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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q407-Q412):NEW QUESTION # 407
A provider's Ongoing Professional Practice Evaluation (OPPE) profile is shown below. In this organization, if a provider partially meets or does not meet performance expectations, they are referred to peer review for a Focused Professional Practice Evaluation (FPPE).
Fully Meets: >80% of measures at threshold
Meets: 65% to 80% of measures at threshold
Partially Meets: 40% to 64% of measures threshold
Does Not Meet: <40% of measures at threshold
After reviewing this provider's overall profile, what should the healthcare quality professional suggest?

• A. The provider does not meet expectations; refer to peer review.
• B. The provider partially meets expectations; retain privileges.
• C. The provider meets expectations; retain privileges.
• D. The provider fully meets expectations; do nothing.
  

Answer: B
Explanation:
The provider's Ongoing Professional Practice Evaluation (OPPE) profile suggests that the provider partially meets expectations, meaning 40% to 64% of measures are at the threshold. According to the organization's criteria, this level of performance warrants retaining privileges but likely with closer monitoring or additional support.
* Partial Meeting of Expectations: When a provider partially meets expectations, it indicates that there are areas of performance that need improvement, but the provider is still performing sufficiently in enough areas to retain privileges.
* Next Steps: The provider should likely undergo further evaluation or targeted support to address the areas where performance is lacking. This might involve additional training, mentoring, or a Focused Professional Practice Evaluation (FPPE) if specific concerns are identified.
* Comparison to Other Options:
* A. The provider fully meets expectations; do nothing is not applicable since the provider does not fully meet the performance criteria.
* B. The provider does not meet expectations; refer to peer review would be appropriate if the provider's performance was below 40%, but that is not the case here.
* D. The provider meets expectations; retain privileges would be correct if the provider was in the
65% to 80% range, which is not the situation here.
References: NAHQ guidelines on OPPE and FPPE processes emphasize the importance of distinguishing between different levels of performance and applying the appropriate actions based on the specific thresholds met by the provider.
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NEW QUESTION # 408
A new pediatric psychiatric unit will open in one year. The utilization coordinator is responsible for developing the utilization management program. The program's success will depend on which of the following factors?

• A. obtaining approval from the chief psychiatrist at each stage of development
• B. developing the program and presenting it to the appropriate staff members
• C. involving the team members in the development of the program
• D. providing educational in-services to all team members involved
  

Answer: C
Explanation:
The success of a utilization management program for a new pediatric psychiatric unit will largely depend on involving the team members in the development of the program. Engaging team members in the process ensures that the program is practical, addresses real-world challenges, and gains buy-in from those who will be implementing it. Team involvement fosters collaboration, allows for the inclusion of diverse perspectives, and enhances the likelihood of the program's success.
Obtaining approval from the chief psychiatrist at each stage of development (A): While important for ensuring alignment with clinical leadership, it does not replace the need for broader team involvement.
Developing the program and presenting it to the appropriate staff members (B): This approach is less effective as it does not involve the team in the development process, which is crucial for successful implementation.
Providing educational in-services to all team members involved (D): Education is important, but the success of the program relies more on the team's involvement in its creation than on subsequent training alone.
References
NAHQ Body of Knowledge: Program Development and Team Involvement in Healthcare NAHQ CPHQ Exam Preparation Materials: EffectiveUtilization Management Program Development
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NEW QUESTION # 409
Each department in a hospital self-monitors and reports hand hygiene data each quarter. Results typically fall within the 58-72% range, with the exception of Respiratory Therapy, which consistently reports 100% compliance. Which of the following steps should a healthcare quality professional take next?

• A. Require departments not achieving at least 95% compliance to develop corrective action plans.
• B. Provide remedial hand hygiene training for the lowest scoring departments.
• C. Validate that the Respiratory Therapy results are accurate.
• D. Recognize the Respiratory Therapy department for its outstanding compliance.
  

Answer: C

NEW QUESTION # 410
An organization has compiled the scatter plots below:

Based on these plots, which of the following conclusions can be made by the quality professional?

• A. Setting 1 has a strong positive correlation between complication rate and time to positive outcome.
• B. Setting 2 has a significant correlation between complication rate and time to positive outcome.
• C. Complication rates are not causing longer time to positive outcome at setting 2.
• D. Complication rates are causing longer time to positive outcome at settling 1.
  

Answer: A
Explanation:
* A scatter plot is a graphical tool that shows the relationship between two continuous variables by plotting data points at their corresponding values on the x-axis and y-axis1.
* To interpret a scatter plot, we need to look at the direction, strength, and shape of the relationship between the variables2.
* The direction of the relationship indicates whether the variables tend to increase or decrease together (positive correlation) or in opposite directions (negative correlation).
* The strength of the relationship indicates how closely the data points cluster around a line or curve that best fits the data. A common measure of the strength of the linear relationship is the correlation coefficient , which ranges from -1 to 1. The closer the absolute value of R is to 1, the stronger the linear relationship2.
* The shape of the relationship indicates whether the data points follow a straight line (linear relationship) or a curved pattern (nonlinear relationship).
* Based on these criteria, we can analyze the scatter plots for Setting 1 and Setting 2 as follows:
* Setting 1: The scatter plot shows a clear upward trend, indicating a positive correlation between complication rate and time to positive outcome. The data points are tightly clustered around a line, indicating a strong linear relationship. The R
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