Walter Shewhart contributed the concepts of process control to the emerging quality field, maintaining that the:

QUESTION 1       Walter Shewhart contributed the concepts of process control to the emerging quality field, maintaining that the:

 a.           Discovery and elimination of the causes of variation created by acceptable efficiency and effectiveness

 b.           Discovery and elimination of the causes of variation created by satisfactory efficiency and effectiveness

 c.            Discovery and elimination of the causes of variation created unsatisfactory efficiency and effectiveness

 d.           Discovery and elimination of the causes of variation created greater efficiency and effectiveness

QUESTION 2.      The four quadrants of performance management are:

 a.           Performance planning, performance oversight, reporting of progress, quality improvement process

 b.           Performance processes, performance structure, reporting of outcomes, quality improvement process

 c.            Performance standards, performance measures, reporting of progress, quality improvement process

 d.           None of these is correct.

QUESTION 3.      Chronic underfunding of the public health system in the United States explains some of the underperformance of public health agencies over the past 20 years.

  True

  False

QUESTION 4.      During the 20th century, the nation’s public health system made remarkable achievements, increasing life expectancy at birth by 62%, from 47.2 years in 1900 to 76.8 years in 2000.

  True

  False

QUESTION 5       Health care quality standards and performance requirements have advanced through laws, regulations, and presidential commissions.

  True

  False

QUESTION 6       Performance management integrates an organization’s use of:

 a.           Standards, measurement, and performance improvement to change institutional capacities, processes, and priorities

 b.           Standards, measurement, and performance improvement to protect institutional funds, processes, and people

c.             Standards, measurement, and performance maintenance to change institutional capacities, processes, and priorities

QUESTION 7       Performance measures are best described as:

 a.           Performance reports used in an action-oriented change management process to revise program strategy and tactics

 b.           Studies of performance trends, comparing actual to desired levels, and the distribution of these results to program managers

 c.            Quantitative assessments of actual performance, particularly as it relates to relevant performance standards

QUESTION 8.      Public health leaders and managers face issues related to performance at many different levels of the public health system, including the performance of individuals, programs, agencies, inter-organizational collaborations, and the public health enterprise itself.

  True

  False

QUESTION 9.      The purpose of accreditation is to:

 a.           Ensure short-term prestige for dedicated public health organizations

 b.           Strengthen organizational performance and promote quality improvement

 c.            Replace lack of cost in time, dollars, and political energy for pride

 d.           Set performance standards—various direction-setting practices, including goal-setting, development of desired performance targets, benchmarking of levels of excellence in the field, a generally accepted expectation of what should be achieved

QUESTION 10.   In 2011, Ernest Codman, a Harvard medical surgeon, took up the mantle of improving hospital care with the use of metrics to evaluate the source of any medical problem by collecting demographic, diagnostic, treatment, and outcome data on hospitalized patients, even observing patients for up to 1 year post discharge.

  True

  False

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