CPHQ Definitions Test Questions
with Answers
Failure mode and effects analysis FMEA - Answer-A team - based Quality improvement
to that prospectively assesses, identifies, and improves steps in a process to
reasonably ensure a safe and clinically desired outcome; a systematic mechanism to
identify and prevent product and process failures before they occur.
Financial management - Answer-The study in control of money resources, including
their acquisition, distribution, disbursement, and investment, to meet the goals and
objectives of the organization.
Flowchart - Answer-A pictorial representation displaying the actual sequence of steps
and their inter-- relationship in a specific process in order to identify hand - off's
(appropriate inappropriate), inefficiencies, Redundancies, inspections and waiting steps
and/RD a deal sequence of steps, wants the actual process is known.
Information - Answer-Data transform through analysis and interpretation into a form use
for decision - making.
Information management - Answer-A function (set of processes) Focus on meeting the
organizations need for information for decision - making.
Integration - Answer-The systematic coordination of key management functions concern
with the planning and design of quality processes, as well as measurement, analysis,
and improvement of patient care in services provided by the organization.
Focus professional practice evaluation FPPE - Answer-A privilege-specific, time -
limited process to validate practitioner competency when there is no current
performance documentation for the requested privileges at the organization or when
concerns arise about the practitioners ability to provide safe, high quality patient care.
Force Field analysis - Answer-A tool used by the team when A proposed solution to a
problem will require significant change, and it is important to analyze the potential
impact in chances of success.
Forecasting - Answer-The process of predicting what will happen in the future. The
ability to forecast accurately and timely will prove to be a highly valuable step in
ensuring the strategies or sit with clarity of purpose.
Function - Answer-A key area responsibility and activity of healthcare organizations,
such as leadership or performance improvement.
,Gantt chart - Answer-A project - planning tool for developing schedules; a graphic
display of the individual parts of a quality improvement process as bars on a horizontal
time scale.
Global trigger tool - Answer-IHI develop tool that uses triggers ( clues) to identify
adverse events through retrospective review of patients' medical records.
Goal - Answer-A numerical value that defines the level of the data that is desired to be
obtained.
Grievance - Answer-A formal expression of dissatisfaction, usually written but May not
be oral. A person "files "a grievance.
Healthcare - associated infection HAI - Answer-"An infection acquired concomitantly by
an individual receiving or who has received care, treatment, our services by healthcare
organization. The infection may or may not have resulted from the care, treatment, our
services. Results from medical treatment and generally has been synonymous with
"hospital - acquired quote.
Healthcare - associated infection rate - Answer-The ratio describing the number of
individuals with a healthcare associated infection (numerator) divided by the number of
individuals at risk of developing the healthcare - associated infection (Denominator).
Rates maybe stratified by specifying groups predisposed to infection risk, E. G.,
Surgical site infections further stratified by type of procedure.
Healthcare Effectiveness Data and Information Set HEDIS - Answer-Sets of measures
require a facilities accredited by NCQA.
Healthcare facility accreditation program HFAP - Answer-Accreditation agency with
deemed status that accredits hospitals and other types of healthcare facilities.
High reliability organization - Answer-Those that achieve zero defects and quality
outcomes.
Improve - Answer-To take actions that result in a desired measurable change.
Indicator - Answer-A measure used to determine, overtime, the performance of
functions, processes, and outcomes of an organization. The term "indicator "now means
"performance measure", addressing an important governance, Management, support,
or clinical function or process. Indicators may be based on practice guidelines.
Indicators include data definitions, as well as a numerator and denominator statements,
to accurately specify what is being measured.
, Accountable care organization group - Answer-Groups of doctors hospitals and other
healthcare providers who work together to give coordinated high-quality care to their
patients at lower cost
Accreditation - Answer-A voluntary survey process used by various independent non-
governmental external agencies to assess the extent of a healthcare organizations
compliance with applicable preestablish performance standards set by the agency
accreditation involves both self-assessment and external Peer review focusing on
organizational not individual practitioner performance purpose improve the systems and
processes of care performance and improve patient outcomes
Adverse event - Answer-Unintended injury to a patient resulting from a medical
intervention generally would lesser degree of severity that may be a precursor to a more
severe sentinel event
Affinity diagram - Answer-And organizational to most often use at the beginning of a
teams work to organize large volumes of ideas or issues into major categories
Aggregation - Answer-Combining standardize data gathering into a mass some, or
whole.
Alignment - Answer-The translation of the work of each person into its proper relative
position with the organization strategic goal. Alignment in healthcare means that all
systems, functions, processes, process steps, departments, units, and people in the
organization are working together, and synchrony with mission, vision, values, and
strategic direction, to serve the key customer -the patient.
Ambulatory care - Answer-All healthcare that is provided to patients who are not
residing in healthcare institutions at the time the care is rendered.
Analysis - Answer-The translation of data collected during the monitoring process,
through aggregation and interpretation, into information about the organization's level of
performance a long mini dimensions, overtime, and, where possible, compared to
similar organizations, that can be used to change processes and improve performance.
Appeal - Answer-A request to change a previous decision made by the organization.
Application software - Answer-A computer program that performs some specific
beautiful task; an application of the computer to a particular area or need.
Appointment - Answer-Selection for membership in the medical/professional staff or to a
practitioner panel.
Appraisal - Answer-Initial evaluation by peers of a practitioners competency to provide
care and services to patients him or for a healthcare organization. Appraisal may
include credentialing, privileging, and appointment.
