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  4. NAHQ.CPHQ.v2025-03-07.q337 Dumps
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Question 86

An ambulatory care practice has reviewed data to identify patients with multiple visits to the emergency room within the last six months.
The population health management technique for this type of data review is called

Correct Answer: B
Hot-spotting (Answer B) is a population health management technique used to identify patients or geographic areas that generate a disproportionately high number of emergency room visits or healthcare costs. By focusing on these "hot spots," healthcare providers can develop targeted interventions to address the underlying issues that lead to frequent ER visits, such as chronic disease management, social support needs, or access to primary care. The aim is to improve patient outcomes and reduce healthcare utilization in these high-need areas.
The other options refer to different public health or surveillance methods:
Public health surveillance (A) is the continuous, systematic collection and analysis of health data for the planning, implementation, and evaluation of public health practice.
Syndromic surveillance (C) involves the real-time collection of data on symptoms or syndromes to detect potential outbreaks of disease before diagnoses are confirmed.
Cold-spotting (D) typically refers to identifying areas or populations with low healthcare utilization or unmet needs, which is the opposite focus of hot-spotting.
Reference: National Association for Healthcare Quality (NAHQ) - Certified Professional in Healthcare Quality (CPHQ) Study Materials.
Population Health Management Techniques, NAHQ Documentation.
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Question 87

To identify outpatient data sources, the team should consider the following questions EXCEPT (Choose two):

Correct Answer: A,C
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Question 88

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?

Correct Answer: C
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Question 89

A performance improvement specialist at an ambulatory surgery center is facilitating a Plan-Do-Study-Act Cycle (PDSA) process to improve the rate of hand hygiene amongst surgical post-recovery staff to 90% or above. Data from the past 12 months are as follows:
Baseline: 60% compliance
Q1: 87% compliance
Q2: 79% compliance
Q3: 91% compliance
Q4: 72% compliance
The specialist is preparing to discuss aggregate results with the Quality Committee. To most accurately convey the results, the specialist highlights the

Correct Answer: B
When discussing the aggregate results of the PDSA cycle to improve hand hygiene compliance, it is crucial to highlight the contributing factors to the variation in results over the past 12 months. The data shows fluctuations in compliance rates, with a peak in Q3 and declines in Q2 and Q4. Analyzing and understanding the reasons behind these variations is essential for identifying what worked well and what challenges arose.
This approach allows the Quality Committee to develop strategies to address the inconsistencies and sustain improvements.
* Lack of overall change (A): This statement is inaccurate as there were periods of significant improvement, especially in Q1 and Q3.
* Sharp and consistent decline (C): This is misleading, as the data does not show a consistent decline; rather, it shows fluctuations.
* Overall improvement (D): While there was some improvement, the focus should be on understanding the causes of the variability rather than just the overall trend.
References
* NAHQ Body of Knowledge: Performance and Process Improvement
* NAHQ CPHQ Exam Preparation Materials: PDSA Cycle and Data Analysis
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Question 90

An ambulatory pulmonary division is in the final phase of a DMAIC project. The division head asked the team to present the performance of the project.
Which chart demonstrates that change has occurred over time and the process has limited variation?

Correct Answer: A
The DMAIC (Define, Measure, Analyze, Improve, Control) process is a data-driven quality strategy used to improve processes12. In the context of a DMAIC project, when you want to demonstrate that change has occurred over time and the process has limited variation, a control chart is the most appropriate tool.
A control chart is a graph used to study how a process changes over time. It is particularly useful in the Control phase of the DMAIC process. The chart is used to monitor the process and ensure it remains stable. Data points are plotted in time order in a control chart and a centerline is calculated. The centerline is the average value of the metric you are charting. A control chart always has a central line for the average, an upper line for the upper control limit, and a lower line for the lower control limit. These lines are determined from historical data. By comparing current data to these lines, you can draw conclusions about whether the process variation is consistent (in control) or is unpredictable (out of control, affected by special causes of variation).
Reference: https://asq.org/quality-resources/dmaic
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