HQCB

Draft Exam Questions (Based on Real Exam Questions)

Notes on the Exam Questions: "Least important" and the "Most important" "The first thing to do" in this case would

be..
1) A patient, who had a cholecystectomy operation, was readmitted to the same hospital after complaining of an abdominal pain. On re-operating, a forgotten sponge was found. Incident reporting system did not discover this, which type of review would have discovered this adverse event? a) Concurrent screening (Generic screening). b) Peer review. c) Mortality review.

Answer is A

2) In hospital (X), the medical director is responsible for the quality management functions. The nurse manager is responsible for utilization management issues. The risk management functions are not assigned to any of the staff members. What, probably, will be the problem(s) that might result from this condition? a) Increased work load on either of the two managers. b) Double working efforts. c) Non-consistency of the risk management activities. d) All of the above.

Answer is D

Pareto diagram
100

3)

80
Before Intervention After Intervention

No. of 60 Complaints
40 20 0 A B C D E F

Reasons for Dissatisfaction

After intervention, which of the pre-mentioned reasons for dissatisfaction will probably still need further corrective actions? a) C only. b) B and C. c) B only. d) A, B and C.

Answer is B

4) When hospital (X) is a provider in the network of providers which has contracts with the Managed Care Organization (Y) in order to provide clinical services for the enrollees of the plans offered by this MCO. If the contract between hospital (X) and the MCO (Y) will be renewed; what type of information will be of high importance to the MCO to know before renewal of the contract? a) Admission rate, charges, and resource utilization. b) Admission rate, costs, and resource utilization. c) Charges and revenues. d) None of the above.

Answer is A

5) Best way to present achievements in an (Improvement Project), to your customers, is through: a) Bar graph showing changes before and after improvement. b) A display poster on which the following statement is written: "we improved the complications rate (for example) by 8% this year". c) A Pareto diagram showing changes before and after intervention. d) None of the above.

Answer is B

6) If you are the quality professional at hospital (X) and you want to get breakthrough ideas about the admission process in your hospital; what probably will be your source for such ideas? a) Medical literature. b) Industrial field. c) Hotels/hospitality services field. d) Other types of healthcare settings.

Answer is C

7)

After plotting this diagram which shows all possible reasons for a certain problem, what is the first thing to do next? a) Develop (Flow Diagram) to design a new process based on findings. b) Develop appropriate solutions for all identified root causes. c) Collect data about the frequency of each of the possible root causes. d) None of the above.

Answer is C

8) Which of the following charts can be best used for depicting the proportion of personnel (based on their discipline) within hospital (X)? a)
Others Physicians

Physicians Nurses
Nurses

Admin. staff Others

Admin. staff

b)

60 50 40 30 20 10 0
Physicians Nurses Admin staff others

9) Choose the best indicator(s) to use when determining the effectiveness of services at the emergency deportment (ED) in your hospital: a) The number of unplanned returns to the ED b) The percentage of ED patients admitted as inpatients c) The patient waiting time at the ED d) a and b

Answer is D

10) A cardiac patient with chest pain was admitted at the ER of hospital (X). The responsible physician ordered an ECG for this patient, and then told the nurse to cancel this ECG few minutes later and the nurse did not record this verbal order in the patient's medical record; during his stay at the ER, the patient died. How shall the responsible physician record this cancellation (of the ECG) in the patient's medical record? a) Tell the nurse to insert the cancellation order in the appropriate location the medical record. b) Write the cancellation himself and insert it in the appropriate location in the medical record. c) Write an addendum in which the cancellation is recorded and add this addendum to the progress notes of the patient's medical record. d) None of the above.

Answer is C

11) The best tool to display a comparison between the performance of one physician and other physicians in department (X) would be: a)
100 90 80 70 60 50 40 30 20 10 0 1st Qtr 2nd 3rd Qtr4th Qtr Qtr

Physician

Average of other physicians

b)
100 90 80 70 60 50 40 30 20 10 0 1st Qtr 2nd Qtr 3rd Qtr 4th Qtr
Physician

Average of other physicians

c)

Physician

Average of other physicians