A Patient Tells the Nurse,"I Received a Questionnaire That Said

A patient tells the nurse,"I received a questionnaire that said my answers would be used for purposes of continuous quality improvement.I wonder if it's worth my time to fill it out?" The response that best explains continuous quality improvement is,"Continuous quality improvement activities are used to"

A) restructure hospital departments and personnel assignments to ensure cost savings."
B) provide an opportunity for staff members to participate in self-governance."
C) obtain appropriate reimbursement for care given to ambulatory and inpatients."
D) monitor and improve processes involved in providing safe, effective care for patients."