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An organization has asked a CPHQ to help it prepare for a survey by an accrediting body. The quality manager should first

March 16, 2015

  1. assign a team for the survey.
  2. arrange a mock survey.
  3. educate staff about the types of questions that may be asked.
  4. review the adherence of the organization to the quality standards of accreditation.

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CPHQ Tutor March 16, 2015 at 1:15 pm

This question was modified (from the original version that was submitted) to improve its clarity. We believe the best answer is D (“review the adherence of the organization to the quality standards of accreditation.”). In such a situation, provided it has not been done yet, a gap analysis is most appropriate as the FIRST step in preparing for an accreditation survey (presumably the first the organization will undergo by this accreditor).

“Assigning” a team for survey preparation is not the responsibility of the quality manager/CPHQ.

A mock survey may help but it won’t be the FIRST thing to do.

Likewise, educating staff about questions that they may be asked would probably be helpful but shouldn’t be the FIRST step in survey preparation.

Overall, we feel this question is weak due to a number of assumptions that need to be made, and, perhaps more importantly, the likely lack of discrimination between strong and weak candidates, i.e. the question will probably be answered correctly by the majority of test takers regardless of level of relevant ability in healthcare quality management.

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