1|Page
CPHQ EXAM 2025 | COMPREHENSIVE Q&A FOR
GUARANTEED SUCCESS
Volatility in nursing workload is less likely to be reported than other sources of waste
because:
A. Nurses are unlikely to complain
B. It can only be perceived using advanced metrics
C. It is less observable
D. It takes place infrequently - correct-answer-C. It is less observable
The primary reason to analyze customer satisfaction surveys is to:
A. Provide data for the quality improvement program
B. Meet pay for performance requirements
C. Identify how perceptions relate to services provided
D. Assist with evaluation of employee performance - correct-answer-C. Identify
how perceptions relate to services provided
One important driver of patient dissatisfaction in health care over the past decade
has been:
A. Introduction of online services
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B. Lack of communication between physicians and patients
C. Rise in income inequality
D. Improvement of customer care in other service industries - correct-answer-A.
Introduction of online services
Health Care Impact from this Federal Regulation:
• Hospitals participating in Medicare and offering emergency services must provide a
medical screening exam when requested for examination/treatment for emergency
medical condition (EMC), including active labor, regardless of patient's ability to pay
• Hospital is required to provide stabilizing treatment for patients with EMC's
• If hospital is unable to stabilize a patient or request is made to transfer,
appropriate transfer will be implemented - correct-answer-Emergency Medical
Treatment and Active
Labor Act (EMTALA)
Health Care Impact from this Federal Regulation:
Protection of personal health information and provides patient rights - correct-
answer-Health Insurance Portability and
Accountability Act (HIPAA)
Health Care Impact from this Federal Regulation:
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Established quality standards for labs, regardless of where test is done - correct-
answer-Clinical Laboratory Improvement
Amendments (CLIA)
Health Care Impact from this Federal Regulation:
• Comprehensive U.S. health insurance reforms
• Transforms and modernizes the American health care system
• New payment models with the goal to reward value and quality, not volume
• Bundled payments, medical home models for primary care physicians, financial
incentives to coordinate care
• Includes accountable care organizations (ACO's) - correct-answer-Patient
Protection and Affordable Care Act
(PPACA) Affordable Care Act (ACA)
Health Care Impact from this Federal Regulation:
Impacts the way providers are reimbursed through merit based payment Incentives and
alternative payment models (APMs), collectively referred to as quality payment
programs (QPPs) - correct-answer-MACRA = Medicare Access and CHIP
Reauthorization Act
(CHIP = Medicaid = Children's Health
Insurance Program)
, 4|Page
Network of health care providers that band together to provide the full continuum of
health care services for patients. Receives a payment for all care provided to a patient
and held accountable for the quality and cost of care. - correct-answer- Accountable
Care
Organization (ACO)
Classification system that groups patients by diagnosis, type of treatment, age and other
relevant criteria.
Under the prospective payment system (PPS), hospitals are paid a set fee for treating
patients in a single
DRG category, regardless of the actual cost of care for the individual. - correct-
answer-Diagnosis Related Group
Series of programs created by health care payers comprised of incentives and reductions
for payment
(adjustments by CMS) - correct-answer-Incentive and Penalty Programs
Health care delivery system organized to manage cost, utilization and quality. -
correct-answer-Managed Care
CPHQ EXAM 2025 | COMPREHENSIVE Q&A FOR
GUARANTEED SUCCESS
Volatility in nursing workload is less likely to be reported than other sources of waste
because:
A. Nurses are unlikely to complain
B. It can only be perceived using advanced metrics
C. It is less observable
D. It takes place infrequently - correct-answer-C. It is less observable
The primary reason to analyze customer satisfaction surveys is to:
A. Provide data for the quality improvement program
B. Meet pay for performance requirements
C. Identify how perceptions relate to services provided
D. Assist with evaluation of employee performance - correct-answer-C. Identify
how perceptions relate to services provided
One important driver of patient dissatisfaction in health care over the past decade
has been:
A. Introduction of online services
,2|Page
B. Lack of communication between physicians and patients
C. Rise in income inequality
D. Improvement of customer care in other service industries - correct-answer-A.
Introduction of online services
Health Care Impact from this Federal Regulation:
• Hospitals participating in Medicare and offering emergency services must provide a
medical screening exam when requested for examination/treatment for emergency
medical condition (EMC), including active labor, regardless of patient's ability to pay
• Hospital is required to provide stabilizing treatment for patients with EMC's
• If hospital is unable to stabilize a patient or request is made to transfer,
appropriate transfer will be implemented - correct-answer-Emergency Medical
Treatment and Active
Labor Act (EMTALA)
Health Care Impact from this Federal Regulation:
Protection of personal health information and provides patient rights - correct-
answer-Health Insurance Portability and
Accountability Act (HIPAA)
Health Care Impact from this Federal Regulation:
,3|Page
Established quality standards for labs, regardless of where test is done - correct-
answer-Clinical Laboratory Improvement
Amendments (CLIA)
Health Care Impact from this Federal Regulation:
• Comprehensive U.S. health insurance reforms
• Transforms and modernizes the American health care system
• New payment models with the goal to reward value and quality, not volume
• Bundled payments, medical home models for primary care physicians, financial
incentives to coordinate care
• Includes accountable care organizations (ACO's) - correct-answer-Patient
Protection and Affordable Care Act
(PPACA) Affordable Care Act (ACA)
Health Care Impact from this Federal Regulation:
Impacts the way providers are reimbursed through merit based payment Incentives and
alternative payment models (APMs), collectively referred to as quality payment
programs (QPPs) - correct-answer-MACRA = Medicare Access and CHIP
Reauthorization Act
(CHIP = Medicaid = Children's Health
Insurance Program)
, 4|Page
Network of health care providers that band together to provide the full continuum of
health care services for patients. Receives a payment for all care provided to a patient
and held accountable for the quality and cost of care. - correct-answer- Accountable
Care
Organization (ACO)
Classification system that groups patients by diagnosis, type of treatment, age and other
relevant criteria.
Under the prospective payment system (PPS), hospitals are paid a set fee for treating
patients in a single
DRG category, regardless of the actual cost of care for the individual. - correct-
answer-Diagnosis Related Group
Series of programs created by health care payers comprised of incentives and reductions
for payment
(adjustments by CMS) - correct-answer-Incentive and Penalty Programs
Health care delivery system organized to manage cost, utilization and quality. -
correct-answer-Managed Care
