[2022年01月02日] 無料NAHQ CPHQ試験問題と解答
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NAHQ CPHQ 認定試験の出題範囲：
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質問 59
Because of their detail and straightforward design, patient registries are a powerful source of quality improvement
data. Registries usually are specialty or procedure specific. For instance:
- A. Patient's bile test
- B. Enrollment in disease management program
- C. Acute myocardial infraction
- D. Total joint replacement
正解: C
質問 60
A random sampling also can be drawn by placing equally sized pieces of paper with a range of numbers on them (e.g.,
1 to 100) in a bowl and picking a predetermined number to be the sample. The problem with simple random samples
is that:
- A. They cannot truly depict the samples
- B. They may over represent segments of population
- C. They may over or under-represent segments of population
- D. They may under represent segments of population
正解: C
質問 61
The manager's perspective on quality differs markedly from that of clinicians and patients on:
- A. Equity, access and technical performance
- B. Efficiency, cost effectiveness and equity
- C. Efficiency, effectiveness and access
- D. Responsiveness to patient preferences
正解: B
質問 62
To identify outpatient data sources, the team should consider the following questions EXCEPT (Choose two):
- A. Some of the most important diabetes measures are based on laboratory testing. Do the physicians have their own labs? If so, do they achieve the laboratory data for12-24-month snapshot? If they do not do their own lab testing, do they use a common reference lab that would be able to supply the data?
- B. Do the source outpatient data is the same as inpatient data
- C. Do the measures selected by team reflect the aspects of care that have the most influence on patient's outcome
- D. Is the physician in organized medical groups that have outpatient electronic medical records, which could be a source of data? Will their financial or billing systems be able to identify all patients with diabetes in their practices? If not, can the health plans in the area supply the data by practice site or individual physician?
正解: B,C
質問 63
The best way a healthcare organization can measure whether it is meeting its goals and targets is to compare its
performance:
- A. With other healthcare organizations of its status
- B. Against itself over time
- C. With the world's top healthcare organizations
- D. Benchmarking
正解: D
質問 64
Two key data collection skills satisfaction and sampling enhance any data collection effort. These skills are based more
on___________ and _____________ then on statistics, yet many healthcare professionals have received limited
training in both concepts.
- A. Ethics and reliability
- B. Logic and clear thinking
- C. Logic and reliability
- D. Relatedness and latest happenings
正解: B
質問 65
When quality is measured in terms of structure the focus is on the relatively static characteristics of the individuals who provide care and of the settings where the care is delivered.
These characteristics include ____________ of professionals who provide care and the adequacy of the facility's equipment, and overall organization.
- A. Certification
- B. A, B and C
- C. Training
- D. Education
正解: B
質問 66
The concept of cost-effectiveness in Healthcare delivery means:
- A. A proportionately justified improvement in health status of patient is obtained comparing to the cost incurred.
- B. Great improvement in Health status of patient is obtained at a very low cost
- C. Little improvement in Health status of patient is obtained at a very low cost
- D. Little improvement in Health status of patient is obtained at a very high cost
正解: A
質問 67
Face validity is based on the logical relationship among variables (or questions) and refers to the extent to which a scale measures the structure, or theoretical framework, it is designed to measure (e.g., satisfaction).
- A. True
- B. False
- C. True in a situation where internal factors are not affecting
- D. True in a situation where external factors are not affecting
正解: B
質問 68
_______________ is based on a simple principle-statistical probability. In other words, within a known population of
size n, there will be a fixed probability of selecting any single element.
- A. Systematic sampling
- B. Random sampling
- C. Probability sampling
- D. Non-probability sampling
正解: C
質問 69
__________________ arises from a single or small set of causes that are not part of event or process and therefore
can be traced, identified and implemented or eliminated. In general, researchers are interested in this variation
because they can link-or-assign variation to a single specific cause and act accordingly.
- A. Performance variation
- B. Assignable variation
- C. Process variation
- D. Random variation
正解: B
質問 70
______________ testing method provides useful information on respondents' perceptions of the response task, how respondents recall and report events, and how they interpret specified reference periods.
- A. Cognitive
- B. Psychographic testing
- C. Psychometric testing
- D. Biometric testing
正解: A
質問 71
Crossing the Quality Chasm provided a blueprint for the future that classified and unified the components of quality through six aims for improvement, chain of effects, and simple rules for redesign of healthcare.
The six aims for improvement, viewed also six dimensions of quality.
Which of the following is NOT out of those dimensions?
- A. Effective
- B. Care centered
- C. Safe
- D. Efficient
正解: B
質問 72
Today's patients' perception of the quality of our healthcare system is not favourable. In healthcare, qualityis
household word that evokes great emotion, including:
- A. Anxiety over the ever-increasing costs and complexities of care
- B. Timely care that may be experienced in terms of performance of services
- C. Frustration and despair, exhibited by patients who experience healthcare services firsthand or family members who
observe the care of their loved ones - D. Patient centered measures
正解: A,C
質問 73
Patients and their families have clearly articulated need respect to the care they receive. If the staff members they encounter are nice but do not meet their needs, these staff members have delivered care inefficiently.
It all means that:
- A. How can patients rate the skill of their doctors?
- B. The patient/family is very difficult or dysfunctional
- C. No one comes here for a good time
- D. Nice is not the only aspect of quality care
正解: D
質問 74
Physicians' actions have been noted be a major contributor to unexplained clinical variation in healthcare.
Unexplained clinical variation leads to increased healthcare costs, medical errors, patient frustration, and poor clinical
outcomes. The increase in information being collected on physician practice patterns has begun to expose widespread
variations in practice. In healthcare, variation exists among providers by:
- A. Specialty and practice setting
- B. Geographical region
- C. Staff performance
- D. Facilities
正解: A
質問 75
The following represents two samples of five hospitals' hysterectomy rates per 1,000 women aged 40-60 years of age:
Rates Mean Standard Deviation
Sample A 3, 5, 7, 8, 5 5.6 1.8
Sample B 4, 5, 6, 7, 5 5.4 1.1
In analyzing this information, it can be concluded that:
- A. There is a data collection error in Sample B
- B. There are more cases in Sample B
- C. Sample A has more variability than Sample B
- D. Sample A's performance is superior to Sample B's
正解: C
質問 76
Quality improvement approaches are derivatives and models of the ideas and theories developed by thought leaders and include all of the following EXCEPT:
- A. ISO 2001
- B. Baldrige criteria
- C. Associate for process improvements
- D. PDCA/PDSA
正解: A
質問 77
The downside of _____________ is cost. It is very costly and time consuming, and it often requires several full time data analysts.
- A. Flow charts
- B. Scanners
- C. Retrospective approach
- D. Prospective data collection approach
正解: D
質問 78
Generally, effective performance measurement benefits organizations in the following way/s EXCEPT:
- A. Provides factual evidence of performance
- B. Illustrate improvement
- C. Helps to meet internal patients' care requirements
- D. Promotes ongoing organization self-evaluation and improvement
正解: C
質問 79
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