used to…….

171) Which of the activities below does not fall under quality assessment? communities

172) Using a systematic approach involving specific methods and tools to continuously improve the quality of care and outcomes for patients and service users?

173) Minimum acceptable levels of quality

174) The Model for Improvement focuses on what three areas?

175) Several systematic performance improvement models have been created for use in healthcare as well as other industries. All these models incorporate similar steps: improvements, and measure success improvements

176) Visible and focused leadership, for example, in an NHS trust, at board level, accompanied by effective governance and management processes that ensure all improvement activities are aligned with the organisation’s vision

177) It is important to allow enough time to design an improvement intervention and plan its delivery?

178) Quality Improvement had its beginnings in what area?

179) When is it appropriate to collect and use data? questions questions questions research questions

180) An analysis that delves into problem causes by successively asking what and why until all aspects of the situation, process, or service are reviewed and contributing factors are considered

181) A measure of how well resources are used to achieve a goal.

182) Use the when you want to compare means for two data sets that are independent from each other?

183) Providing services based on evidence that produce a clear benefit?

184) Participants …… on the Results (Reviewing the results and deciding what tests of change to try next)

185) The Deming performance improvement model

186) The total patient time in the clinic from walk-in to walkout

187) ………… is a systems thinking multimethod ology that seeks to combine methods and practices from various systems thinking schools?

188) The organization’s billing database is an administrative file often used to gather performance data

189) The process of identifying the scope for process improvement is associated with …

190) Care should be provided promptly when the patient needs it

191) …. What sampling technique involves selecting the medical record of every fifth patient undergoing Percutaneous Coronary Intervention (PCI)?

192) Independently gathering evidence in a systematic and transparent way to provide confidence that a system is meeting internal or external standards?

193) Which statement below best describes quality assessment? low-performing health care providers, organizations, or communities. implementation of quality measurement activities, and monitoring of quality information over time

194) .……is “a philosophy or an approach to management that can be characterized by its principles, practices, and techniques

195) ……. are organizational assets and include people and raw material.

196) Who is responsible for quality improvement in healthcare?

197) .….. define customers and how to meet their needs

198) Continuous quality improvement (CQI) is a philosophy assumes that:

199) a …… for change in identified (forming the team, agreeing on the problem, selecting valid measures, and making ideas for improvement)

200) A radiologist waiting for a patient to be brought into the exam room