CPHQ
CPHQ
Exam CPHQ
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Certified Professional in Healthcare Quality
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Total Questions: 201 Q&A's
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Question: 1
“Underuse is evidence by the fact that many scientifically sound practices are not used as often they
should be, For example, biannual mammography screening in woman ages 40 to 69 has been proven
beneficial and yet is performed less than 75 percent of the time.” This is the categorization of:
A. Defects
B. La of professionalism in Medical field
C. La of care
D. Healthcare practice
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Answer: A
Question: 2
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__________ is a term applied when the proper clinical car process is not executed appropriately,
such as giving the wrong drug to a patient or incorrectly administering the correct drug.
A. Underuse y.
B. Overuse
C. Misuse
D. Illegal use
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Answer: C
Question: 3
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Crossing the Quality Chasm provided a blueprint for the future that classified and unified the
components of quality through six aims for improvement, chain of effects, and simple rules for
redesign of healthcare. The six aims for improvement, viewed also six dimensions of quality. Which
of the following is NOT out of those dimensions?
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A. Safe
B. Care centered
C. Efficient
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D. Effective
Answer: B
Question: 4
______________ can be measured by how well evidence-based practices are followed, such as the
percentage of time diabetic patients receive all recommended care at each doctor visit, the
percentage of hospital-acquired infections, or the percentage of patients who develop pressure
ulcers (bed sores) while in the nursing home.
A. Safe care
B. Equitable care
C. Effective care
D. Timely care
Answer: C
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Question: 5
Today’s patients’ perception of the quality of our healthcare system is not favourable. In healthcare,
qualityis household word that evokes great emotion, including:
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A. Frustration and despair, exhibited by patients who experience healthcare services firsthand or
family members who observe the care of their loved ones
B. Anxiety over the ever-increasing costs and complexities of care
C. Patient centered measures
D. Timely care that may be experienced in terms of performance of services
y. Answer: A, B
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Question: 6
There is a story of an intensive care unit (ICU) at Dominican Hospital in Santa Cruz Country,
California. Dominican, a 379-bed community hospital, is part of the 41-hospital Catholic Healthcare
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West system. “We used to replace ventilator circuit for incubated patients daily because we thought
this helped to prevent pneumonia,” explained Lee Vanderpool, vice president. “”But the evidence
shows that the more you interfere with that device, the more often you risk introducing infection. It
turns out it is often better to leave it alone until it begins to become cloudy, or ‘gunky,’ as the no
clinicians say.” The hospital staff learned an important lesson from this experience that:
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Answer: A
Question: 7
A number of attributes can characterize the quality of healthcare services. As, there are different
groups involved in healthcare, such as physicians, patients and health insurers, tend to attach
different levels of importance to particular attributes and as a result define quality care differently.
Which of the following is/are NOT out of those attributes?
A. Technical performance
B. Responsiveness to patient preferences
C. Excess staff
D. Amenities
Answer: C
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Question: 8
Quality and technical performance refers to how well current scientific medical knowledge and
technology are applied in a given situation. It is usually assessed in terms of:
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A. Timeliness and accuracy of the diagnosis
B. Appropriateness of therapy and other medical interventions are performed
C. The quality of interpersonal relationships
D. Both A & B
y. Answer: D
Question: 9
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The quality of amenities of care refers to the characteristics of the setting in which the encounter
between patient and clinician takes place, such as:
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A. Comfort
B. Comfort, care and access
C. Comfort, convenience and privacy
D. Responsive to patient preferences
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Answer: C
Question: 10
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Answer: D
Question: 11
_________________ refers to the “degree to which individuals and groups are able to obtain
needed services.”
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Answer: D
Question: 12
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In earlier formulations, responsiveness to patients’ preferences was just one of the factors seen as
determining the quality of patient clinician interpersonal relationship. But, now it is translated into
many factors. Which of the following is out of such factors?
Question: 13
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Efficiency refers how well resources are used in achieving a given result. Efficiency whenever the
resources used to produce a given output are _____________.
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A. Reduces, reduced
B. Increases, increased
C. Improves, reduced
D. It is truly situation dependent
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Answer: C
Question: 14
In general, as the amounts spent on providing services for a particular condition grow, diminishing
returns set in meaning that each unit of expenditure yield ever-smaller benefits until a point where
________________.
A. No additional benefits accrue from adding more care
B. Additional benefits are too small to justify the added costs
C. There is displacement of more useful care
D. perfection is within the reach of all individuals
Answer: A
Question: 15
“Quality is the degree to which health services for individuals and populations increase the likelihood
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of desired health outcomes and are consistent with current professional knowledge.” This is the
definition of Quality care often quoted by:
A. IOM
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B. IHI
C. HQCB
D. OCHP
y. Answer: A
Question: 16
“Likelihood of desired health outcomes” corresponds to clinicians’ view that, with respect to
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outcomes, there are only probabilities, not certainties, owing to factors-such as patients’ genetically
determined physiological reliance-that influence:
Answer: B
Question: 17
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Answer: A
Question: 18
Payers are more likely to embrace the optimization definition of care which can put them at odds
with:
A. Clinicians
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B. Health administrators
C. Physicians
D. Both A & B
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Answer: C
Question: 19
The manager’s perspective on quality differs markedly from that of clinicians and patients on:
Answer: B
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Question: 20
Strong disagreement do arise, among the five parties’ definitions (i.e. the clinician’s, the patient’s
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the payers, the manager’s and the society’s), even outside the realm of cost effectiveness. Conflicts
typically arise when:
A. Practitioners who are highly skilled in trauma and other emergency care B. Each group
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Answer: C
Question: 21
All the evaluations of quality of care can be classified in terms of one three aspects of care giving
they measure. Which of the following is/are NOT out of these measures?
A. Structure
B. Process
C. Output
D. Cutbas
Answer: C, D
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Question: 22
When quality is measured in terms of structure the focus is on the relatively static characteristics of
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the individuals who provide care and of the settings where the care is delivered. These
characteristics include ____________ of professionals who provide care and the adequacy of the
facility’s equipment, and overall organization.
A. Education
B. Training
C. Certification
D. A, B and C
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Answer: D
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Question: 23
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Licensing and accrediting bodies have relied heavily on structural measures of quality not only
because the measures are relatively stable and thus easier to capture but:
Answer: B
Question: 24
Ordering the correct diagnostic procedure for a patient is a measure of _________. When evaluating
the process of care, however, appropriateness is only half the story. The other half is in how well and
how promptly (i.e. skill-fully) the procedure was carried out.
A. Consciousness
B. Appropriateness
C. Care assessment
D. Equity
Answer: B
Question: 25
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
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aspects of care, however outcome typically refers to:
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C. Appropriate and potentially harmless care
D. Special set of clinical activities
Answer: A
Question: 26
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Knowledge about _______ is crucial to making valid judgments about quality of care using either
process or outcome measures. If we know that a given clinical intervention was undertaken in
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circumstances that match those, under which the intervention has been shown to be efficacious, we
can be confident, that the care was appropriate and, to the extent of good quality.
A. Outcomes
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B. Structure
C. Efficacy
D. Processes
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Answer: C
Question: 27
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Universities often evaluate applicants for admission on the basis of, among other things, the
applicants’ scores on standardized tests. The scores are thus one of the criteria by which program
judge the Quality of their applicants. However, although two programs may use the same criterion –
scores on a specific standardized examination-to evaluate applicants, the programs may differ
markedly on standards: One program may consider applicants acceptable if they have scores above
the 50th percentile, whereas the score above the 90th percentile may be the standard of
acceptability for the other program. This example clearly defines the difference between:
Answer: B
Question: 28
For cheing the outcomes our focus of attention is blood pressure of patients with diabetes. Its
criteria and standard can be respectively:
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A. Criterion: Percentage of post heart atta patients prescribed beta-bloers on discharge and
Standard: At least 96% of heart atta patients receive a beta-bloer prescription on discharge
B. Criterion: Percentage of patients with diabetes whose blood pressure is at or below 130/85 and
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Standard: At least 50% of patients with diabetes have blood pressure at or below 130/85
C. Criterion: Sugar level in blood on daily basis and Standard: How many times sugar level rises and
how many times it declines in a week
D. None of these
Answer: B
Question: 29
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When formulating medical standards, a critical decision that must be made is the _____ at which the
standard should be set.
A. Depth
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B. Clarity
C. Level
D. utility of measurement
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Answer: C
Question: 30
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_________________ standards denote level of quality that can be reached under the best
conditions, typically conditions similar to those under which efficacy is determined. These standards
are especially useful as a reference points being evaluated should set as a benchmark.
A. Optimal standards
B. Minimal standards
C. Achievable standards
D. Something in between
Answer: A
Question: 31
A. Variation
B. Process variation
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C. Assignable variation
D. Random variation
Answer: A
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Question: 32
Measurement of variation in health care and its application to quality improvement must begin with
the identification and articulation of:
A. What is to be measured?
B. Assignable variation
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C. The standard against which is to be compared a process based on extensive research,
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trial and error and collaborative discussion
D. Understanding true variation versus artifact or statistical error
Answer: B, C
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Question: 33
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__________________ arises from a single or small set of causes that are not part of event or process
and therefore can be traced, identified and implemented or eliminated. In general, researchers are
interested in this variation because they can link-or-assign variation to a single specific cause and act
accordingly.
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A. Process variation
B. Assignable variation
C. Random variation
D. Performance variation
Answer: B
Question: 34
He used his understanding of statistics to design tools to respond to variation. Following his arrival at
Western Electric Co. in 1924, Shewhart introduced the concepts of common cause, special cause
variation and statistical control. He designed these concepts to assist Bell Telephone of repairs
within its transmission systems. Who is he?
A. W. Edwards Deming
B. Josph M. Juran
C. Walter Shewhart
D. Armand Shewhart
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Answer: C
Question: 35
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In the 1970s, Deming developed his 14 points for western Management in response to requests
from U.S. managers for the secret to the radical improvement that Japanese companies were
achieving in a number of industries. As part of his “system of profound knowledge,” Deming
promoted that “around 15% of poor quality was because of workers, and the rest of 85% was due to
bad management, improper systems and processes.” The “system” is based on parts. Which o the
following is/are NOT out of those parts?
Answer: D
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Question: 36
Joseph juran defined quality as consisting of two different but related concepts. The first form of
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quality is income oriented and includes features of t he product t hat meet customer needs and
thereby produce income (i.e., higher quality costs more). The second form of quality is cost oriented
and emphasizes:
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Answer: D
Question: 37
Juran Trilogy includes all the following sub-points under the major heading of quality planning
EXCEPT:
Answer: C
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Question: 38
Overproduction
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Inventory
Repairs/rejects
Motion
Processing
Waiting
Transport
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These are the types of _____________ identified by Taiichiohno.
Answer: A
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Question: 39
TQC is excellence driven rather than defect driven-a system that integrates:
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Answer: A
Question: 40
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. The system for causing quality is prevention, not appraisal
C. The performance standard must be zero defects, not “that’s close enough”
D. All of the above
Answer: D
Question: 41
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Quality improvement approaches are derivatives and models of the ideas and theories developed by
thought leaders and include all of the following EXCEPT:
A. PDCA/PDSA
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B. ISO 2001
C. Baldrige criteria
D. Associate for process improvements
y. Answer: B
Question: 42
Answer: B
Question: 43
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The Baldrige criteria were originally developed and applied to business; however, in 1997,
healthcare-specific criteria were created to help healthcare organizations address challenges such as
focusing on core competencies, introducing new technologies, reducing costs, communicating and
sharing information electronically new alliance with healthcare providers , and maintaining market
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advantage. The Baldrige healthcare criteria are built on the set of interrelated core values and
concepts. Which of the following is NOT out of those values and concepts?
Answer: A
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