Detailed Explanation:
To meet the goal, each center must reduce infection rates by at least 20% from their baseline:
Center D:
Baseline = 4.7%, Outcome = 3.7%
Reduction =
(
4.7
#
3.7
)
/
4.7
=
21.3
%
(4.7#3.7)/4.7=21.3%, meeting the 20% reduction target.
Other Centers:
Centers A and B did not show a 20% reduction; Center C reduced from 5.2% to 4.3%, which is only around
17.3%.
References:
CPHQ literature on collaborative quality goals emphasizes calculating percentage reduction to confirm if targets are met.

Continuous survey readiness requires ongoing processes to maintain compliance with accreditation standards, ensuring the organization is always prepared.
Option A (Routine internal evaluations): This is the correct answer. The NAHQ CPHQ study guide states,
"Routine internal evaluations, such as regular audits and tracers, ensure continuous readiness by identifying and addressing compliance gaps proactively" (Domain 4). This fosters a culture of preparedness.
Option B (Gap analysis of any new standards): Gap analysis is useful for specific updates but is not a continuous process for overall readiness.
Option C (Annual mock survey): Annual mock surveys are helpful but not continuous, as they occur infrequently.
Option D (Just-in-time assessments): Just-in-time assessments are reactive, conducted close to surveys, not ensuring ongoing readiness.
CPHQ Objective Reference: Domain 4: Performance and Process Improvement, Objective 4.7, "Maintain continuous accreditation readiness," emphasizes routine evaluations. The NAHQ study guide notes, "Ongoing internal evaluations ensure sustained compliance with standards" (Domain 4).
Rationale: Routine evaluations maintain continuous readiness by embedding compliance into daily operations, as per CPHQ's accreditation principles.
Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, Objective 4.7.