New Questions & Its Answer

ً
‫ا شز ن ن ن ا‬ ‫من ن ن الااس ن ننهللازا شكن ن ن صالااس ن ننهللازا ا ا ن ننهللازا اشكن ن ن ا ش ن ننشمجهاد ش ن ننشم ج ا ن ن ن اح ن ن ن‬
‫د ملتمين ن ن ن وادص ن ن ن ن دلع ادلزجن ن ن ن ا ن ن ن ن امن ن ن ن ا ن ن ن ن ا ش ن ن ن ن اش م ن ن ن ن ا ا طن ن ن ن ا اشكن ن ن ن ادش ن ن ن ن ا د ا‬
‫م ن ن ن ن ا ن ن ن ن ام ن ن ن ن س ا‬ ‫ن ن ن ن امن ن ن ن ا‬ ‫ا شك ن ن ن ن اداع ا‬ ‫شت ف ن ن ن ننهللاادع ا كج ن ن ن ن ا اص ن ن ن ن د اح ن ن ن ن‬
‫لطك تع ا‬

# Dec – Exam-2017
1. The facilitator role in the team :
A- Focus in people
B- follow process
C- Focus on data
D- Follow time line

2. In a meeting agenda the most critical component of each topic is

A. Potential outcomes
B. Assignment of equal time
C. Related data and documents (supported data)

3. The Quality Professional has Corrective Action Plan . He Should

Present to Senior Manager.
A. Proposed Plan and Resource Needed
B. Resources Needed and Software Recommendations
C. Software Recommendations and Plan justification.
D. ‫غير مذكور ضمن الخيارات‬
4. New quality manager was assigned to review current projects in a
hospital. There is a time constraints, and all projects have to be
done on time. What should he do?
Answer: Delegate Tasks

5. The hospital aggregated data find that this is a defect on a process

of occurrence reporting, the hospital decided to develop an
orientation program for the staff, but not enough resources for it.
What type of tool help the hospital in finding the targeted
population?
 A- Control chart
B- Flow Chart
C- Pareto
D- Bar Chart
6. In your hospital, HQP need to make guidelines what should be
done as first step?
A- Leadership / physicians share
B- search on the internet for the ready guidelines done before
C- list the needed guidelines
D- Administrative and clinical leadership support.

7. The quality professional found some concerns in safety report

what should he do:
1- rely on medical staff reaction
2-take disciplinary action
3-arrange face to face meeting with involved staff
4-put this findings In meeting agenda of medical executive.

####In patient safety report found something error in one

department, the quality professional should do?
A-keep the finding for next meeting
B -schedule Face to face meeting with department staff
C. send the report to the head of department
9. When a healthcare organization is contracting with an outside
provider for services, the subcontractor must:
A. provide a representative to the Quality Council.
B. Agreed upon performance expectations
C. have an active risk management program.
D. have a competitively priced service.

10.the hospital leader decided to use electronic system in outpatient

clinic in order to improve patient safety. Which of the following
can reflect it?
A- Decrease/ less oral communication, more on electroni
B- The nurse cannot proceed with medication need / required
double check unless another nurse to login.
 C- Decrease incident reported within the system

D. What are the financial benefits from decreasing the post-

operative infection?

D .. ‫رعيا كت رام تص ام‬

‫ ختصابطجم ا ملزض ىا ص م اشج هاد ش ا زفام ىا ضتف تع امك ا ا ب ىاب ا‬training ‫طب ا شطؤ ا‬
‫ا‬ ‫با مل‬ ‫ال‬ ‫اب ا ش مج ا‬ ‫شت ر با هاش اق رد ا فطزد اد اك فاضيك هللاظا خف ضامطت ىاالاشتع‬
‫شجمؤضط ا ب ىاك ها ا ضتف د اح ام ال ثاتطب هللاا ز مجاضجم ا ملزض ىاد هاضؤ امك ضبامطتم ام ا ش ت ا‬
.. ‫ش ا ا شطؤ‬
‫االاضب باش ال ا هامشا ش ا ا خ دها ا‬ ‫ لص نياش ئاش ا اذكزد ا‬lacerations ‫ د‬readmission ‫طب ا‬
..‫ر ب‬ ‫شت‬

11.Facility has admission from different sources

20.000 home
10.000 physician referral
786 skilled nursing facility
50 others
What is the best tool to demonstrate the proportion of admission for
each source?
A. Histogram
B. Pareto.
 C. Control.
D. Run

ً
‫طب اا‬Pareto ‫رعيا كت رام تص ام ا‬
histogram ‫ ت اللع ا خ ل ام ا م ك امختجف ا ب ىا ضتب اتم م ا‬categorical ‫عا ش ت ا ك‬
‫ا‬ ‫ا ش زضا‬ ‫ ك ا ا هللا االافظ ا ابظاتظ ا مك‬pie ‫ طب اكجك ا رفي ا ا‬proportion ‫ش زضا‬
‫ ا مث اح ام ك ا تتامنع ا‬pareto ‫ ق ئم ا ظ ا ادك ا م ا ا‬Pareto ) ‫ د‬bar ‫يا م هاسيا(ا‬
others ‫ دا‬nursing ‫ د‬physician referral ‫ دا‬home ‫ش خ ل اض ها‬

‫ا‬
12. Organizational culture best assessed by :
1-incorporate administration and medical activities
2-Behavioural align with core values
3-integrate all patient care level in the organization strategic plan

ً
‫ااطب اا‬B ‫رعيا كت رام تص ام ا‬

‫اشجم ظفي ا‬ ‫ عدا جطف فا شطج كا ش‬alignment

‫ا‬ ‫اشجمؤضط ا ها ك ا لط اخ را مهللا ام اخجش ات‬ ‫االاضتر ت‬ ‫ عدا ش‬values ‫ملؤضط ام الش ا‬
. ‫ث ف ا ملؤضط‬

13.Which of the following is the major responsibility of senior

management regarding continuous quality improvement?
A. Communicate the organizational mission and values.
B. Develop organization-wide training sessions.
C. Participate in Quality Council activities.
D. Conduct periodic reviews of the program.

14.Leader need to improve customer satisfaction survey with guide

the staff to do that without using authority or leadership
empowerment:
A- Put the customer survey in the performance review
B-Training and education
 Answer A

15. An effective performance measure program was sustained for 1

year. What the CPHQ should do next?
A. explore team composition
B. spread the program
C. implement policy and procedure.
D. design a new performance program.
 B

16.Which of the following is the first step in preparing for an initial

accreditation survey of an organization?
1. Staff readiness to change
2. Leadership commitment
3.Standard compliance with organization
4. Hire a consultant and conduct a mock survey

17.To Facilitate Change. The Quality Officer Should:

A. Take Approval From Senior Manager for Accuracy Data.
B. Present The action Plan to Senior Management.
C. Make Cost Analysis before Present the Plan to Senior
Manager.
D. Involve the Team Members to Make PDCA Cycle before Senior
Manager Approval.
 ‫ا‬
‫‪Q-‬‏‬ ‫‪In order to facilitate change based on data collected by a team :‬‬
‫‪A-The team done PDCA cycle on collected data‬‏‬
‫‪B- Cost-benefit done began presented the data to the senior‬‏‬
‫‪manager‬‬
‫‪C-Data is verified for accuracy by the Senior manager‬‏‬
‫‪D-Action plan presented to the senior manager‬‏‬

‫رعيا كت رام تص ام ا‪ 3‬ا‬

‫ش اللظت ا ط ام م ا اخ ر ا شطؤ األارب اه اإ افيع األارب ام ح ا شنناا‬
‫‪Senior Manager‬‬
‫ا ب ىافهللازوا شطؤ اه ‪:‬ا ا‬
‫ك فا ؤثزاعخص يا ل وا اإلا روا ش ج اشت ب افهللازوا شتغ يراد ها فظافهللازوا‬
‫ً‬
‫ضؤ ا مل كا شس يراده اإ افهللازواإلاقك عا مل اد ش ئ ا مل ياه األاكثرات ثير ا ا شنا‬
‫ا مل زا ش ننا‬ ‫‪Senior Manager‬ا ا س اك ها شصحالطبارعياه ا ‪C‬ااإ كاص زضا‬
‫‪Cost Analysis‬ااد ملهللاطبا ملت ق اقب اك اش يه ا‬

‫‪C‬‬
18.An emergency department’s quality improvement report for the
first quarter of the year showed the following: The role of Health
care quality professional? (( Goal of 1% of errors in Care
Services)).
A- Identify the causes of data review
B. Review the admission
C. Redesign the process of discharge.
D. Continue to monitor the treatment

A .. ‫رأي دكتور معتصم مع‬

.. ‫طب ا فظا ش ت ا يا ك ا اضؤ امس رابظا لخ ر امختجف‬
‫ا ط فا ا زام رصا ذ امطتح ا ضهللاتا‬5‫دا م ا ا ملس ك ا ملت ج ا ش ججاق اتظ فتا د ال د ا‬
‫ شك م ا ش ت ا ملت ج ا ش ججا‬review ‫ ب ىالس ا تاك خص ياح هاص م‬monitoring .. ‫د ضتمزا ا‬
‫را شهللابيرا اقص ا ش جج‬ ‫اش ذ ا شت‬ ‫ الاضب با شتيا‬identify ‫دص زف‬

leapfrog ‫أسئلة‬

19.The Leapfrog is supporting value-based purchasing, and rewarding

excellent healthcare providers based on the following critical
ingredients, except:
a. Reliable use of proven methods to assure patient safety
b. Improved clinical information systems
c. Routine use of modern QI methods in managing and Delivering
care
d. Routine and active participation of staff in healthcare decision
making
20.When The Organization Motivates The Finance System of
Healthcare Organization or Using Financial Motivation It Uses:
A. JCI Standards.
B. Leapfrog.
C. Baldrige Award ‫رأي دكتور معتصم‬B

‫ا ا ز مجا ش ف ا‬Motivation ‫ها ز مجاتحفي ام ياكك عام ا ش ننا‬

Leapfrog Group.‫اتبنت ا ش ننا‬Pay for Performance ‫األا ها‬ ‫م‬
21.The quality council decided to implement 3 initiatives in surgical
departments. The 3 initiatives are ( Compliance with hand
hygiene, Compliance with surgical checklist , Compliance with
guidelines) and they will reward the staff who achieves target of
(level 1) with 100$, and reward the staff who achieves target of
(level 2) with 200$.
According to the following table, whom of the following staff will
NOT take any incentives.
1- Staff 1
2- Staff 2
3- Staff 3
4- Staff 4

‫ ا‬New Questions for Today

1. Patient with mental disease not compliance with appointment

1- handouts in discharge documents
2- planner for discharge call patient 2 days before appointments
3- communicate with the patient to remind
4- Communicate with patient family to remind them about the
appointment.
2. Department manger wants to improve customer service, in order
to gain the support of the employee what should the manager do
FIRST:
A-Demonstrate need for change
B-Seek authorization from GB
C-empower employee
D-include customer service in performance review

‫اا‬A ‫رعيا كت رام تص ام ا‬

‫ت افهللازواضؤ ا شب ضتاد شطؤ ا ش ا ا شص رواد ل هادلتىا لخ ر ات ز ب ا فط ا ا شفهللازها ا‬

‫ لطبارعي‬Kotter model ‫ك ف اح ا مل ظفي ااط د ا شتغ يرا ح ا شتحطي ادطب ا شهللاج ا‬
 3. leader assigned few meetings and facilitating the staff for more
autonomy for daily operation and scheduling :
A- Participative
b. Transactional
c. Transformational
d. Motivated

C .. ‫رأي دكتور معتصم مع‬

daily operations ‫ اق ئ ا شتح اد شذيال ت خ اكثير ا ا‬transformational leadership ‫لك اقجك ا ا‬
‫ دم ك ا لحز اف م ا ختصا تخ ذا ش ز ر ا‬autonomy ‫وا مل ىادي طىا مل طفي ا‬ ‫اب‬ ‫ايعت ا لضتر ت‬
‫ د هات ز ب ا شظبطا ملذك را ارعصا شطؤ ا لط ف ا د ا امشا م ا‬daily operations .. ‫ش م ا ا‬
A ‫ د ياتخج ك ا طتب االاح‬few meetings ‫اكتيراسيام ق ا ا شطؤ‬ ‫حتم‬

4. To assist physician to improve their performance with pay for

performance program, first begin with:
A- obtain a copy of the physician measures.
B- Suggest educational program for the physician
C- Searching for benchmark data for physician practice.

‫اا‬A ‫رعيا كت رام تص ام ا‬

‫ ا نيا ك ف ا‬pay for performance ‫االا ه‬ ‫اك فاتحط ا هاالاطب ها ا شبر مجا مل زدفا ش ف ام‬ ‫شطؤ ا‬
.. ‫ا هه‬ ‫الطب‬ ‫شطبيب‬
‫ا شثجث ا ملذك رهاتص حابظا ا شا د اد ل هافيع ا ادمب ع ا ا شهللا ش تيا م ا ا د ا‬ ‫ط بارعيا ا لخط‬
‫ ف ا‬benchmarking ‫ ا نياقب ام ات تر ا ز مجات ر بياشجطب ها داتزد اتبحثا ا‬define the problem ‫خط و‬
‫ ا نيا‬physician profiles ‫اج رو ام اق ض ا ه االاطب ه ا لح ش اطب ام ا‬ ‫الاد ا ا ملسكج ا ا ب ى ا‬
‫ د‬antibiotics use ‫ د‬blood use ‫ د‬morbidity ‫ا كج ا اد‬ ‫ ك‬mortality rate ‫ف امثجا‬
‫افيع ا م ا اك د اخط ها س اص زفا‬ ‫ يا ادط‬measures ‫ فاك ا‬medical records completion
.. ‫تا شاتص حا‬
5. primary activity of risk management is:
A-use occurrence to facilitate QI
B-Take corrective actions to minimize the risk
C-FEMA??????

6. Risk manager ask quality professional to help in improve

compliance with a corrective action plan what quality professional
should do :
A. Provide analysis of patient safety committee.
B. Determine area of non-compliance by root cause analysis.

AHRQ : assessment tool The HCAHPS (Hospital Consumer

Assessment of Healthcare Providers) is a survey instrument and
data collection methodology for measuring patients perceptions
of their hospital experience.
This Survey is administrated between 48 hours to 42 days After
Discharge.

New Question Comes Today

Q1- What is the first requirement for promoting team work?

1- Leadership support
2- Facilitator selection
3- Subject matter expertise
4- Defined objectives

A ..‫رأي دكتور معتصم مع‬

‫ د ام ذ ا اسيام ا‬team work ‫طب ا ك اج غ ا شطؤ اعدضحاد حم ام ا كا ا ك امشا يط اتبنيا‬
‫ام ه ا دد ا ملتطجب اشتبنيا‬ ‫اككتاف ا ا شطؤ ا هاسم ادسيام دضحتا ا شسز ا ا ك ا شطؤ ا‬
.. ‫رد ا ش م ا ل م ع ا ادطب ام ا كا ا ش واه اعض صاتبنيارد ا ش م ا ل م ع‬
‫شطؤ اسم اك اف ايراح‬
Q2. Surgeon has 6.7 % SSI in a specific procedure, while his
colleague has 3.3% SSI for the same procedure. the data was
reviewed by peer review committee with the head of department,
what would they recommend ?
1- RCA
2- Focus review to surgeon 1 performance.
3- Temporarily Stop the privilege of the first doctor.

Q3. The objectives of continuous monitoring of an incident is best

described as:
1- Identify area for improvement
2- Provide accurate feedback

Q4. Medical errors are True by:

1. Preventing by review EBP( Evidence Based Practice)
2. Avoid by Education.
3. Associate with System Failure.
4. Gap Analysis between Patient Expectation & Practice

Q5. The Success of an effective Performance Improvement is

Primary based on:
1. Senior Leadership Commitment
2. Focus Group Involvement

New Question Comes Today

Q1. A new pediatric psychiatric unit will open In 1 year, Utilization

coordinator asked to develop the utilization programs for the facility,
what should he do first :
A) Develop the program and present it to appropriate staff member
B) Involve the staff team in the development of the program
C) Take approval from chief of psychiatric department for each step in
the program.

Q2. The PI team informed CPHQ that there is lack of Staff

knowledge about hand washing, what should the CPHQ recommend:
A) Develop an education plan.
B) Consultant service
C) Read the Policy and procedures.
D) Change the communication channel.

Q3. what is the best visualized tool used to display incident of fall
monthly in the past year :
A) pareto
B) flow chart
C) Bar chart
D) Run chart

Q5. A multidisciplinary team decided to change the admission

process in Emergency department, during the designing of the new
process the quality professional should suggest:
A) Evaluate the occurrence events for 1 year and pareto chart.
B) Completing FMEA in new Process
C) Conduct RCA to predict the trend in the new process.
D) Examining the process stability and variance with control chart

‫هذا وهللا الموفق‬