NAHQ Updated CPHQ Exam Questions and Answers by inaaya

Explanation: Cold-spotting identifies populations lacking access to healthcare or communitysupport (B), enabling targeted interventions. High-risk behaviors (A), funded programs (C), and frequent utilizers (D) are not cold-spot focus. NAHQ emphasizes cold-spotting for access disparities.

Assigning the team leader to document overall project progress is a strategy that promotes timely completion of a quality improvement project. The team leader is responsible for overseeing the project, tracking progress, and ensuring that milestones are met. By documenting progress, the team leader can identify potential delays or issues early, coordinate efforts to address them, and keep the project on schedule.

Allowing the project sponsor to direct the project team's work (A): The sponsor provides support and resources but should not be involved in day-to-day project management.

Requiring team members to devote a majority of their time to project work (C): While important, this may not be feasible and does not ensure timely completion if not managed properly.

Focusing routine senior leader updates on project successes (D): While recognizing successes is important, it should not be the sole focus, as it might overlook areas needing attention.

References

NAHQ Body of Knowledge: Project Management and Leadership in Quality Improvement

NAHQ CPHQ Exam Preparation Materials: Strategies forTimely Project Completion

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 A prioritization matrix is a tool used in decision-making to compare and rank options based on specific criteria. It helps in identifying the most important or highest priority items from a list of options12. In the context of healthcare quality, when a professional needs to select a new project from a list of requests, and the organization has determined that new projects should focus on patient safety and cost-reduction, a prioritization matrix would be the most suitable tool. It would allow the professional to rank the projects based on these two criteria (patient safety and cost-reduction) and select the one that best meets these criteria12.

The table shows the compliance data by three different abstractors across four clinics. There is a noticeable variation in the data collected by different abstractors for the same clinic.

According to NAHQ’s resources, ensuring data accuracy and reliability is crucial in healthcare quality. One of the ways to achieve this is through an interrater reliability process, which assesses the degree of agreement among raters or evaluators.

Implementing an interrater reliability process will help in evaluating if the variations are due to errors or actual differences in compliance levels. It ensures that the data collected is consistent and reliable across all abstractors.

Educating Abstractor 1 and 3 or developing a corrective action plan for Clinic B might be necessary steps later on, but without first establishing the reliability of the data through an interrater reliability process, it would be premature to take these steps.

Studying best practices in Clinic D could be beneficial but does not directly address the issue of data accuracy and consistency among different abstractors.