Sustaining performance improvement initiatives requires mechanisms to ensure changes are maintained over time.
Option A (Conducting annual staff surveys): Surveys assess perceptions but do not directly sustain improvements.
Option B (Establishing ongoing monitoring systems): This is the correct answer. The NAHQ CPHQ study guide states, "Ongoing monitoring systems, such as dashboards or control charts, are key to sustaining performance improvements by tracking metrics and detecting deviations" (Domain 4).
Option C (Limiting team meetings to quarterly): Infrequent meetings may hinder sustained engagement.
Option D (Assigning new project leaders periodically): Changing leaders disrupts continuity, not sustaining improvements.
CPHQ Objective Reference: Domain 4: Performance and Process Improvement, Objective 4.5, "Sustain improvement initiatives," emphasizes monitoring systems. The NAHQ study guide notes, "Monitoring ensures improvements are maintained" (Domain 4).
Rationale: Ongoing monitoring sustains improvements, aligning with CPHQ's improvement principles.
Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, Objective 4.5.
Note: This is a placeholder due to the missing question 139. Please provide the actual question if available for a precise response.

The assessment reveals that while team member satisfaction and growth scores are high (96% and 95% respectively), team productivity is slightly lower at 90%. Since the desired patient outcome has not been achieved, it is important to identify and address any barriers that may be hindering the team's productivity. By evaluating these barriers, the team can better understand the factors impacting their ability to meet their goals, such as workflow inefficiencies, resource limitations, or external factors affecting performance.
The other options are less relevant in this context:
* Developing interventions to maintain team member satisfaction (B) is unnecessary at this point, as satisfaction is already high.
* Continuing to monitor as the team is performing within acceptable limits (C) does not address the fact that the desired outcomes have not been achieved.
* Creating a reward system based on team member growth (D) is unrelated to the immediate issue of productivity and patient outcomes.
References:
* National Association for Healthcare Quality (NAHQ) - Certified Professional in Healthcare Quality (CPHQ) Study Materials.
* Team Effectiveness and Productivity Barriers, NAHQ Documentation.
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A criterion is considered valid if it measures what it is intended to measure. Validity refers to the accuracy of a measure, meaning the criterion accurately reflects the concept or outcome it is supposed to assess.
For example, if a criterion is designed to measure patient satisfaction, it should accurately capture patients' perceptions of their care.
Consistently yields the same results (A): This describes reliability, not validity.
Does not change with changes in technology (B): This is not related to validity.
Is applicable to many groups and settings (C): This refers to generalizability, not validity.
Reference
NAHQ Body of Knowledge: Measurement Principles in Quality Improvement
NAHQ CPHQ Exam Preparation Materials: Validity and Reliability in Quality Measures

Detailed Explanation:
Collaborating with patients and their families to identify ongoing care needs ensures a smooth transition by addressing specific requirements for care continuity, such as medication management, follow-up appointments, and home support.
Option A: Collaborate with patients and their families to identify ongoing care needs This option directly involves patients and their families in planning, which is essential for identifying and meeting post-discharge needs.
Options B, C, and D:
Discharge prioritization (B) and multidisciplinary rounds (C) improve internal processes but are less focused on preparing patients and families for home care.
Monitoring education compliance (D) is useful but does not replace direct collaboration.
References:
Effective transitions of care literature in CPHQ resources emphasize family collaboration to ensure continuity and prevent readmissions.

A continuous survey readiness program is a systematic approach to ensure that an organization is always prepared for an accreditation survey. It involves a commitment from leadership to improvement and compliance12. This commitment is crucial as it sets the tone for the entire organization and ensures that all staff members understand the importance of maintaining compliance with accreditation standards. The leadership's commitment to improvement and compliance is reflected in their support for continuous training, the establishment of an effective quality assurance and performance improvement (QA/QAPI) program, and the implementation of effective customer service and grievance programs3.