CPHQ CERTIFICATION EVALUATION
QUESTIONS AND CORRECT ANSWERS
PRACTICE PACK
●● Which of the following is most appropriate in preparation for an
external survey of a healthcare facility?
A. Assign key staff to answer all questions.
B. Ask department heads to prepare a presentation for the survey team.
C. Educate staff about the types of questions they may be asked.
D. Set up teams to make a good showing for the survey.
Answer: ANSWER
C. Educate staff about the types of questions they may be asked.
●● The following table shows the percentage of hospital-acquired
pressure ulcers: Which of the following
should the healthcare quality professional do next?
A. Implement a new pressure ulcer protocol.
B. Re-educate staff.
C. Continue to track and trend the data.
D. Conduct a focused analysis of pressure ulcer cases
,Answer: ANSWER
D. Conduct a focused analysis of pressure ulcer cases
●● Leadership can best integrate performance improvement within an
organization through:
A. multidisciplinary teams.
B. newsletters.
C. focus groups.
D. seminars.
Answer: ANSWER
A. multidisciplinary teams
(best integrate performance improvement by promoting an
interdisciplinary approach to the process and including multiple subject
matter experts.)
●● A medication error occurred and resulted in a severe adverse
outcome. In addition to informing the
patient and/or family, a healthcare quality professional should:
A. perform a regression analysis.
B. implement new technology.
C. reassign the employees involved.
D. conduct a root cause analysis.
,Answer: ANSWER
D. conduct a root cause analysis.
(exploration of system and process issues should be the primary function
of a root cause analysis)
●● The primary purpose of an organization's quality improvement (QI)
strategic plan is to:
A. determine accountability for outcomes.
B. assess improvement opportunities.
C. define the future direction for quality.
D. explain the purpose of performance teams
Answer: ANSWER
C. define the future direction for quality.
(This is a function of having a QI strategic plan.)
●● Which of the following are the first steps when preparing for an
initial accreditation or certification survey
of an organization?
A. Review the standards and determine readiness.
B. Appoint a survey coordinator and prepare a survey agenda.
C. Hire a consultant and conduct a mock survey.
, D. Assess staff knowledge and plan staff training.
Answer: ANSWER
A. Review the standards and determine readiness.
(These actions are part of the gap analysis, which establishes a good
baseline to determine where to focus and how to prioritize efforts.)
●● The primary purpose of risk management trend analysis is to:
A. meet regulatory requirements.
B. provide required reports to liability carriers.
C. identify opportunities for improvements.
D. eliminate financial loss for organizations
Answer: ANSWER
C. identify opportunities for improvements.
(Risk management focuses on identification, assessment, and reduction
of risk. The goal is to protect the organization from losses, the key
component of which is proactive improvement to avoid and reduce risk.)
●● Which of the following elements must be present in order to evaluate
the effectiveness of a healthcare
organization's quality improvement program?
A. quantifiable objectives
QUESTIONS AND CORRECT ANSWERS
PRACTICE PACK
●● Which of the following is most appropriate in preparation for an
external survey of a healthcare facility?
A. Assign key staff to answer all questions.
B. Ask department heads to prepare a presentation for the survey team.
C. Educate staff about the types of questions they may be asked.
D. Set up teams to make a good showing for the survey.
Answer: ANSWER
C. Educate staff about the types of questions they may be asked.
●● The following table shows the percentage of hospital-acquired
pressure ulcers: Which of the following
should the healthcare quality professional do next?
A. Implement a new pressure ulcer protocol.
B. Re-educate staff.
C. Continue to track and trend the data.
D. Conduct a focused analysis of pressure ulcer cases
,Answer: ANSWER
D. Conduct a focused analysis of pressure ulcer cases
●● Leadership can best integrate performance improvement within an
organization through:
A. multidisciplinary teams.
B. newsletters.
C. focus groups.
D. seminars.
Answer: ANSWER
A. multidisciplinary teams
(best integrate performance improvement by promoting an
interdisciplinary approach to the process and including multiple subject
matter experts.)
●● A medication error occurred and resulted in a severe adverse
outcome. In addition to informing the
patient and/or family, a healthcare quality professional should:
A. perform a regression analysis.
B. implement new technology.
C. reassign the employees involved.
D. conduct a root cause analysis.
,Answer: ANSWER
D. conduct a root cause analysis.
(exploration of system and process issues should be the primary function
of a root cause analysis)
●● The primary purpose of an organization's quality improvement (QI)
strategic plan is to:
A. determine accountability for outcomes.
B. assess improvement opportunities.
C. define the future direction for quality.
D. explain the purpose of performance teams
Answer: ANSWER
C. define the future direction for quality.
(This is a function of having a QI strategic plan.)
●● Which of the following are the first steps when preparing for an
initial accreditation or certification survey
of an organization?
A. Review the standards and determine readiness.
B. Appoint a survey coordinator and prepare a survey agenda.
C. Hire a consultant and conduct a mock survey.
, D. Assess staff knowledge and plan staff training.
Answer: ANSWER
A. Review the standards and determine readiness.
(These actions are part of the gap analysis, which establishes a good
baseline to determine where to focus and how to prioritize efforts.)
●● The primary purpose of risk management trend analysis is to:
A. meet regulatory requirements.
B. provide required reports to liability carriers.
C. identify opportunities for improvements.
D. eliminate financial loss for organizations
Answer: ANSWER
C. identify opportunities for improvements.
(Risk management focuses on identification, assessment, and reduction
of risk. The goal is to protect the organization from losses, the key
component of which is proactive improvement to avoid and reduce risk.)
●● Which of the following elements must be present in order to evaluate
the effectiveness of a healthcare
organization's quality improvement program?
A. quantifiable objectives
