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The collection, analysis, and Interpretation of data for planning, Implementing, and evaluating health programs is
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 home healthcare organization is looking to identify third-party endorsed outcome measures for the following areas:
improvement in medication management
improvement in ambulation
improvement in pain
Which organization can best provide this information?
The National Quality Forum (NQF) is the best organization to provide third-party endorsed outcome measures for areas such as improvement in medication management, ambulation, and pain. NQF is a nonprofit organization that reviews, endorses, and recommends standardized performance measures for use in healthcare quality improvement. These measures are widely recognized and used by healthcare organizations to ensure high-quality care and improve patient outcomes.
Leapfrog Group (A): Primarily focuses on hospital safety and quality reporting, but not specifically on outcome measures like those listed.
The Joint Commission (TJC) (B): Accredits and certifies healthcare organizations, focusing on overall quality standards rather than specific outcome measures.
URAC (C): Provides accreditation for various types of healthcare organizations but does not focus on endorsing specific outcome measures.
Reference
NAHQ Body of Knowledge: Quality Measurement and NQF-Endorsed Measures
NAHQ CPHQ Exam Preparation Materials: Identifying and Using Outcome Measures
The upper and lower limits of a control chart are
The upper and lower limits of a control chart are calculated from actual process measurements. These limits, often set at 3 standard deviations from the process mean, represent the expected range of variation in the process due to common causes. Data points outside these limits may indicate the presence of special cause variation, signaling that the process is not in control and requires investigation.
Calculated by projecting future requirements (B): Control limits are based on current process performance, not future projections.
Derived from special cause variation (C): Control limits are established to identify special cause variation, not derived from it.
Derived from external regulatory standards (D): While external standards may influence quality goals, control limits are based on internal process data.
Reference
NAHQ Body of Knowledge: Process Control and Control Charts
NAHQ CPHQ Exam Preparation Materials: Understanding Control Limits and Process Variation
