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Latest CPHQ Exam Pattern | Pdf CPHQ Files

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The Certified Professional in Healthcare Quality (CPHQ) examination is a globally recognized certification in the field of healthcare quality management. CPHQ exam is designed to test the knowledge and skills of healthcare professionals who are involved in quality management, patient safety, and performance improvement initiatives. The National Association for Healthcare Quality (NAHQ) is the organization responsible for administering the CPHQ Exam.

NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q24-Q29):

NEW QUESTION # 24
The desired outcome of peer review Is to

  • A. Improve the quality of care.
  • B. limit privileges of at-risk providers.
  • C. compare provider performance.
  • D. evaluate process Improvement Initiatives.

Answer: A

Explanation:
* According to the National Association for Healthcare Quality (NAHQ), peer review is a quality control measure for medical research and practice, in which professionals review each other's work to ensure that it is accurate, relevant, and significant12.
* The overall purpose of peer review is to improve the quality of care by enhancing the scientific validity, transparency, and integrity of published research, as well as the clinical performance, safety, and outcomes of healthcare providers1234.
* Among the four options given, the best answer is C. Improve the quality of care, because this is the
* ultimate goal and benefit of peer review, regardless of the specific methods, metrics, or settings involved1234.
* The other options are less accurate because:
* A. Evaluate process improvement initiatives is a possible outcome of peer review, but not the desired one. Peer review can help assess the effectiveness, efficiency, and sustainability of process improvement initiatives, but the aim is not to evaluate them for their own sake, but to improve the quality of care for patients125.
* B. Compare provider performance is a possible outcome of peer review, but not the desired one. Peer review can help compare provider performance against established standards, benchmarks, or best practices, but the aim is not to rank or judge them, but to identify areas of strength and weakness, and to provide feedback and support for improvement126.
* D. Limit privileges of at-risk providers is a possible outcome of peer review, but not the desired one. Peer review can help identify and address at-risk providers who may pose a threat to patient safety or quality of care, but the aim is not to punish or exclude them, but to protect patients and to help providers remediate their performance or behavior127. References: 1: [Peer review: What is it and why do we do it?] 2: [Peer Review Matters: Research Quality and the Public Trust] 3:
[Peer review of quality of care: methods and metrics] 4: [What is the purpose of peer review in health care?] 5: [Utilization of Improvement Methodologies by Healthcare Quality Professionals During the COVID-19 Pandemic] 6: [Shaping the Future of the Healthcare Quality Profession] 7:
[Understanding the Evolving Landscape of Healthcare Quality] :
https://www.medicalnewstoday.com/articles/281528 :
https://pubs.asahq.org/anesthesiology/article/134/1/1/114542/Peer-Review-Matters-Research-Qualit
1: https://qualitysafety.bmj.com/content/32/1/1 :
https://www.mlsgroupllc.com/mls-blog/what-is-the-purpose-of-peer-review-in-health-care :
https://nahq.org/resources/journal


NEW QUESTION # 25
For which incident would a process improvement manager be required to perform a root cause analysis (RCA)?

  • A. Wrong prescription given to a discharged patient with diabetes.
  • B. Incorrect critical care patient transported to radiology.
  • C. Procedure performed on the wrong knee.
  • D. Admitting a visitor who fell on hospital grounds.

Answer: C

Explanation:
A root cause analysis (RCA) is required when a serious incident occurs, such as a "never event" or a sentinel event, which includes a procedure performed on the wrong knee. This type of incident is considered a significant error that could cause severe harm to the patient and is a clear indicator of a breakdown in the system that requires thorough investigation through an RCA to prevent recurrence.
* Incorrect critical care patient transported to radiology (A): While concerning, this may not reach the threshold for a required RCA unless it led to significant harm.
* Admitting a visitor who fell on hospital grounds (B): This incident may require investigation but typically would not trigger an RCA unless the fall resulted in severe injury.
* Wrong prescription given to a discharged patient with diabetes (C): This is serious but does not usually require an RCA unless it led to severe consequences.
References
* NAHQ Body of Knowledge: Incident Reporting and Root Cause Analysis
* NAHQ CPHQ Exam Preparation Materials: Conducting Root Cause Analysis
=========


NEW QUESTION # 26
Benchmarking is goal directed and promotes performance improvement by all of the following ways EXCEPT:

  • A. Providing a customer internal focus
  • B. Providing an environment amenable to organizational change through continuous improvement and striving to match industry-leading practices and results
  • C. Substantiating the need for improvement
  • D. Creating objective measures of performance that are driven by industry leading targets instead of by past performance

Answer: C


NEW QUESTION # 27
A CEO and chief nursing officer have requested a new quality initiative to reduce patient falls. One of the first steps in starting this new quality Improvement Initiative should include

  • A. Implementing post-fall huddles on all units.
  • B. evaluating baseline data to determine the cause of falls.
  • C. training the staff on the proper falls screening protocol.
  • D. researching evidence-based guidelines.

Answer: B

Explanation:
* A quality improvement initiative is a systematic and data-driven approach to enhance the quality and safety of healthcare services and outcomes12.
* One of the first steps in starting a new quality improvement initiative is to define the problem and measure the current performance123. This involves collecting and analyzing baseline data to understand the magnitude, frequency, and variation of the problem, as well as the potential causes and contributing factors123.
* Evaluating baseline data to determine the cause of falls (option B) is therefore a crucial step in designing and implementing a quality improvement initiative to reduce patient falls. This will help to identify the gaps between the current and desired states, prioritize the areas of improvement, and set measurable and realistic goals and objectives123.
* Training the staff on the proper falls screening protocol (option A) is an important intervention to prevent falls, but it is not the first step in starting a quality improvement initiative. Training should be based on the evidence and best practices, and tailored to the specific needs and characteristics of the staff and the patients124. Training should also be evaluated for its effectiveness and impact on the outcomes124.
* Researching evidence-based guidelines (option C) is another essential component of a quality improvement initiative, but it is not the first step either. Evidence-based guidelines provide recommendations for the prevention and management of falls, based on the best available scientific evidence and expert consensus45 . Researching evidence-based guidelines should be done after defining the problem and measuring the current performance, and before developing and testing the interventions123.
* Implementing post-fall huddles on all units (option D) is a valuable strategy to improve the communication and learning from falls, and to prevent future falls . However, it is not the first step in starting a quality improvement initiative. Post-fall huddles should be part of the implementation and evaluation phases of the quality improvement cycle, and should be aligned with the goals and objectives of the initiative123 . References: 1: [Quality Improvement Essentials Toolkit] 2: [Quality Improvement Made Simple] 3: [The Model for Improvement] 4: The Falls Management Program: A Quality Improvement Initiative for Nursing Facilities 5: Preventing Falls in Hospitals : Clinical Practice Guidelines : [Post-Fall Huddles: A Quality Improvement Project] : [Post-Fall Huddles: A Strategy to Reduce Falls and Improve Patient Safety] : 1 : 2 : 3 : 4 : 5


NEW QUESTION # 28
What is the best method to communicate detailed patient experience scores?

  • A. Disseminate the information in a publication.
  • B. Discuss the information at unit level meetings.
  • C. Present the information at general meetings.
  • D. Disseminate organization-wide via email.

Answer: B

Explanation:
Detailed Explanation:
Discussing patient experience scores at unit-level meetings is the most effective way to ensure that detailed feedback reaches staff directly involved in patient care. Unit-level discussions allow for targeted discussions, specific action planning, and immediate feedback.
Option C: Discuss the information at unit level meetings
Unit meetings are ideal for addressing specifics relevant to each team, enabling them to understand and act on the data.
Other Options:
General meetings and organization-wide emails provide less specificity and may not reach or engage frontline staff effectively.
References:
Quality improvement literature emphasizes the importance of engaging frontline staff in unit-level feedback to directly influence patient experience.


NEW QUESTION # 29
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