Question 1

Test Question: Canada is located in the following continent

Accepted Answer

North America

Answer

Africa

Answer

Asia

Answer

South America

Question 2

Dr. House has 400 active clients in his practice. 200 of these have opioid use disorder. 10 of these go to a provider closer to their home for their opioid agonist therapy (OAT) prescriptions, but Dr. House considers his team responsible for the OAT prescribing for the rest. What is Dr. House’s Population of Focus for BOOST?

Accepted Answer

190

Answer

400

Answer

10

Answer

200

Question 3

Which of the following is NOT one of the overall Collaborative aims?

Accepted Answer

50% improvement on a standard Quality of Life scoring instrument

Answer

95% have an active OAT prescription

Answer

95% of those with an active prescription are retained on therapy for >3months

Answer

100% have a documented process for including the client voice

Question 4

The Wayward Pines BOOST team has 100 people in their Population of Focus. 60 have an active OAT prescription, with 10 of these being clients who are new to the team in the last three months. 25 of the clients with an active prescription have been on therapy without needing to restart for at least three months. None of these 25 are new to the clinic within the last three months. What are the BOOST measures to be reported?

Accepted Answer

Active prescription = 60% ; Retention = 50%

Answer

Active prescription = 100%; Retention = 25%

Answer

Active prescription = 60% ; Retention = 42%

Answer

Active prescription = 50% ; Retention = 50%

Question 5

When doing PDSA cycles, which component of The Model for Improvement are we testing?

Accepted Answer

Change Ideas

Answer

Measures

Answer

Aims

Answer

Primary drivers

Question 6

Best method for including the client voice in your QI work if there were no limitations or barriers?

Accepted Answer

Have clients be an embedded part of your QI team, with financial support

Answer

Periodically invite a client as a guest at your QI meetings

Answer

Annual survey of clients

Answer

Talk to each client during their clinic visits

Question 7

What is “The Million Dollar Question”?

Accepted Answer

“If I found out you won a million dollars and needed to get it to you, what would be the best way to contact you?”

Answer

“Would you stop using drugs if I gave you a million dollars?”

Answer

“Would you stay on OAT for a year if I gave you a million dollars?”

Answer

“How could we best use a million dollars in making our program better?”

Question 8

After having a very busy OAT clinic, you are finishing your notes and realize that you gave an incorrect dose of OAT to one of your clients. Your team is working on having pharmacy info recorded for each client, but you don’t yet have it for this client. There are no faxes from the pharmacy and you can’t reach the patient. What is your next step?

Accepted Answer

Call the College of Pharmacists hotline to get the pharmacy information

Answer

Call the CPSBC to report your mistake

Answer

Nothing you can do this time, but reminds you that you and your team need to improve having the pharmacy info recorded

Answer

Call the local Outreach team if it is available, to track down the patient

Question 9

What type of chart do we typically use in Quality Improvement to show measures over time?

Accepted Answer

Run chart

Answer

Pie chart

Answer

Pareto chart

Answer

Box and whisker plots

Question 10

Your team is testing a new intake form that was designed at your last QI meeting. How should you go about testing this form?

Accepted Answer

Have a member of the QI team, ideally an RN who will be using the form, test it with patients during a single clinic, get some feedback from clients on it, then report back to the QI team

Answer

The QI team thinks it is obvious that the form is helpful and so no testing is required

Answer

Tell the nurse who will be completing the form with the patient that she should switch to this for one month and assess qualitative patient feedback then report back to the QI team

Answer

Wait till all stakeholders and management have signed off, given input, then roll out to each clinician at the clinic

Question 11

In measuring for QI, it is best to do the following:

Accepted Answer

Measure at multiple time points before and after the change is tested

Answer

Find the most accurate way of measuring, even if it takes a lot of time to collect the data each day

Answer

Get measurements at a time point before and after the change is tested

Answer

Measure after the change is tested

Question 12

Your BOOST team is wondering what others are doing when a certain issue comes up. You think you heard a team talking about a solution at the last Learning Session but can’t remember who it was. What is the best way for you to get this information?

Accepted Answer

Email the BOOST listserv

Answer

Wait till the next Learning Session and try to find the person then

Answer

Twitter and Facebook

Answer

Email Drs. Stanley and Vipler

Question 13

What does BOOST stand for?

Accepted Answer

Best practices in Oral Opioid agoniSt Therapy

Answer

Best Overall Opioid Strategies for Treatment

Answer

Better Outcomes in Opioid Substitution Therapy

Answer

Best Outstanding Opioid Styles of Treatment

Question 14

Which BOOST team travelled furthest to get here today?

Accepted Answer

Central Interior

Answer

Kelowna OAT Clinic

Answer

Riverstone- Chilliwack

Answer

Sea to Sky

Question 15

When OAT is started, the highest rate of discontinuation occurs:

Accepted Answer

In the first 3 months

Answer

After 12 months

Answer

Between 6 and 9 months

Answer

Between 6 and 12 months

Question 16

What do you NOT need to know for the Plan of a PDSA cycle?

Accepted Answer

What the scale of the subsequent PDSA cycle will be

Answer

What measures you need for the test

Answer

Who is going to carry out the test

Answer

What you predict will happen with the test

Question 17

Someone on your BOOST team heard that another team is using a “missed dose action plan” with clients in an attempt to prevent treatment interruptions. You want to try it out. Which measures would you consider during your first PDSA cycle?

Accepted Answer

Number of clients seen, number of action plans completed, time taken to complete action plans, qualitative feedback from clinician and client

Answer

Number of action plans completed, time taken to complete them

Answer

Number of prescribers in clinic who agree it’s a good idea to try

Answer

Number of action plans completed in the month, number of missed doses before and after action plans in place, overall retention on therapy

Question 18

Which is NOT a key ingredient to getting the most out of your BOOST QI team?

Accepted Answer

Testing many different change ideas all at once

Answer

Collaborating with other BOOST teams (at learning sessions, via listserv, etc)

Answer

Regular QI coaching

Answer

Frequent meetings

Question 19

There are many external factors driving the current opioid crisis. Which is your BOOST team least likely to work on when it comes to changing internal clinic processes to try to get better outcomes?

Accepted Answer

Decriminalization of all drugs

Answer

Stable housing for clients

Answer

Reducing stigma

Answer

Development of a family/support system around the client

Question 20

Which of the following is not part of the SMART acronym we should use when setting aims?

Accepted Answer

Material

Answer

Specific

Answer

Time-bound

Answer

Attainable

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