1. Which of the following is a good definition of healthcare quality?
a. The balance of health and harm
b. The degree to which health services for individuals and
populations increase the likelihood of desired health outcomes
and are consistent with current professional knowledge
c. Whether or not treatment was successful
d. Quality
cannot be defined.
*e. Both a and b
2. What are the Institute of Medicine’s six dimensions of quality?
a. Safe, affordable, accessible, accountable, equitable,
efficient
*b. Safe, effective, efficient, timely, patient centered,
equitable
c. Efficient, effective, affordable, timely, equitable, evidence
based
d. Safe, timely, patient centered, affordable, accessible,
evidence based
3. What are the four levels of the healthcare system?
a. Clinics, hospitals, nursing homes, hospice
*b. Patient, microsystem, organizational level, external
environment
c. Patient, nurse, physician, administrator
d. Microsystem, macrosystem, external environment, policy
environment
4. Which of the following reports helped launch the healthcare quality
movement in the United States?
a. Institute of Medicine’s To Err Is Human
b. Institute of Medicine’s Crossing the Quality Chasm
c. Institute of Medicine’s Healthcare Quality in the U.S. Ranks
Top in the World
d. All of the above
*e. Both a and b
5. Which of the following definitions does not match the corresponding
Institute of Medicine dimension of quality?
a. Safe—Care should be as safe for patients in healthcare
facilities as in their homes.
b. Efficient—Care and service should be cost-effective, and waste
should be removed from the system.
*c. Effective—Physicians have discretion to deliver the care they
deem to be effective, based on their experience.
d. Timely—Patients should experience no waits or delays when
receiving care and service.
6. Technical performance encompasses which of the following?
a. How well current scientific medical knowledge and technology
are applied in a given situation
b. Timeliness and accuracy of the diagnosis
c. Appropriateness of therapy
d. Skill with which procedures are performed
*e. All of the above
7. Access to care may be influenced by the ________________.
a. cost of care
b. provider location
c. provider availability
d. cultural characteristics of the patient or provider
*e. All of the above
8. Which dimension of quality does the following sentence best
describe?
“Good medical care implies the application of all the necessary
services of modern, scientific medicine to the needs of all people. . .
. Medicine does not fulfill its function adequately until the same
perfection is within reach of all individuals.”
*a. Equity
b. Access
c. Fairness
d. Effectiveness
9. The best measures of quality of care are which of the following?
a. Outcome measures
b. Process measures
c. Structure measures
*d. It depends on the circumstances.
e. None of the above
10. All of the major stakeholders in healthcare—clinicians, patients,
administrators, payers, and society—tend to place equal importance on
the varying dimensions of quality.
a. True
*b. False
11. The phrases “quality improvement models” and “quality improvement
tools” refer to the same concepts.
a. True
*b. False
12. Six Sigma is a system for improvement that focuses on which of the
following?
a. Removing waste and improving flow
b. Reducing variation in key business processes
c. se of statistical tools to understand the fluctuation of a
process
d. Both a and c
*e. Both b and c
13. Which of the following is a quality improvement tool?
a. Lean
b. Six Sigma
*c. Process map
d. Toyota Production System
e. All of the above
14. A key aspect of any quality improvement effort is the ability to
replicate successes in other areas of the organization. This concept is
known as “sustainability.”
a. True
*b. False