CPHQ FINAL EXAM QUESTIONS WITH CORRECT ANSWERS

CPHQ FINALEXAM QUESTIONSWITH v v v v




CORRECT ANSWERS 2025 v v v




The term "performance" as used in healthcare quality improvement activities refers to:
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A. Interactive series of process steps v v v v




B. Statement of expectation v v




C. Effective execution of functions & processes v v v v v




D. Demonstration during accreditation survey - CORRECT ANSWER -C v v v v v v v




A key physician/licensed independent practitioner QM function is:
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A. Determination of what constitutes a deviation from an accepted standard of care
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B. Researching criteria options for peer review v v v v v




C. Determination of data collection methodology v v v v




D. Tabulation of peer review data - CORRECT ANSWER -A v v v v v v v v




Of the following conclusions concerning a licensed independent practitioners care drawn from org QM
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/QI activities would most likely be used during:
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A. Case management v




B. Re-privileging

C. Productivity management v




D. Initial privileging - CORRECT ANSWER -B
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The most effective way to ensure patient safety as a dimension of performance is to:
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A. Sponsor a hotline v v




B. Focus on processes/minimize blame v v v




C. Encourage patients & families to identify risks v v v v v v




D. Have leaders who commit to & foster a safe culture - CORRECT ANSWER -D
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The responsibility to reduce risks of endemic & epidemic healthcare associated infection is vested in:
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A. An interdisciplinary team
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,B. A qualified infection control practitioner
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C. The organization v




D. A qualified infection control attending physician - CORRECT ANSWER -C
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A trend has developed over the past year indicating that an internal medicine physician has significant
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difficulty treating patients with out of control diabetes. After 10 months of peer case review & meeting s
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what additional actions may be appropriate?
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A. A letter v




B. Required consultation for all of the physicians diabetic patientsv v v v v v v v




C. Medical education v




D. Summary suspension of privileges - CORRECT ANSWER -B v v v v v v v




In any QM approach how can you best evaluate the effectiveness of action taken?
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A. Formulate a new special study v v v v




B. Interview staff v




C. Do nothing v




D. Use the same performance measures to remonitor the process - CORRECT ANSWER -D
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The Baldrige Healthcare Criteria for Performance Excellence establish standards for:
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A. An award v




B. Corporate compliance v




C. A certification
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D. An accreditation - CORRECT ANSWER -A
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Based on most QI standards, those responsible to prioritize data collection to monitor org wide perfor
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mance are:
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A. The Quality Counsel v v




B. The leaders v




C. The most knowledgeable v v




D. The most experienced - CORRECT ANSWER -B
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, The phrase intensive analysis as used in QM/QI :
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A. Applies only to peer review v v v v




B. Includes all defined sentinel events v v v v




C. Is an automatic indication of a problem
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D. Means the trigger is never set at 0% - CORRECT ANSWER -B
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Occurrence or event reporting is an example of: v v v v v v v




A. Generic screening v




B. Peer review v




C. Root cause analysis v v




D. Special study - CORRECT ANSWER -A v v v v v




A surgeon refuses to accept his postop site infection data & high rate for joint cases over the last year. What
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additional step may be necessary?
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A. Present data to all surgeons v v v v




B. Do nothing v




C. Have peers review all cases v v v v




D. With the medical director show the surgeon the data compared to peers - CORRECT ANSWER -D
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A hospital has decided to add indicators to measure performance for 10 diagnoses not previously asse
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ssed. How can QM help them prioritize?
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A. Provide volume & complication data v v v v




B. Just say no v v




C. Provide cost per case data v v v v




D. Provide liability claims data - CORRECT ANSWER -A v v v v v v v




In order to resolve scheduling problems in the OR the first task should be to:
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A. Write a letter v v