Quality Improvement and Risk
Management (C430) Exam 2025
Questions and Answers
Risk Management - ANSWER✔️✔️-An organized effort to identify, assess, and reduce, where
appropriate, risks to patients, visitors, staff, and organization assets.
Reduce the incidence of preventable accidents and injuries to minimize the financial loss to the
institution should an injury or accident occur.
Risk Management Process - ANSWER✔️✔️-Investigate: Observe or study by close examination
and systematic inquiry.
Inform: Present in material form.
Influence: Affect or alter by indirect or intangible means.
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,Interpret: Explain or tell the meaning of; present in understandable terms.
Integrate: Form or blend into a whole; unite with something else.
Risk Classification - ANSWER✔️✔️-• Property Risks
• Casualty/liability risks
• Employee benefit risks
Property Risks - ANSWER✔️✔️-Involve the possibility of losses associated with the destruction
or theft of property.
Casualty/Liability Risks - ANSWER✔️✔️-Involve professional negligence, worker's comp,
directory and officers liability, environmental liability and product liability.
Employee Benefit Risks - ANSWER✔️✔️-Cost of benefit plans, disability claims, and Employee
Retirement and Income Security Act (ERISA) violations.
Risk Management Tools - ANSWER✔️✔️-• Incident Reporting
• Occurrence reporting
• Occurrence screening
Incident Reporting - ANSWER✔️✔️-The identification and reporting of occurrences that could
have led, or did lead, to an undesirable outcome.
Occurrence Reporting - ANSWER✔️✔️-Serves as a database for further investigation
Alerts risk management to a potential claim situation.
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, Occurrence Screening - ANSWER✔️✔️-Review technique of medical records of current and
discharged patients with the goal of identifying events not consistent with routine. Used to identify
and correct problems and to prepare for legal defense.
Managing Adverse Events - ANSWER✔️✔️-Requires extensive analysis and planning to arrive at
the best and fairest solution for all involved.
Information must get to the upper-level administration and to the clinical chief or chiefs ASAP.
It is also important for details of clinical incidents to be chared with clinicians throughout the org to
prevent recurrence of adverse events.
How do risk and quality management functions overlap? - ANSWER✔️✔️-Quality control is
doing what you want to do: meeting needs.
Risk control is not doing what you do not want to do: preventing errors.
Regulatory & Professional Organizations That Influence Quality & Risk Management -
ANSWER✔️✔️-• Joint Commission
• National Committee for Quality Assurance (NCQA)
• OSHA
• ADA
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
Management (C430) Exam 2025
Questions and Answers
Risk Management - ANSWER✔️✔️-An organized effort to identify, assess, and reduce, where
appropriate, risks to patients, visitors, staff, and organization assets.
Reduce the incidence of preventable accidents and injuries to minimize the financial loss to the
institution should an injury or accident occur.
Risk Management Process - ANSWER✔️✔️-Investigate: Observe or study by close examination
and systematic inquiry.
Inform: Present in material form.
Influence: Affect or alter by indirect or intangible means.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 1
,Interpret: Explain or tell the meaning of; present in understandable terms.
Integrate: Form or blend into a whole; unite with something else.
Risk Classification - ANSWER✔️✔️-• Property Risks
• Casualty/liability risks
• Employee benefit risks
Property Risks - ANSWER✔️✔️-Involve the possibility of losses associated with the destruction
or theft of property.
Casualty/Liability Risks - ANSWER✔️✔️-Involve professional negligence, worker's comp,
directory and officers liability, environmental liability and product liability.
Employee Benefit Risks - ANSWER✔️✔️-Cost of benefit plans, disability claims, and Employee
Retirement and Income Security Act (ERISA) violations.
Risk Management Tools - ANSWER✔️✔️-• Incident Reporting
• Occurrence reporting
• Occurrence screening
Incident Reporting - ANSWER✔️✔️-The identification and reporting of occurrences that could
have led, or did lead, to an undesirable outcome.
Occurrence Reporting - ANSWER✔️✔️-Serves as a database for further investigation
Alerts risk management to a potential claim situation.
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 2
, Occurrence Screening - ANSWER✔️✔️-Review technique of medical records of current and
discharged patients with the goal of identifying events not consistent with routine. Used to identify
and correct problems and to prepare for legal defense.
Managing Adverse Events - ANSWER✔️✔️-Requires extensive analysis and planning to arrive at
the best and fairest solution for all involved.
Information must get to the upper-level administration and to the clinical chief or chiefs ASAP.
It is also important for details of clinical incidents to be chared with clinicians throughout the org to
prevent recurrence of adverse events.
How do risk and quality management functions overlap? - ANSWER✔️✔️-Quality control is
doing what you want to do: meeting needs.
Risk control is not doing what you do not want to do: preventing errors.
Regulatory & Professional Organizations That Influence Quality & Risk Management -
ANSWER✔️✔️-• Joint Commission
• National Committee for Quality Assurance (NCQA)
• OSHA
• ADA
FOR STUDY PURPOSES ONLY COPYRIGHT © 2025 ALL RIGHTS RESERVED 3
