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17Jan2020 Certified GBs Review Session, pt 1 Flashcards | StudBud
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17Jan2020 Certified GBs Review Session, pt 1
17Jan2020 Certified GBs Review Session, pt 1
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Answers
1
When completing the FMEA, who is the customer for any given process step?
The patient
No one
Insurance companies
The next downstream customer
2
What is a pitfall in graphical analysis?
Making the title font larger and bolded
Using inconsistent scales
Using consistent symbols
Answering only 1 question
3
Right now, I'm feeling:
A
C
B
D
4
What is a "Pull Signal"?
Available time divided by demand
A checkered flag
An indicator sent upstream to make or send products
A sturdy piece of rope
5
A value-added activity is one that:
Doesn't transform/shape the material/product to customer's requirement
Is required by the laws of physics
Transforms/shapes the material/product to customer's requirement
The company feels like doing
6
What potential root causes are NOT moved forward from the Impact-Control Matrix?
None of them
Any root causes with low impact and/or low control
The ones with the longest explanations
High/High
7
What is the purpose of the Analyze phase?
To determine solutions
To fully understand the meaning of the project
To identify the vital few Xs (root causes)
To identify additional questions to ask
8
Jonathan looks best as:
Mrs. Lancaster
Phil
Ned
Rita
9
What is the most important phase in the DMAIC methodology to ensure sustainability?
Define
Measure
Improve
Control
10
What is the risk of process mapping without walking the process first?
Team members falling asleep in the meeting
Not knowing what is actually happening
Not getting enough steps in for the day
Having a messy process map
11
How would you describe the relationship between X and Y in this scatter plot?
Weak, negative
Shallow, irrelevant
Strong, negative
Deep, meaningful
12
What kind of chart is used to compare categorical/discrete variables?
Pie chart
Line graph
Scatterplot
Bar graph
13
What do we do after we map the process?
Develop a list of questions to be answered
Decide the problem is impossible to fix
Report inconsistencies with documented procedures
Start developing solutions
14
What is the definition of a root cause?
A solution with a high RPN score
Has a normal distribution
A problem scheduled for a solution
A cause with high control and high impact
15
Which variation are we focusing on?
Common Cause
Redundant Cause
Stupid Cause
Special Cause
16
What are the three statistics of central tendency?
Middle, range, and average
Range, sigma, and span
Mean, median, and mode
Average, standard deviation, and mode
17
What is a 6ơ level of performance?
3.14159 DPMO (Defects Per Million Opportunities)
3.4 DPMO (Defects Per Million Opportunities)
6 DPMO (Defects Per Million Opportunities)
18.2 DPMO (Defects Per Million Opportunities)
18
Where do we get the items placed on the Cause and Effect Diagram?
Brainstorming & process maps
"Man in the street" interviews
FMEA
Project charter
19
When should Mistake Proofing techniques be used in a process?
B
A
20
What tool is used after potential root causes are generated on the Cause-Effect Diagram?
Impact-Control Matrix
Criteria Selection Matrix
SIPOC
FMEA
21
What colors are used in value decomposition and what do they indicate?
C
A
D
B
22
What are control subjects?
The people involved in an experimental drug trial
Specific items monitored to ensure performance conforms to standards
Items listed in Standard Work
The bossy subjects
23
How would you describe the relationship between X and Y in this scatter plot?
Strong, positive
Deep, meaningful
Wishy-washy, neutral
Weak, positive
24
What are the two different types of measures?
Continuous and categorical
Efficiency and effectiveness
Baseline and improved
Variation and consistency
25
What do triangles between steps represent on a VSM?
Rework loops
Par levels
Lead times
Wait times/Work In Process (WIP)
26
Are you ready for a break?
C
D
A
B
27
What ensures measures on the data collection plan are understood the same way by all team members?
Operational definitions
Communication plans
Psychic powers
Data dictionaries
28
What is the sequence of the five phases of a project?
Plan, Do, Study, Act, Repeat
Define, Measure, Analyze, Improve, Control
Depression, Mania, Abuse, Irritability, Crying
Analyze, Measure, Define, Control, Improve
29
What are the two different types of customers?
Right side up and upside down
Satisfied and dissatisfied
Internal and external
Processors and suppliers
30
Why would we want to stratify our demand data?
To see which shift isn't pulling its weight
To calculate demand per hour
To potentially reveal hidden patterns
To make our project look fancier
31
What is an example of underuse?
Using excess bandages
Inventory
Not completing the sepsis bundle components
Multiple blood draws which do not impact patient treatment
32
What makes a problem observable and chronic?
No data exist, but people know it happens all the time
Must be visible, something experienced over a long time
Shows up on occasion and disappears for no reason
Visible and happened once ten years ago
33
What are the five Ps used on the Cause-Effect Diagram?
B
A
D
C
34
What are the sources of variation in a system?
A
D
B
C
35
How often should control subjects be measured?
Weekly
As real-time as humanly possible
Whenever it's convenient
Daily
36
What is the first step in process mapping?
Reading the policies and procedures regarding the process
Deciding what color sticky notes to use
Walking the process
Listing all the steps in the process
37
A non-value-added activity is one that:
Needs extra staff to perform
Transforms/shapes the material/product to customer's requirement
Is stupid
Doesn't transform/shape the material/product to customer's requirement
38
What are the categories of COPQ in healthcare?
Inventory, rework, waiting
Rework, defects, inspection
Process waste, inspection, misuse
Overuse, underuse, misuse, process waste
39
Who are the customers at Sky Lakes? (The only people qualified to judge our quality of care.)
Providers
Oregon Health Authority
Patients
CMS
40
I'm going to tackle this review like:
Ned being excited to see Phil
A groundhog driving angry
Rita figuring out Phil
Phil playing smooth piano
41
What is a defective?
A value-added step
A large Risk Priority Number
A unit with one or more defects
Good!
42
How is the Risk Priority Number (RPN) calculated?
Severity + Occurrence + Detection
Small - Medium - Large
Severity x Occurrence x Detection
Severity + Occurrence / Detection
43
What are the components of 6S (in order)?
D
A
B
C
44
The business case is included in the charter because it describes how solving the problem:
is good for SLMC in terms of employee morale
is good for SLMC financially
is good for SLMC strategically, operationally, & financially
is good for SLMC's image
45
What is the next tool used in Define after the SIPOC?
6S
FMEA
Stakeholder Analysis
Data Collection Plan
46
In the Stakeholder Analysis tool, which groups should we focus communication on?
The ones ranked as Moderately Against or Strongly Against
The ones ranked as Neutral
All of them
None of them
47
What are the two types of variation?
Random and Hard cause
Common and Special cause
Moderate and Extreme
Efficiency and Effectiveness
48
What does RIE stand for?
Really Important Event
Rodent Involved Emergency
Rapidly Increasing Earache
Rapid Improvement Event
49
In terms of improving process flow, a monument is considered:
Moveable furniture
Pieces of equipment that can't be easily rearranged
Statues of Dr. Juran
Processes completed because "we've always done it that way"
50
What is the first step in the Control phase?
Identify dominant control subjects
Make a control chart
Generate possible solutions
Celebrate project closing
51
Reacting to common cause variation is called:
Being proactive
Tampering
The human condition
Maintaining
52
What is the first tool used in the Define phase?
SIPOC
HICCUP
Charter
FMEA
53
What is the definition of quality?
What the customer wants
Right features provided defect-free
No defects, lowest possible cost
Value worth the price paid
54
What are two strategies for dealing with customer demand?
Add services; level the load
Adjust capacity; level the load
Hire more staff; stop providing the service
Limit hours; adjust capacity
55
As the team enters the Improve phase, we start by:
Declaring one solution and implementing it immediately
Developing metrics for the solutions
Determining future/ideal state value stream map
Determining the cost of fixing the problem
56
What are the characteristics of a well-written problem statement?
Describes what, how long, why & impact on SLMC
Describes where, what & provides graph
Describes where, what, how long (w/ data) & impact on SLMC
Describes who, where, what, when & why
57
What are the two different types of data?
Smooth and chunky
Continuous and categorical
Efficiency and effectiveness
Alphabetical and numeric
58
What document can be a used as a reference for the starting and ending points of a process?
Charter - process boundaries in scope
SLMC Strategic Priorities
Survey - employee definitions of start and end
Communication Plan
59
What does a Value Stream Map follow?
The experience of the staff members
The experience of the item/person
The mission statement of the company
Plato's dialogues
60
What symbols are typically used on process maps?
C
A
D
B
61
What is a Rapid Improvement Event?
What Jimmy John's uses in their shops
A waste of time
Highly organized & structured process for rapid improvement
An application of the Failure Mode Effects and Analysis (FMEA) tool
62
What is a Cause-Effect Diagram (or Fishbone) used for?
Identifying employees who need training
Identifying potential root causes
Identifying appropriate documentation
Identifying safety hazards (like choking)
63
What is a defect?
Any occurrence of an opportunity that does not meet standard
A unit with one or more defects
An insult
Flawless execution of the process
64
During Improve, what is a pilot?
A short term multifunctional team that focuses on one topic
Small scale implementation of the solutions
Maverick & Iceman
A species of whale
65
What kind of chart is used to trend data?
Bar graph
Line graph
Pie chart
Scatterplot
66
What are the three components, or managerial processes, of the Juran Trilogy?
Thinking, Improvement, Stability
Control, Stability, Improvement
Planning, Control, Improvement
Stability, Inconsistency, Control
67
What do we want to understand about the current state?
The root causes of the problem
The impact on customers
The symptoms of the problem - the baseline
The feelings of the employees
68
What is the third category used during value analysis of process maps?
Value-added but we hate it
Non-value-added but we've always done it that way
Value-added but really difficult
Non-value-added but business required
69
In Lean, aligning capacity to demand is called:
Level loading and line balancing
Utilizing Takt time and stratification
Being sensible
Staffing appropriately
70
What is a critical X (aka root cause)?
God is dead and we're all alone
The easiest input to fix
A root cause who judges everyone
An input that has high impact and high control
71
Which steps on a process map are good control points?
End points
Randomly selected process steps
Decision points
Start points
72
This process is in control.
True
False
73
What are the three methods used to calculate COPQ?
Gold Bond, Total Recall, Ultimate Cost
Unit Standard, Total Cost, Gold Resources
Total Resources, Unit Cost, Gold Standard
Guessing, Asking Finance, Unit Cost
74
Who is responsible for monitoring the control plan?
Everyone who works the process
Performance Excellence
The Green Belts who facilitated the project
The process owner
75
What do projects need to align with to be selected?
The United States Constitution & Bill of Rights
Performance Excellence's schedule
SLMC's Strategic Priorities
MOMS criteria
76
Who are the right people to have on project teams?
Senior Management and Clinical Managers
Reps from parts of the organization working with the problem
Management
Staff who are available
