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CPHQ模試エンジン & CPHQ最新受験攻略
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NAHQ Certified Professional in Healthcare Quality Examination 認定 CPHQ 試験問題 (Q86-Q91):
質問 # 86
A quality professional within a seven-hospital system is asked to evaluate the number of quality staff working at the quality professional's hospital. The seven hospitals are all similar with equivalent volume of work. The average staffing is 1 staff/100 beds. This individual's hospital ratio is 0.7 staff/100 beds. Which of the following should the quality professional do first?
- A. Create a bonus structure with human resources for a reward program for expanded work tasks
- B. Meet with the hospital's governing body to discuss the staffing needs
- C. Include the staffing issue as an item on the next hospital's quality committee meeting
- D. Prepare a business case to present to the quality professional's manager
正解：D
解説：
The hospital's quality staffing ratio (0.7 staff/100 beds) is below the system average (1 staff/100 beds), indicating a potential resource gap. The first step should be a structured approach to justify additional staffing.
Option A (Prepare a business case to present to the quality professional's manager): This is the correct answer. The NAHQ CPHQ study guide states, "A business case justifies resource needs by presenting data, risks, and benefits, making it the first step to address staffing gaps" (Domain3). The quality professional should analyze workload, quality outcomes, and risks (e.g., missed audits) to build a compelling case.
Option B (Create a bonus structure with human resources for a reward program for expanded work tasks):
Bonuses address workload but not staffing shortages, and this is premature without justifying additional staff.
Option C (Include the staffing issue as an item on the next hospital's quality committee meeting): Discussing at a committee is a later step after preparing a data-driven case.
Option D (Meet with the hospital's governing body to discuss the staffing needs): The governing body is too high-level for the initial step; the manager is the appropriate first contact.
CPHQ Objective Reference: Domain 3: Organizational Leadership, Objective 3.6, "Advocate for quality resources," emphasizes building a business case for staffing needs. The NAHQ study guide notes, "A business case is critical to justify resource allocation for quality programs" (Domain 3).
Rationale: A business case provides evidence to support staffing needs, aligning with CPHQ's leadership principles for resource advocacy.
Reference: NAHQ CPHQ Study Guide, Domain 3: Organizational Leadership, Objective 3.6.
質問 # 87
An organization Is evaluating the data used to measure compliance with medication reconciliation by clinic.
Three abstractors have been assigned to collect the data. The compliance data by abstractor and unit are below:
Based on this table, which of the following Is the best next step to evaluate accuracy and reliability ol the data?
- A. Develop a corrective action plan for Clinic B.
- B. Implement an interrater reliability process.
- C. Educate Abstractor 1 and Abstractor 3 on data collection.
- D. Study best practices In Clinic D.
正解：B
解説：
The table shows the compliance data by three different abstractors across four clinics. There is a noticeable variation in the data collected by different abstractors for the same clinic.
According to NAHQ's resources, ensuring data accuracy and reliability is crucial in healthcare quality. One of the ways to achieve this is through an interrater reliability process, which assesses the degree of agreement among raters or evaluators.
Implementing an interrater reliability process will help in evaluating if the variations are due to errors or actual differences in compliance levels. It ensures that the data collected is consistent and reliable across all abstractors.
Educating Abstractor 1 and 3 or developing a corrective action plan for Clinic B might be necessary steps later on, but without first establishing the reliability of the data through an interrater reliability process, it would be premature to take these steps.
Studying best practices in Clinic D could be beneficial but does not directly address the issue of data accuracy and consistency among different abstractors.
質問 # 88
Which of the following are the three primary quality management activities?
- A. review trends, assessment, and stakeholder accountability
- B. measurement, assessment, and Improvement of outcomes
- C. define goals, assessment, and review results
- D. assessment, improvement, and strategic planning
正解：B
解説：
Quality management is a critical aspect of healthcare, and it involves various activities to ensure that healthcare services meet the desired standards. The three primary quality management activities are:
Measurement: This is the first step in quality management. It involves defining and collecting data on various aspects of healthcare service delivery. This could include patient outcomes, process efficiency, or other relevant metrics. The goal is to establish a baseline for understanding the current state of quality.
Assessment: Once data has been collected, it needs to be analyzed to assess the quality of healthcare services.
This could involve comparing actual outcomes against desired outcomes, identifying gaps in service delivery, or looking for trends and patterns in the data.
Improvement of outcomes: Based on the assessment, targeted interventions are designed and implemented to improve outcomes. This could involve changes to processes, training for staff, or other interventions. The effectiveness of these interventions is then measured and assessed, creating a continuous cycle of quality improvement.
References: The information is based on standard quality management principles and practices, which are widely recognized and utilized in the healthcare industry123.
質問 # 89
Organizational size affects the ability to disseminate best practices
- A. Difficult to decide
- B. False
- C. True
- D. It depends on situation
正解：D
質問 # 90
Which of the following payment systems carries the most financial risk for a provider?
- A. pay for performance
- B. capitation
- C. fee for service
- D. upside-only bundles
正解：B
解説：
* A payment system is a method of reimbursing providers for the services they deliver to patients.
* Different payment systems have different implications for the financial risk that providers face, which is the possibility of losing money or not making a profit from their activities.
* Financial risk can be influenced by factors such as the volume and mix of services, the cost and quality of care, the patient population, and the market conditions.
* Fee for service (FFS) is a payment system whereproviders are paid for each service they perform, regardless of the outcome or value of the service. This payment system carries the least financial risk for providers, as they can increase their revenue by increasing the quantity of services. However, this payment system may also create incentives for overutilization, inefficiency, and low quality of care.
* Capitation is a payment system where providers are paid a fixed amount per patient or per member per month, regardless of the number or type of services they provide. This payment system carries the most financial risk for providers, as they have to cover all the costs of care for their patients within the fixed budget. However, this payment system may also create incentives for efficiency, coordination, and prevention of care.
* Pay for performance (P4P) is a payment system where providers are paid based on the quality and outcomes of the care they provide, rather than the quantity or type of services. This payment system carries a moderate financial risk for providers, as they have to meet certain performance measures or benchmarks to receive the full payment or bonus. However, this payment system may also create incentives for quality improvement, patient satisfaction, and value of care.
* Upside-only bundles are a payment system where providers are paid a fixed amount for a bundle of services related to a specific condition or episode of care, such as a hip replacement or a hospitalization.
This payment system carries a low financial risk for providers, as they can only share in the savings if they deliver the bundle of services at a lower cost than the fixed amount, but they do not have to bear any losses if they exceed the fixed amount. However, this payment system may also create incentives for coordination, standardization, and efficiency of care.
References:
Benefits of Risk-Based Payments: How Healthcare Data Improves Profits
The future of the payments industry: How managing risk can drive growth Financial crime risk management in digitalpayments
質問 # 91
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