CPHQ EXAM (2025)QUESTIONS WITH v v v v
CORRECT ANSWERS v v
Which of the following can be defined as, "A set of measures and data that give managers and adminis
v v v v v v v v v v v v v v v v v v
trators a quick yet comprehensive overview of performance?
v v v v v v v v
a. Process measurement v
b. Balanced scorecard v
c. Dashboard
d. Six Sigma - CORRECT ANSWER -Balanced Scorecard
v v v v v v
Balanced scorecards are useful because they put strategy and vision at the center of an organization's
v v v v v v v v v v v v v v v
efforts. They provide a visual display of the entire organization's progress.
v v v v v v v v v v v
(Scorecards tell health systems how they're doing overall. They are quick and comprehensive. Dashboa rds
v v v v v v v v v v v v v v
tell systems what's happening now using interactive metrics with drill-down capabilities)
v v v v v v v v v v v
Describe quality assurance vs. quality control - CORRECT ANSWER -
v v v v v v v v v
Quality Assurance: Focus is on the processes and procedures that improve quality, including any correc tive
v v v v v v v v v v v v v v v
actions needed to optimize post-production quality
v v v v v v
Quality Control: Focus on the product to find defects that occur after development
v v v v v v v v v v v v
A patient care team is in disagreement over new admissions procedures. What decision-
v v v v v v v v v v v v
making model should management use?
v v v v v
a. Decision criteria v
b. Consensus
c. Tenure influence - CORRECT ANSWER -Decision criteria
v v v v v v
(This model explores all options equally and gives unorthodox or unpopular options a fair chance)
v v v v v v v v v v v v v v
How does the World Health Organization Surgical Safety Checklist lead to tight coupling in the operatin g
v v v v v v v v v v v v v v v v
room?
v
,a. It establishes universality for patients
v v v v
b. It compartmentalizes the procedures
v v v
c. It establishes a clear OR hierarchy
v v v v v
d. It closely aligns the various individuals involved in the process - CORRECT ANSWER - It
v v v v v v v v v v v v v v
closely aligns the various individuals involved in the process
v v v v v v v v v
Define risk management - CORRECT ANSWER -
v v v v v v
Taking steps to avoid and control risks within an environment to accomplish a desired outcome
v v v v v v v v v v v v v v
Describe internal vs. external customers - CORRECT ANSWER -
v v v v v v v v
Internal customers work within the organizational structure. External customers rely on and/or utilize t he
v v v v v v v v v v v v v v
healthcare organization and product (patients, family members, medical equipment suppliers)
v v v v v v v v v v
Within the last 4 days, three post-surgical patients have died of pneumonia-
v v v v v v v v v v v
related complications at a large hospital. None of the patients presented as symptomatic for pneumoni a at
v v v v v v v v v v v v v v v v
the time of surgery. What evaluation tool should be used to help identify and resolve this issue?
v v v v v v v v v v v v v v v v v
a. Epidemiological theory v
b. Performance management measures v v
c. Statistical analysis v
d. Improvement measures - CORRECT ANSWER - v v v v v
Epidemiological Theory, which is used to identify the source and cause of an issue or anomaly v v v v v v v v v v v v v v v
(The other tools are used to quantify data or examine processes that can contribute to improvement)
v v v v v v v v v v v v v v v
When Hospital A's neonatal infection rates rise unexpectedly, the quality council establishes a new set of
v v v v v v v v v v v v v v v
performance measures. They base their measures on internal standards, customer survey data, and
v v v v v v v v v v v v v
employee survey data. What important element are the members disregarding? - CORRECT ANSWER -
v v v v v v v v v v v v v v
External standards, such as national goals and requirements
v v v v v v v
(External data provides a context for the internal data and distinguishes where and how the facility fall s
v v v v v v v v v v v v v v v v v
compared to national standards)
v v v v
,What challenges often occur with the use of aggregated data? - CORRECT ANSWER - Context is
v v v v v v v v v v v v v v v
lost and solutions are not identified
v v v v v v
What elements should be part of an employee performance improvement plan? What elements shoul d
v v v v v v v v v v v v v v
NOT be part of a performance improvement plan? - CORRECT ANSWER -
v v v v v v v v v v v v
1) A clear statement of the problems to be addressed
v v v v v v v v
2) Specific action steps to be taken as part of the plan v v v v v v v v v v
3) A desired outcome or goal behavior and a timeline
v v v v v v v v
(It does NOT include any research into the cause of an employee's challenges)
v v v v v v v v v v v v
Recent HCAHPS data for Hospital A indicate that doctors are not providing adequate explanations to pa
v v v v v v v v v v v v v v v
tients. In improving the patient safety culture with regards to this issue, what two elements must be a
v v v v v v v v v v v v v v v v v v
ddressed?
v
a. Patient perceptions and clinical quality v v v v
b. Patient perceptions and physician education v v v v
c. Physician education and time constraints v v v v
d. Quality standards and time constraints - CORRECT ANSWER -Patient perceptions and clinical quality
v v v v v v v v v v v v
(Patient perception includes the mode of communication, the depth of information, and understandabi lity
v v v v v v v v v v v v v
of the context. Clinical quality includes the doctor's understanding of communication techniques, h ealth
v v v v v v v v v v v v v v
literacy, etc.)
v v
Which of the following are the primary reasons for developing drug formularies?
v v v v v v v v v v v
a. Manage pharmacy costs, promote patient safety v v v v v
b. Reduce medication errors, educate physicians v v v v
c. Encourage the appropriate use of medications, educate physicians v v v v v v v
d. Decrease food and drug interactions, promote patient safety - CORRECT ANSWER -
v v v v v v v v v v v
A drug formulary is an approved list of medications, clinical indications, and doses that helps manage p
v v v v v v v v v v v v v v v v
harmacy costs and patient safety
v v v v v
Management using quality improvement principles should emphasize the importance of: v v v v v v v v v
, a. Staff orientation v
b. Customers' expectations v
c. Quarterly statistical reports v v
d. Team selection - CORRECT ANSWER - v v v v v
The basis of quality improvement is knowing what the customer needs and wants (b) The rest are only one
v v v v v v v v v v v v v v v v v v
component of quality improvement.
v v v v
Quality improvement teams are beneficial because they
v v v v v v
a. Promote competition and pride among members v v v v v
b. Maximize expertise and perspectives v v v
c. Authorize solutions to problems - CORRECT ANSWER - v v v v v v v
A diverse team, including members with different experience and backgrounds, provides a broader kno
v v v v v v v v v v v v v
wledge base and outcomes
v v v v
Which of the following is an essential component in a performance improvement report?
v v v v v v v v v v v v
a. Governing body approval v v
b. Data analysis and display v v v
c. Individual performance review v v
d. Team composition and attendance - CORRECT ANSWER -Data and analysis display
v v v v v v v v v v
What is the primary goal of risk management? - CORRECT ANSWER - To
v v v v v v v v v v v v
identify and manage risks to promote patient safety
v v v v v v v v
The relationship between patient satisfaction and hours per patient day on a medical unit was found t o be
v v v v v v v v v v v v v v v v v v
(r=0.60, p < 0.05). What is the correlation between these two values?
v v v v v v v v v v v v
a. 0.05
b. 0.36
c. 0.55
d. 0.60 - CORRECT ANSWER -The correlation coefficient (r) is an index that ranges from -
v v v v v v v v v v v v v v
1 to 1 and reflects the extent of a linear relationship between two data sets. The correlation coefficien t is
v v v v v v v v v v v v v v v v v v v
0.60.
v
CORRECT ANSWERS v v
Which of the following can be defined as, "A set of measures and data that give managers and adminis
v v v v v v v v v v v v v v v v v v
trators a quick yet comprehensive overview of performance?
v v v v v v v v
a. Process measurement v
b. Balanced scorecard v
c. Dashboard
d. Six Sigma - CORRECT ANSWER -Balanced Scorecard
v v v v v v
Balanced scorecards are useful because they put strategy and vision at the center of an organization's
v v v v v v v v v v v v v v v
efforts. They provide a visual display of the entire organization's progress.
v v v v v v v v v v v
(Scorecards tell health systems how they're doing overall. They are quick and comprehensive. Dashboa rds
v v v v v v v v v v v v v v
tell systems what's happening now using interactive metrics with drill-down capabilities)
v v v v v v v v v v v
Describe quality assurance vs. quality control - CORRECT ANSWER -
v v v v v v v v v
Quality Assurance: Focus is on the processes and procedures that improve quality, including any correc tive
v v v v v v v v v v v v v v v
actions needed to optimize post-production quality
v v v v v v
Quality Control: Focus on the product to find defects that occur after development
v v v v v v v v v v v v
A patient care team is in disagreement over new admissions procedures. What decision-
v v v v v v v v v v v v
making model should management use?
v v v v v
a. Decision criteria v
b. Consensus
c. Tenure influence - CORRECT ANSWER -Decision criteria
v v v v v v
(This model explores all options equally and gives unorthodox or unpopular options a fair chance)
v v v v v v v v v v v v v v
How does the World Health Organization Surgical Safety Checklist lead to tight coupling in the operatin g
v v v v v v v v v v v v v v v v
room?
v
,a. It establishes universality for patients
v v v v
b. It compartmentalizes the procedures
v v v
c. It establishes a clear OR hierarchy
v v v v v
d. It closely aligns the various individuals involved in the process - CORRECT ANSWER - It
v v v v v v v v v v v v v v
closely aligns the various individuals involved in the process
v v v v v v v v v
Define risk management - CORRECT ANSWER -
v v v v v v
Taking steps to avoid and control risks within an environment to accomplish a desired outcome
v v v v v v v v v v v v v v
Describe internal vs. external customers - CORRECT ANSWER -
v v v v v v v v
Internal customers work within the organizational structure. External customers rely on and/or utilize t he
v v v v v v v v v v v v v v
healthcare organization and product (patients, family members, medical equipment suppliers)
v v v v v v v v v v
Within the last 4 days, three post-surgical patients have died of pneumonia-
v v v v v v v v v v v
related complications at a large hospital. None of the patients presented as symptomatic for pneumoni a at
v v v v v v v v v v v v v v v v
the time of surgery. What evaluation tool should be used to help identify and resolve this issue?
v v v v v v v v v v v v v v v v v
a. Epidemiological theory v
b. Performance management measures v v
c. Statistical analysis v
d. Improvement measures - CORRECT ANSWER - v v v v v
Epidemiological Theory, which is used to identify the source and cause of an issue or anomaly v v v v v v v v v v v v v v v
(The other tools are used to quantify data or examine processes that can contribute to improvement)
v v v v v v v v v v v v v v v
When Hospital A's neonatal infection rates rise unexpectedly, the quality council establishes a new set of
v v v v v v v v v v v v v v v
performance measures. They base their measures on internal standards, customer survey data, and
v v v v v v v v v v v v v
employee survey data. What important element are the members disregarding? - CORRECT ANSWER -
v v v v v v v v v v v v v v
External standards, such as national goals and requirements
v v v v v v v
(External data provides a context for the internal data and distinguishes where and how the facility fall s
v v v v v v v v v v v v v v v v v
compared to national standards)
v v v v
,What challenges often occur with the use of aggregated data? - CORRECT ANSWER - Context is
v v v v v v v v v v v v v v v
lost and solutions are not identified
v v v v v v
What elements should be part of an employee performance improvement plan? What elements shoul d
v v v v v v v v v v v v v v
NOT be part of a performance improvement plan? - CORRECT ANSWER -
v v v v v v v v v v v v
1) A clear statement of the problems to be addressed
v v v v v v v v
2) Specific action steps to be taken as part of the plan v v v v v v v v v v
3) A desired outcome or goal behavior and a timeline
v v v v v v v v
(It does NOT include any research into the cause of an employee's challenges)
v v v v v v v v v v v v
Recent HCAHPS data for Hospital A indicate that doctors are not providing adequate explanations to pa
v v v v v v v v v v v v v v v
tients. In improving the patient safety culture with regards to this issue, what two elements must be a
v v v v v v v v v v v v v v v v v v
ddressed?
v
a. Patient perceptions and clinical quality v v v v
b. Patient perceptions and physician education v v v v
c. Physician education and time constraints v v v v
d. Quality standards and time constraints - CORRECT ANSWER -Patient perceptions and clinical quality
v v v v v v v v v v v v
(Patient perception includes the mode of communication, the depth of information, and understandabi lity
v v v v v v v v v v v v v
of the context. Clinical quality includes the doctor's understanding of communication techniques, h ealth
v v v v v v v v v v v v v v
literacy, etc.)
v v
Which of the following are the primary reasons for developing drug formularies?
v v v v v v v v v v v
a. Manage pharmacy costs, promote patient safety v v v v v
b. Reduce medication errors, educate physicians v v v v
c. Encourage the appropriate use of medications, educate physicians v v v v v v v
d. Decrease food and drug interactions, promote patient safety - CORRECT ANSWER -
v v v v v v v v v v v
A drug formulary is an approved list of medications, clinical indications, and doses that helps manage p
v v v v v v v v v v v v v v v v
harmacy costs and patient safety
v v v v v
Management using quality improvement principles should emphasize the importance of: v v v v v v v v v
, a. Staff orientation v
b. Customers' expectations v
c. Quarterly statistical reports v v
d. Team selection - CORRECT ANSWER - v v v v v
The basis of quality improvement is knowing what the customer needs and wants (b) The rest are only one
v v v v v v v v v v v v v v v v v v
component of quality improvement.
v v v v
Quality improvement teams are beneficial because they
v v v v v v
a. Promote competition and pride among members v v v v v
b. Maximize expertise and perspectives v v v
c. Authorize solutions to problems - CORRECT ANSWER - v v v v v v v
A diverse team, including members with different experience and backgrounds, provides a broader kno
v v v v v v v v v v v v v
wledge base and outcomes
v v v v
Which of the following is an essential component in a performance improvement report?
v v v v v v v v v v v v
a. Governing body approval v v
b. Data analysis and display v v v
c. Individual performance review v v
d. Team composition and attendance - CORRECT ANSWER -Data and analysis display
v v v v v v v v v v
What is the primary goal of risk management? - CORRECT ANSWER - To
v v v v v v v v v v v v
identify and manage risks to promote patient safety
v v v v v v v v
The relationship between patient satisfaction and hours per patient day on a medical unit was found t o be
v v v v v v v v v v v v v v v v v v
(r=0.60, p < 0.05). What is the correlation between these two values?
v v v v v v v v v v v v
a. 0.05
b. 0.36
c. 0.55
d. 0.60 - CORRECT ANSWER -The correlation coefficient (r) is an index that ranges from -
v v v v v v v v v v v v v v
1 to 1 and reflects the extent of a linear relationship between two data sets. The correlation coefficien t is
v v v v v v v v v v v v v v v v v v v
0.60.
v
