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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q550-Q555):
NEW QUESTION # 550
One of the difficult things about quality is explaining how _________ is different from a process or system.
Answer: D
NEW QUESTION # 551
Practice guidelines should be based on
Answer: D
Explanation:
Clinical practice guidelines (CPGs) are standardized recommendations to optimize patient care, and their credibility depends on a robust foundation of evidence.
Option A (Scientific evidence): This is the correct answer. CPHG guidelines must be grounded in scientific evidence, such as randomized controlled trials, systematic reviews, or meta-analyses, to ensure they reflect best practices. The NAHQ CPHQ study guide states, "Clinical practice guidelines are developed based on scientific evidence to ensure they are effective and aligned with current standards of care" (Domain 4). This aligns with organizations like the National Guideline Clearinghouse, which require evidence-based methodology for guideline development.
Option B (Computer-generated data): Computer-generated data (e.g., predictive analytics) may support decision-making but is not a primary basis for CPGs, which require peer-reviewed, clinical evidence.
Option C (Cost-benefit analysis): While cost considerations may influence implementation, CPGs prioritize clinical effectiveness and patient outcomes over financial metrics.
Option D (Utilization review criteria): Utilization review focuses on resource use and appropriateness of care, not the development of evidence-based guidelines.
CPHQ Objective Reference: Domain 4: Performance and Process Improvement, Objective 4.4, "Support the development and use of evidence-based clinical practice guidelines," underscores that CPGs must be rooted in scientific evidence to ensure quality and standardization. The NAHQ study guide further notes that guidelines are typically developed by expert panels reviewing peer-reviewed literature to establish recommendations.
Rationale: Scientific evidence ensures CPGs are reliable, reproducible, and effective, aligning with the IOM's aim of effective care (delivering care based on best evidence). This distinguishes CPGs from other tools that may incorporate non-clinical factors.
Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, Objective 4.4, and IOM's Crossing the Quality Chasm (2001), which emphasizes evidence-based care.
NEW QUESTION # 552
Using the Information below, which patient population Is at the highest risk tor tailing?
Answer: A
Explanation:
* The question is asking which patient population is at the highest risk for falling.
* By analyzing the provided table, it can be observed that patients who had "falls prior to admission" have the highest number of falls after admission (30 patients) compared to other categories.
* This data indicates that having a history of falls before being admitted increases the risk of falling again.
* Although I don't have direct access to external websites including NAHQ, it's generally understood in healthcare quality and safety that a history of falls is a significant risk factor for future falls. This is likely supported by resources and documents on patient safety and fall prevention available on professional healthcare quality websites.
NEW QUESTION # 553
Sampling is a key that healthcare professionals need to develop. If a process does not generate a lot of data, you
probably will analyze all the occurrences of an event and not need to consider sampling. Sampling usually is not
required when the measure is:
Answer: A,B
NEW QUESTION # 554
During a regulatory survey, an organization received deficiencies in the handling of medical waste. What is the organization's next step?
Answer: A
Explanation:
Explanation: Developing a targeted action plan (D) is the next step to address medical waste handling deficiencies, outlining interventions and timelines. Education (A), policy updates (C), and compliance validation (B) follow planning. NAHQ emphasizes action planning for survey deficiencies.
NAHQ CPHQ Study Guide, Performance and Process Improvement Section, "Responding to Regulatory Survey Deficiencies"; NAHQ CPHQ Practice Questions, Compliance and Corrective Actions.
NEW QUESTION # 555
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