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IBQH IBQH001 Exam Syllabus


International Board for Quality in Healthcare

Total Questions: 300

What is Included in the IBQH001 Exam?

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IBQH IBQH001 Exam Overview :

Exam Name International Board for Quality in Healthcare
Exam Code IBQH001
Actual Exam Duration 180 minutes
Expected no. of Questions in Actual Exam 150
Official Information http://www.ibqh.org/IBQH_handbook.pdf
See Expected Questions IBQH IBQH001 Expected Questions in Actual Exam
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IBQH IBQH001 Exam Topics :

Section Weight Objectives
1-Leadership:     A. Organizational Structures and Culture:
    Define and describe basic organizational designs and characteristics of an organization that determine its culture. Understand the management hierarchy and its influence in an organization.
    B. Leadership Challenges:
        1. Roles and responsibilities of leaders and managers:
        Describe typical roles, responsibilities, and competencies of people in leadership and management positions and how those attributes influence an organization's direction and purpose.
        2. Change management:
        Use various change management strategies to overcome organizational roadblocks and achieve desired change levels, and review outcomes for effectiveness.  
        3. Motivating, influencing, negotiating, resolving and empowering:
        Apply techniques that support , sustain employee enthusiasm and  to empower individuals and teams and implement strategies that enable parties with different or opposing outlooks to recognize common goals and work together, Identify typical obstacles to empowerment and appropriate strategies for overcoming them.
    C. Teams and Team Processes:
        1. Types of teams:  
        Understand the different types of teams and their purpose.  
        2. Stages of team development and team-building techniques:
        Define and describe the classic stages of team development, Apply basic team-building steps.  
        3. Team roles and responsibilities:  
        Define and describe typical roles related to team support and effectiveness and responsibilities.
        4. Team performance and evaluation:
        Evaluate teams in relation to established goals and objectives and determine when, why, and how to reward teams and celebrate their success.  

2-Strategic Plan Development and Deployment     A. Strategic Planning Models:
    Define, describe, and use basic elements of systematic strategic planning models, including mission, vision, and guiding principles relate to the plan.  
    B. Business Environment Analysis:
        1. SWOT analysis:  
        Analyze an organization's strengths, weaknesses, opportunities, and threats, and develop prioritize actions to take as a result.  
        2. Market forces and Stakeholder analysis:
        Define and describe various forces that drive strategic plans and the needs of various stakeholders to ensure alignment with the organization's strategic objectives.  
        3. Technology:  
        Describe the effects that changes in technology can have on strategy formation.  
        4. Internal capability analysis:  
        Describe the effects an organization's internal capabilities which influence on strategy formation.  
        5. Legal and regulatory factors:  
        Define and describe legal and regulatory factors that can influence strategy formation.  
    C. Strategic Plan Deployment:
        1. Action plans:  
        Identify basic characteristics of tactics for translating strategic objectives into action and determine whether proposed plans meet these criteria.
        2. Resource allocation and deployment:
        Evaluate current resources to ensure they are available and deployed in support of strategic initiatives. Identify and eliminate administrative barriers to new initiatives.
        3. Organizational performance measurement:  
        Design and use performance measures to drive and monitor organizational performance, and evaluate the results in relation to the plan. 
3-Management Elements and Methods:     A. Management Skills and Abilities:
        1. Principles of management:  
        Define and apply basic management principles.  
        2. Management theories, styles, and tools:  
        Define and describe classic studies such and describe how management styles are influenced by organization size, industry sector, competitive position, etc. Identify basic elements ofbehavior tools used by managers.
        3. Interdependence of functional areas:
        Describe the interdependence of an organization's departments or functional areas.
        4. Human resources (HR.) management:
        Use basic HR. management techniques for employee selection and professional development and ensure that quality responsibilities are present in job descriptions throughout the organization.
        5. Financial management:  
        Read, interprets, and use various finance tools and use the language of cost/profitability to communicate with senior management.  
        6. Risk management:  
        Describe and use basic techniques for risk identification, control, and mitigation.  
        7. Knowledge Management:  
        Use knowledge management techniques to identify and collect internal knowledge (core competencies) and best practices, to understand and share lessons learned, and use such knowledge in new situations.  
    B. Communication Skills and Abilities:
        1.Communication basics:  
        Define communication and its role in organizations, Describe nonverbal communication factors and what they convey. Use interpersonal skills and techniques to support effective communication. Deliver different kinds of messages in a variety of situations.  
    C. Project Management:
        1. Understand the basic fundamentals of project management framework and responsibilities of the proper manger in achieving the project success.
        2. Understanding the role and the responsibilities of the stakeholders to achieve the project goals.
        3. Understanding the project management process groups and knowledge areas
        4. Understanding the types of organizational structures regarding the roles and responsibilities of the project manager and project teams.
    D. Quality System:
        1. Quality mission and policy:  
        Develop and monitor the quality mission and policy and ensure alignment with the organization's broader mission.  
        2. Quality planning, deployment, and documentation:
        Develop and deploy the quality plan and ensure that it is documented and accessible throughout the organization.
        3. Quality system effectiveness:  
        Use various tools to evaluate the effectiveness of the quality system.
        4. ISO and other third-party standards:
        Define and describe how ISO Standards can be used to support quality management systems.  
        5. Other quality methodologies:  
        Describe and differentiate programs such as total quality management (TQM), continuous quality improvement (CQI), six sigma, benchmarking.
        6. Quality philosophies:  
        Define and describe the basic methodologies and theories proposed by quality leaders such as Deming, Juran, Crosby, Feigenbaum, Ishikawa, and others.
4-Quality Management Tools:     A. Problem-Solving Tools:
        1. Quality tools and basic management and planning tools:
        Select, interpret and apply these tools in various situations
        2. Process improvement tools:  
        Select, interpret and apply tools such as root cause analysis, PDCA, Six Sigma in various situations.  
        3. Innovation and creativity tools:  
        Use various techniques and exercises for creative decision-making and problem-solving.
        4. Cost of quality (COQ):  
        Define and distinguish between prevention, appraisal, internal, and external failure cost categories and the impact that changes in one category will have on the others.
    B. Process Management:
        1. Process goals:
        Describe how process goals are established, monitored, and measured and what impact they will have on product or service quality.  
        2. Process analysis:  
        Use process mapping, flowcharting, and other visual aids to analyze a process and compare it to written procedures, work instructions, and other documents.  
        3. Lean tools:  
        Identify and apply lean tools and processes.
    C. Theory of constraints (TOC):  
    Define key concepts of TOC and classify various types of constraints  
    D. Measurement, Assessment and Metrics:
        1. Basic statistical use:  
        Use techniques to identify when, what, and how to measure projects and processes. Describe how metrics and data gathering methods affect people and vice-versa.  
        2. Sampling:  
        Define and describe basic sampling techniques and when sampling is appropriate.  
        3. Statistical analysis:
        Apply basic statistical techniques to monitor processes and make data-based decisions.  
        4. Trend and pattern analysis:
        Read and interpret data sets, graphs, charts, etc., and identify various trends such as cyclical, seasonal, environmental, etc., and patterns such as shifts, etc.  
        5. Theory of variation:
        Differentiate between common and special causes of variation.
        6. Process capability:  
        Determine the capability of a process in terms of Cp and Cpk indices.  
        7. Reliability and validity:  
        Use measurement theories of reliability and validity to guide the development of survey instruments and to support inferences about the data gathered by them.
        8. Qualitative assessment:  
        Identify subjective measures and how they differ from objective measures, and determine when measurements should be made in categories rather than in terms of numeric value.
        9. Survey analysis and use:  
        Analyze survey results and ensure that they are interpreted and used correctly.
5-Customer Focused Organizations:     A. Customer Identification and Segmentation:
        1. Internal customers:  
        Define and describe the impact an organization's treatment of internal customers will have on external customers, and develop methods for energizing internal customers to improve products, processes, and services.  
        2. External customers:  
        Define and describe external customers and their impact on products and services, and develop strategies for working with them to improve products, services, and internal processes.
    B. Customer Relationship Management:
        1. Customer needs:  
        Use various tools and techniques to identify and prioritize customer needs and expectations.
        2. Customer satisfaction and loyalty:
        Develop systems to capture customer perceptions and experiences using a variety of feedback mechanisms.
        3. Basic customer service principles:
        Describe and develop strategies for deploying and supporting principles.  
        4. Multiple and diverse customer management:
        Establish and monitor priorities to avoid and resolve conflicting customer requirements and demands.

6- Supply Chain Management:     A. Supplier Selection and Supplier Certification, Partnerships, and Alliances:
        1. Define and develop selection criteria and identify and managetheir impact on various internal processes of the organization.  
        2. Design and implement supplier certification programs and identify strategies for developing customer-supplier partnerships and alliances.
    B. Supplier Communications:  
        Design and implement techniques for communicating with suppliers.
    C. Supplier Performance:
        Define and describe common measures of supplier performance.
    D. Supplier Improvement:  
        Design and conduct supplier audits, evaluate corrective and preventive action plans, provide feedback, and monitor for process improvement.  
    E. Supplier Logistics:
        Describe the impact purchased products and services have on finalproduct assembly or total service package.
7-Training and Development:     A. Training Plans and Needs:
        Develop and implement training plans that are aligned with the organization's strategic plan and general business needs. Use varioustools and techniques to develop and implement training needs analysis
    B. Training Materials/Curriculum Development and Delivery:
        Use various tools, resources, and methodologies to develop training materials and curricula that address adult learning principles and the learning needs of an increasingly diverse workforce.
    C. Training Effectiveness and Evaluation:
        Describe and implement various ways of measuring training effectiveness.
8-Information Management:     A. Design and Data Collection:
        1. Maintain confidentiality of performance improvement and records.
        2. Aggregate/summarize data for analysis and Organize information for committee meetings.
        3. Collect qualitative and quantitative data.
        4. Perform or coordinate data inventory listing activities, data definition activities and data collection methodology.
        5. Implement computerized systems for data collection and analysis.
        6. Evaluation of computer software applications for data collection and analysis.
        7. Use epidemiological theory in data collection and analysis.
    B. Measurement:
        1. Use or coordinate the use of process analysis tools to display data.
        2. Use basic statistical techniques to describe data.
        3. Use the results of statistical techniques to evaluate data.
    C. Analysis:
        1. Use comparative data to measure or analyze performance.
        2. Interpret benchmarking data.
        3. Interpret incident/occurrence reports.
        4. Interpret data to support decision making.
    D. Communication:
        1. Interact with medical staff and support personnel regarding     individual patient management issues.
        2. Promote organizational values and commitment among staff.
        3. Compile and write performance improvement reports.
        4. Integrate quality concepts within the organization.
        5. Coordinate the dissemination of performance improvement information within the organization.
        6. Ensure accuracy in public reporting activities.
        7. Facilitate communication with accrediting and regulatory bodies.
9-Performance Measurement and Improvement:     A. Planning:
        1. Facilitate establishment of priorities for process Improvement activities.
        2. Facilitate development of performance improvement action plans and projects.
        3. Facilitate development or selection of process and outcome measures.
        4. Facilitate evaluation or selection of evidence-based practice guidelines.
        5. Participate in the development of clinical/critical pathways or guidelines.
        6. Aid in evaluating the feasibility to apply for external quality awards.
    B. Implementation:
        1. Coordinate the performance improvement process.
        2. Lead performance improvement teams.
        3. Participate in the credentialing and privileging process.
        4. Coordinate or participate in quality improvement projects.
        5. Participate in the process of medication usage review, infection control processes, peer review, service specific review and patient advocacy (e.g., patient rights, ethics).
        6. Perform or coordinate risk management: risk prevention, risk identification, mortality review, and failure mode and effects analysis and collaborate with quality department.
    C. Education and Training:
        1. Develop, Provide and Evaluate organizational performance improvement Training.
        2. Facilitate change within the organization through education.
        3. Develop/provide survey preparation training.
    D. Evaluation and Integration:
        1. Evaluate team performance.
        2. Analyze/interpret performance/productivity reports.
        3. Analyze patient/member/customer satisfaction.
        4. Conduct or coordinate practitioner profiling.
        5. Perform or coordinate complaint analysis.
        6. Incorporate performance improvement into the employee performance appraisal system.
        7. Incorporate findings from performance improvement into the credentialing/appointment/privilege delineation process.
        8. Integrate results of data analysis into the performance improvement process.
        9. Integrate outcome of risk management assessment into the performance improvement process.
        10. Integrate outcome of utilization management assessment into the performance improvement process.
        11. Integrate quality findings into governance and management activities (e.g., bylaws, administrative policies, and procedures).
        12. Integrate accreditation and regulatory recommendations into the  organization.
10-Patient Safety     A. Strategic:
        1. Facilitate assessment and development of the organization?s patient safety culture.
        2. Identify applicability of patient safety goals.
        3. Facilitate development of a patient safety program.
        4. Link patient safety activities with strategic goals.
        5. Integrate patient safety concepts within the organization.
        6. Integrate patient safety findings into governance and management activities (e.g., bylaws, administrative policies, and procedures).
    B. Operational:
        1. Contribute to development and revision of a written plan for a patient safety program.
        2. Coordinate a patient safety program.
        3. Assess how technology can enhance the patient safety program
        and integrate it to enhance the patient safety program.
        4. Integrate patient safety goals into organizational activities.
        5. Participate in the process of patient safety goals review.
        6. Participate in the process of patient safety goals review.
        7. Perform or coordinate risk management e.g. Incident report review sentinel/unexpected event review and root cause analysis.
11- Utilization management:     1. Evaluate of the appropriateness, medical needs and efficiency of health care services, procedures and facilities.
    2. Design Utilization Management Program to ensure the delivery of high quality, cost-efficient health care for its members.
    3. Review the proposed site of service, and review the health care resources required or the proposed procedure or treatment.
    4. Establish discharge planning, catastrophic case management and other health care review or benefit coordination services.
12- Environmental Health and Safety:     1. Audit and manage the Environment Of Care (EOC) and efficiently use the EOC Performance Indicators.
    2. Design, implement and audit Emergency Management Plan (EMP) for the healthcare organization.
    3. Audit Fire prevention and protection in healthcare organization ccording to latest OSHA regulations.
    4. Promote the awareness and safety measures for hazardous materials used in healthcare organizations.
    5. Recommend and audit the safety measures for compressed Gases according to the latest OSHA regulations.
13-Infection control:     A.Epidemiology of infection:
        1. Reservoirs of Microorganisms.
        2. Sources of Microorganism.
        3. Routes of Microbial Transmission.
    B. Hospital acquired infection:
        1. Types of hospital acquired infection.
        2. Factor that affect Risk of acquiring infection in hospital.
        3. Hospital Pathogens.
        4. Antibiotic therapy.
    C. Principals of infection control program:
        1. Infection prevention and control Organizational structure.
        2. Standard precautions.
        3. Hand hygiene.
        4. Personal protective equipment (PPE).
        5. Aseptic technique.
        6. Reprocessing of instruments and equipment.
        7. Environmental control in healthcare.
        8. Cleaning, disinfection and spills management.
        9. Laundry.
        10. Air and water.
        11. Sanitary Waste disposal.

Updates in the IBQH001 Exam Syllabus:

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