Download CHL Exam Review | Comprehensive Questions and Answers Latest Updated 2025/2026 With 100% V and more Exams Community Health in PDF only on Docsity!
CHL Exam Review | Comprehensive Questions and Answers Latest Updated 2025 / 2026 With 100% Verified Solutions Change Management - The process of applying knowledge, tools and resources to deal with change. Including defining and implementing strategies, systems, procedures, communication, and technologies to navigate changes in external or internal conditions. Cross-functional teams - A group of employees from different departments in an organization that work together to resolve problems. Electronic Data Interchange (EDI) - The automated exchange of data and documents in a standardized format. A common use is the exchange of routine business transactions between computers in a standard format using standard communication protocols. E.g. An electronic order placed by a facility's purchasing department to a vendor. Quality Circle - A skilled team of employees that meets regularly to identify quality issues, use specific techniques for analyzing and resolving problems, and make improvement recommendations. Quality Control (QC) - A statistical sampling method that measures production quality Quality Improvement (QI) - The process of measuring the current output of a process and then modifying it to enhance outcomes, increase productivity and/or decrease costs. Situational Leadership - A management style that recognized there's no one best way to lead and that different situations and people require alternative leadership approaches. Six Sigma - A quality process that focuses on developing and delivering near-perfect products and services. Total Quality Management (TQM) - A set of management practices throughout an organization that focuses on ensuring that customers expectations are consistently met or exceeded. Ancillary Services - Supplemental healthcare services including laboratory, radiology and physical therapy services provided during a patient's hospital stay.
C-Suite - A term referring to those occupying the highest healthcare administrative positions. It is derived from the observation that the the word "chief" is frequently used in the position title. Ex Chief Financial Officer. Case Mix - The different types of patients served by a healthcare provider/hospital. Emergency Medical Treatment and Labor Act (EMTALA) - A federal act that requires hospitals to provide emergency treatment to all individuals regardless of their insurance status or ability to pay Hospital Alliance - A group of hospitals that shares services and information and develops group- purchasing programs to reduce costs. Arbitration (compulsory) - An action in which an arbitrator is appointed by the government to make a binding decision upon the parties negotiating the contract. Arbitration (voluntary) - An action in which both parties (organization and union personnel) submit a dispute to an external, disinterested third party for binding or non-binding resolution after the presentation of evidence and related discussion. Attrition - A loss of employees from voluntary and involuntary terminations, death and retirements. Behavioral-based interview - The process of asking open-ended questions during applicant selection, performance appraisal and other interviews to generate informations that suggests interviewee reaction to specific situations. This process is used because past performance is often an indicator of future performance. Bidding (HR) - The internal posting of position vacancies to enable current employees to apply before the employer seeks qualified candidates through external recruitment. Caucus - A term relating to the suspension of negotiations so both sides can reconsider their positions.
RFP (Request for Proposal) - A document that is sent out to potential vendors requesting them to provide a proposal on a product or service. ROI - return on investment, a ratio of profit from a specific investment compared with its cost. variable costs - costs that change in relation to the value of processing output in the Central Service department. Ex. waged labor and supplies. ABC's of leadership - A-Attitude, B-Behvior, C-Communication and Competence. Triggering Event - A situation that helps to promote the development of an attitude about a person, situation or object. Leadership Styles - Autocratic, Bureaucratic, democratic, laissez faire, transformational Define autocratic leadership - Prefers to make decisions and resolve problems without input from affected staff members. They want to give instructions and expect them to be followed. Develop system of rewards and punishment to discipline. Define bureaucratic leadership - Place emphasis on the enforcement of policies, procedures and rules. define democratic leadership - These leaders want to involve staff members in the decision-making process. They keep employees involved about all matters that affect their work, and they share decision making and problem solving responsibilities through empowerment. Provides opportunities for employees to develop a high sense of job satisfaction. Define laissez-faire leadership - Use a hands off approach and do as little directing as possible. Most authority is delegated to staff members. Employees are given as much freedom as possible. Define transformational leadership - These leaders interact interact in a way that permits both leaders and their associates to raise one another to a higher level of motivation.
ORYX - An initiative of TJC that intergrates outcomes and performance measurement data into the accreditation process. Hospital quality measures - Standardized common measures that are integral to improving quality of care to hospital patients and bringing value to the stakeholders. Tracer Methodology - The cornerstone of TJC survey in which it uses actual clients, patients or residents as the framework for assessing standards compliance. Sentinel event policy - Designed to identify and prevent the occurrence of events that lead to unexpected deaths or events leading to or potentially leading to serious physical injuries. When an event occurs a root cause analysis and identification of improvements to risks must be undertaken. Root Cause Analysis - A process for identifying the basic or casual factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event. NPSG - National Patient Safety Goals - an initiative established to help accredited organizations address specific areas of concern regarding pt injury. What are the 3 federal agencies that impact Central Services - OSHA, FDA, EPA ADA - American with disabilities act. Designed to prevent discrimination and to remove barriers that prevent qualified individuals with disabilities from employment opportunities. FMLA - The Family and Medical Leave Act (FMLA). Allows employees who have met minimum reqmts (12 months continuous employment/1250 hrs of service) to take up to 12 weeks of unpaid leave. FLSA - Fair labor standards act. Adopted in 1938 to establish minimum federal wage and hour standards for minimum wage, overtime pay and child labor. ADEA - Age Discrimination in Employment Act. Protects workers aged 40 and over by prohibiting discrimination against them in any employment or employee related decision.
Arbitration - A "mini trial" that is used by parties to resolve a dispute held in an effort to avoid a court trial. Random Sampling - A survey tactic in which each instrument set or case cart being analyzed for quality has an equal chance of being selected for analysis. Three types of errors - Inadvertent, intentional and incompetence Process improvement technique - 1. State the problem
- Collect /analyze data
- Determine the cause
- Generate solutions
- Plan the process change
- Pilot test the change
- Evaluate results
- Implement the change. PDCA - Plan, Do, Check, Act. A four step cycle for implementing change that encourages continuous improvement. Define each section of the Plan - do-check - act - Plan =determine what is not going as expected. Do=minimize the impact on the CS dept. Check =assess the outcomes Act=implement changes completely if the checking phase reveals no problems. FMEA - Failure Mode and Effects Analysis
Failure modes - Any errors that can potentially occur during a given process Effect analysis - Studies the consequences of identified failures. cross-functional team - a team composed of employees from different functional areas of the organization that work together to resolve problems. RCA - Root Cause Analysis - seeks to identify the root or fundamental cause of an event. Looks backwards at an event to help prevent its future occurrence. Viable bacteria used in steam BI packets - Geobacillus stearothermophilus Benchmarking Process - Identify and analyze best practices to discover areas of and process for performance improvement. sentinel event - an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof defect - "close call". A variance from expected standards. Chain of infection - Causative (infectious agent), reservoir, portal of exit, mode of transmission, portal of entry, susceptible host. Each link in the chain must be present and in the correct order for an infection to occur. Four primary modes of infection transmission - Contact, airborne droplets, common vehicle (food, water meds, hands) , vector (fleas, mosquitoes, lice, etc) Spaulding Classification - Critical (exposed to sterile areas of the body; must be sterile); Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected);
