CPHIMS UPDATED EXAM SCRIPT 2026/2027 QUESTIONS
AND SOLUTIONS RATED A+
✔✔IT Professionals (Mid-mgmt and Staff) - ✔✔-Analysts
-Programmers
-Database admins
-Network admins
-Telecom specialists
-"Management Engineers"
✔✔Role of Government (3) - ✔✔-Provider of care (Veterans Affairs)
-Payor
National Health Insurance
1) Medicare
2) ontario health insurance plan OHIP
-Regulator
1) Licensure
2) HIPAA and EMTALA.. emergency med treatment and active labor act
3) UK Data protection act of 1998
4) European Union Data Protect Directive EUDPD
✔✔Standardization (2) - ✔✔ACCREDITATION: Joint Comission & Intl PRIVATE NON-
PROFIT
ICD-10
-world health organization
-international standard diagnostic classification for all general epidemiological and many
health management purposes
✔✔ICD-10 (vs. ICD-9) - ✔✔1) Three volume set
2) Alphanumeric categories rather than numeric
3) changes in chapters, titles, conditions
4) Twice as may categories
5) Changes in coding rules
✔✔Future of Healthcare IT (6) - ✔✔-Need for greater productivity (nursing shortage!)
-Medical errors/variations in care patterns
-Cost-shifting/consumerization of medicine
-Pay for performance medicine
-Advances in IT (internet... wireless)
-Genetic revolution
✔✔Types of structural changes (4) - ✔✔MERGER = Assets integrated under contract
,JOINT VENTURE= two orgs assets pooled
ALLIANCE=shared, but not jointly owned
NETWORK=ambition alliance of several providers
VIRTUAL ORG=geographically dispersed but loosely structured for specific/limited
purpose such as referals/shared overhead
✔✔Care level services (4) - ✔✔primary care (PCP, ob/gyn, general internish)
secondary care (specialized... surgical.. intensive care)
tertiary (HIGHLY specialized and tech advanced transplants)
sub-acute:patients needing a slightly longer stay "transitional"
✔✔teaching hospital vs. academic medical center - ✔✔Teaching Hospital=Affiliated with
med school
Academic Medical Center=tertiary level medical center and in-house medical school
✔✔Joint Commissions Sentinel Event Policy - ✔✔to reduce medical errors, voluntary
reporting of errors, particularly in case of patient injury, root cause analysis, and
corrective plan
✔✔Leadership Skill #1 - ✔✔Strategic Participation... helping develop strategy goals
strategy = formal or informal action to achieve a goal
✔✔Corporate Mission - ✔✔= why org exists (set by CEO/board)
✔✔Corporate Vision - ✔✔= where it wants to go/become
✔✔Values - ✔✔= what the company supports/appreciates most
✔✔Goals - ✔✔measures set to accomplish the vision. brief, understandable,
measureable
✔✔Technology Leadership - ✔✔-Assist org in remaining focused
-Define processes that support decision making
-Know when to be flexible
-Measure starting point and goal
✔✔Aligning objectives (Leadership) - ✔✔-Do you need a technology plan?
-Inventory of current projects
-Outline of potential requests
-Project crosswalk
A visual summary of the initatives being hanld by your area
show linkage b/w vision, goals, and projects (strategies)
✔✔Monitoring Performance (Leadership) - ✔✔How are you doing?
, -Where have you been (data)
-Where are you going?
Project Measurement--Gantt chart
Service measurement
-Benchmarks
-Dashboards
-Service Level Agreements
-Quality of Service
Control Chart
✔✔Managing Expectations - ✔✔-Define opportunties (automation!)
-Temper enthusiasm (limitations)
-Define a process of project development... use a Situation, Background, Assessment,
Recommendation and Communication (SBARC) tool... 1-2 page proposal to frame a
situation or request.
scope=deliverables, cost, and timing
✔✔Departmental Effectiveness - ✔✔-stay in touch (don't be insulated!)
-baseline systems assessment
*rounding... (join existing meetings!)
*face-to-face eval
*Web surveys too impersonal for INITIAL assessment tool!!
*get both a subjective and objective assessments!
-Followup commitment
✔✔Systems effectiveness - ✔✔-Measure pre implementation efficiencies
-Measure results again immediately after implementation
-English customers and project sponsors in defining each of the quantitative dimensions
to be measured
✔✔IT Policy & Procedure - ✔✔-Follow others in industry (don't implement alone)
-Must be able to measure policy adherence!
-Policy only needed if action is taken based on exceptions
✔✔Legal & Regulatory External Standards - ✔✔Key influencers
-Centers for Medicare & Medicaid Services CMS... "conditions for coverage and
conditions of participation"
-Joint Comission
-Federal Register (official daily publication for rules, notices, etc.)
-JCI (joint comission international)
✔✔Ethical Principles - ✔✔Elements of basic compliance programs
AND SOLUTIONS RATED A+
✔✔IT Professionals (Mid-mgmt and Staff) - ✔✔-Analysts
-Programmers
-Database admins
-Network admins
-Telecom specialists
-"Management Engineers"
✔✔Role of Government (3) - ✔✔-Provider of care (Veterans Affairs)
-Payor
National Health Insurance
1) Medicare
2) ontario health insurance plan OHIP
-Regulator
1) Licensure
2) HIPAA and EMTALA.. emergency med treatment and active labor act
3) UK Data protection act of 1998
4) European Union Data Protect Directive EUDPD
✔✔Standardization (2) - ✔✔ACCREDITATION: Joint Comission & Intl PRIVATE NON-
PROFIT
ICD-10
-world health organization
-international standard diagnostic classification for all general epidemiological and many
health management purposes
✔✔ICD-10 (vs. ICD-9) - ✔✔1) Three volume set
2) Alphanumeric categories rather than numeric
3) changes in chapters, titles, conditions
4) Twice as may categories
5) Changes in coding rules
✔✔Future of Healthcare IT (6) - ✔✔-Need for greater productivity (nursing shortage!)
-Medical errors/variations in care patterns
-Cost-shifting/consumerization of medicine
-Pay for performance medicine
-Advances in IT (internet... wireless)
-Genetic revolution
✔✔Types of structural changes (4) - ✔✔MERGER = Assets integrated under contract
,JOINT VENTURE= two orgs assets pooled
ALLIANCE=shared, but not jointly owned
NETWORK=ambition alliance of several providers
VIRTUAL ORG=geographically dispersed but loosely structured for specific/limited
purpose such as referals/shared overhead
✔✔Care level services (4) - ✔✔primary care (PCP, ob/gyn, general internish)
secondary care (specialized... surgical.. intensive care)
tertiary (HIGHLY specialized and tech advanced transplants)
sub-acute:patients needing a slightly longer stay "transitional"
✔✔teaching hospital vs. academic medical center - ✔✔Teaching Hospital=Affiliated with
med school
Academic Medical Center=tertiary level medical center and in-house medical school
✔✔Joint Commissions Sentinel Event Policy - ✔✔to reduce medical errors, voluntary
reporting of errors, particularly in case of patient injury, root cause analysis, and
corrective plan
✔✔Leadership Skill #1 - ✔✔Strategic Participation... helping develop strategy goals
strategy = formal or informal action to achieve a goal
✔✔Corporate Mission - ✔✔= why org exists (set by CEO/board)
✔✔Corporate Vision - ✔✔= where it wants to go/become
✔✔Values - ✔✔= what the company supports/appreciates most
✔✔Goals - ✔✔measures set to accomplish the vision. brief, understandable,
measureable
✔✔Technology Leadership - ✔✔-Assist org in remaining focused
-Define processes that support decision making
-Know when to be flexible
-Measure starting point and goal
✔✔Aligning objectives (Leadership) - ✔✔-Do you need a technology plan?
-Inventory of current projects
-Outline of potential requests
-Project crosswalk
A visual summary of the initatives being hanld by your area
show linkage b/w vision, goals, and projects (strategies)
✔✔Monitoring Performance (Leadership) - ✔✔How are you doing?
, -Where have you been (data)
-Where are you going?
Project Measurement--Gantt chart
Service measurement
-Benchmarks
-Dashboards
-Service Level Agreements
-Quality of Service
Control Chart
✔✔Managing Expectations - ✔✔-Define opportunties (automation!)
-Temper enthusiasm (limitations)
-Define a process of project development... use a Situation, Background, Assessment,
Recommendation and Communication (SBARC) tool... 1-2 page proposal to frame a
situation or request.
scope=deliverables, cost, and timing
✔✔Departmental Effectiveness - ✔✔-stay in touch (don't be insulated!)
-baseline systems assessment
*rounding... (join existing meetings!)
*face-to-face eval
*Web surveys too impersonal for INITIAL assessment tool!!
*get both a subjective and objective assessments!
-Followup commitment
✔✔Systems effectiveness - ✔✔-Measure pre implementation efficiencies
-Measure results again immediately after implementation
-English customers and project sponsors in defining each of the quantitative dimensions
to be measured
✔✔IT Policy & Procedure - ✔✔-Follow others in industry (don't implement alone)
-Must be able to measure policy adherence!
-Policy only needed if action is taken based on exceptions
✔✔Legal & Regulatory External Standards - ✔✔Key influencers
-Centers for Medicare & Medicaid Services CMS... "conditions for coverage and
conditions of participation"
-Joint Comission
-Federal Register (official daily publication for rules, notices, etc.)
-JCI (joint comission international)
✔✔Ethical Principles - ✔✔Elements of basic compliance programs
