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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q252-Q257):

NEW QUESTION # 252
A healthcare organization has decided that the healthcare quality professional will provide performance improvement training to all supervisors. The first step is to

A. assess the past performance of the group.
B. determine current knowledge of the supervisors.
C. develop the content outline.
D. provide a pretraining reading list.

Answer: B

Explanation:
The first step in providing performance improvement training to supervisors is to assess their current knowledge. Understanding the existing knowledge level allows the healthcare quality professional to tailor the training content to address gaps, reinforce existing knowledge, and ensure that the training is relevant to the audience's needs. Without this initial assessment, there is a risk that the training might be too basic or too advanced, leading to ineffective learning outcomes.
* Develop the content outline (B): While important, developing the content outline should come after assessing the supervisors' current knowledge to ensure the training is appropriately targeted.
* Assess the past performance of the group (C): Assessing past performance can be helpful, but it is secondary to understanding current knowledge, as the latter directly informs the content and structure of the training.
* Provide a pretraining reading list (D): This is a preparatory step that would be more effective after determining what knowledge needs to be covered during the training.
References
* NAHQ Body of Knowledge: Education and Training in Quality Improvement
* NAHQ CPHQ Exam Preparation Materials: Training Program Development and Implementation
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NEW QUESTION # 253
A recent analysis reveals that reimbursement projection Is being negatively Impacted by post-surgical respiratory failure rates. What Is the first step to address this issue?

A. Conduct focused professional practice evaluation (FPPE) on the surgeons in the organization.
B. Conduct a focus group with the anesthesiologists and nurse anesthetists.
C. identify a team leader and facilitator to Implement a quality Improvement project.
D. Obtain a list of the patients Identified by this code and conduct a retrospective review.

Answer: D

Explanation:
When a healthcare organization identifies a problem that is impacting its performance, such as post-surgical respiratory failure rates negatively impacting reimbursement projections, the first step is typically to gather more information about the issue123.
In this case, the best way to do that would be to obtain a list of the patients identified by this code and conduct a retrospective review (Option D)123. This would allow the organization to look back at the medical records of these patients to understand more about their cases, including potential risk factors, the course of their treatment, and the outcomes they experienced123.
This information can then be used to identify patterns or trends that might be contributing to the high rates of post-surgical respiratory failure123. For example, the review might reveal that certain surgical procedures, patient characteristics, or care practices are associated with a higher risk of respiratory failure123.
Once this information has been gathered and analyzed, the organization can then move on to the next steps in the quality improvement process, such as identifying potential interventions, implementing changes, and monitoring their impact123.
References: 123

NEW QUESTION # 254
A performance improvement council has been directed to set up a communication plan for spreading an innovative telehealth program throughout the healthcare system. Which of the following groups must the council include in the communication plan?

A. state legislators
B. adopter audiences
C. local media
D. market competitors

Answer: B

Explanation:
When a performanceimprovement council sets up a communication plan for spreading an innovative telehealth program throughout a healthcare system, the plan must include adopter audiences. Adopter audiences are the various groups within the healthcare system that will need to adopt the new program, including clinicians, administrators, and other staff members who will be directly involved in or affected by the implementation.
Importance of Adopter Audiences: Engaging adopter audiences is crucial because their buy-in, understanding, and participation are essential for the successful adoption and integration of the telehealth program.
Communication should be tailored to address their concerns, provide training, and outline the benefits of the innovation.
Comparison to Other Options:
A: market competitors: Involving market competitors in the communication plan is not appropriate, as they are external entities and could have conflicting interests.
C: state legislators: While state legislators may play a role in regulatory orpolicy support, they are not the primary focus of a communication plan aimed at internal adoption within the healthcare system.
D: local media: Local media can be useful for public relations and informing the broader community, but they are not directly involved in the adoption and implementation of the program within the healthcare system.
References: NAHQ resources highlight the importance of focusing on adopter audiences when communicating and implementing new healthcare initiatives, ensuring that the relevant stakeholders are informed, engaged, and prepared to support the change.
=========

NEW QUESTION # 255
The culture of safety survey data below is collected from perioperative services. Which action should the healthcare quality professional recommend?

A. Establish a process for executive walk-arounds in the perioperative departments.
B. Implement a leadership training series on Just Culture principles.
C. Develop a team-based communication training for perioperative staff.
D. Educate perioperative staff on how to submit incident reports.

Answer: A

Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The culture of safety survey data provides insights into the perceptions of perioperative staff regarding patient safety practices, scored on a scale (typically 1 to 5, where 5 is the highest). The scores are as follows: hospital management's prioritization of safety (4), reporting mistakes without fear (4.83), discussing error prevention (4.67), and interdepartmental information exchange (4.24). The lowest score is 4 for the item "The actions of hospital management show that patient safety is a top priority," indicating a relative weakness in visible leadership commitment to safety, which is a critical component of a strong safety culture.
According to NAHQ CPHQ study materials, a key principle of a culture of safety is the visible commitment of leadership to patient safety, as it sets the tone for the organization and influences staff behavior. The score of 4 suggests that while staff perceive some prioritization, there is room for improvement in how management demonstrates this commitment. Establishing a process for executive walk-arounds in the perioperative departments (B) directly addresses this gap by increasing leadership visibility, fostering open communication, and demonstrating that patient safety is a priority. Walk-arounds allow leaders to engage with staff, observe processes, and address safety concerns in real-time, which can improve perceptions of leadership commitment.
Implementing a leadership training series on Just Culture principles (A) is relevant for the high score of 4.83 in reporting without fear, but this area is already strong, and the survey does notindicate a punitive culture needing immediate focus. Developing team-based communication training (C) could address the score of 4.24 for interdepartmental information exchange, but this is not the lowest-scoring item, and communication issues are secondary to leadership visibility in this context. Educating staff on incident reporting (D) is unnecessary given the high score of 4.83 for reporting without fear, indicating staff are already comfortable with reporting.
NAHQ emphasizes addressing the weakest areas of a safety culture first, making leadership visibility the priority here, thus option B is the recommended action.
Reference: NAHQ CPHQ Study Guide, Patient Safety Section, "Culture of Safety and Leadership Engagement"; NAHQ CPHQ Practice Exam, Safety Culture Assessment and Interventions.

NEW QUESTION # 256
What approach should be followed by the healthcare improvement team for the best outcomes?

A. Collecting the critical few rather than collecting for a rainy day
B. Stockpiling of data "just in case"
C. Collection of a balanced amount of data in order to full-fill the current demands
D. Data collection should be thorough. The team may need the data down the road

Answer: A

NEW QUESTION # 257
......

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