CPXP EXAM STUDY GUIDE QUESTIONS WITH
CORRECT ANSWERS 2026/2027 UPDATE (VERIFIED
SOLUTIONS) GUARANTEED PASS.
Describe "Pay for performance" -- ANSWER--provide financial incentives to hospitals,
physicians, and other providers to carry out improvement and achieve optimal outcomes for
patients
What are some reasons patients may not voice their complaints? -- ANSWER--Don't know
where to complain, afraid of retribution, not worth the trouble
What are the IOM six aims of for quality (established in 2001) -- ANSWER--Safe, time,
effective, efficient, equitable, patient-centered (STEEEP)
How did the report of quality measures to CMS begin? -- ANSWER--Hospitals could
voluntarily report quality measures starting in 2001- adapting to current state from there
What is HCAHPS -- ANSWER--Hospital Consumer Assessment of Healthcare Providers and
System
What are some metrics for outcome of care? -- ANSWER--mortality, readmission,
complications, hospital associated infections
What is the IHI triple aim? -- ANSWER--improve patient experience, improve health of
populations, reduce per capita cost
Describe health literacy -- ANSWER--capacity to obtain, process and understand basic health
information needed to make appropriate health decisions
Page | 1
,What percentage of adults are estimated to have a proficient health literacy -- ANSWER--12
%
What is the definition of Culture (Irwin Press) -- ANSWER--Culture exists when its members
share values and behaviors that they take for granted
What is empathy -- ANSWER--the ability to understand and share the feelings of another
What percentage of CMS reimbursement is dependent on patient satisfaction scores --
ANSWER--1%
What are the 4 basic needs that should be met to create an ideal patient experience --
ANSWER--confidence, integrity, pride, passion
In which year did hospitals establish patient advocates and representatives? -- ANSWER-
1965
In which year did the American hospital association develop patients bill of rights --
ANSWER--1973
What is the RATER scale and when was it developed -- ANSWER--Reliability, Assurance,
Tangibles, Empathy, Responsiveness (early 80s)
Page | 2
,What are some of the key concepts of the Planetree model -- ANSWER--Importance of social
support, patient/resident education, healing environment (design- iron curtain)
In which year were Diagnostic Related Groups (DRG) introduced? -- ANSWER--1983
Which year was the American Society for Hospital Risk Management formed? -- ANSWER-
1980
What was the original name for the CMS -- ANSWER--Health Care Financing
Administration
What is the Emergency Medical Treatment and Labor Act (EMTALA) and when was it
established -- ANSWER--requires hospitals to stabilize any patient who shows up in the ER
regardless of ability to pay (1986)
When was the Health Insurance Portability and Patient Protection Act (HIPPA) created? --
ANSWER--1996
In which year did the IOM publish the report "To Err is Human" regarding the significance of
medical errors -- ANSWER--1999
What is the IPFCC -- ANSWER--Institute for patient family-centered care
What are some of the limitations to the Press Ganey surveys -- ANSWER--low return rate,
minorities underrepresented
Page | 3
, What is a "Likert" scale -- ANSWER--Ex: Very poor, poor, fair, good, very good
What is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
-- ANSWER--first national standardized publicly reported survey of patients perceptions of
hospital experience
What is a level 2 complaint -- ANSWER--addressed at employee or escalated to management
with additional tools (coupons, parking, flowers)
What is a level 3 complaint -- ANSWER--employee escalates to manager refers
patient/family or concern to patient relations
What are the characteristics of hospitals that did well with value based purchasing? --
ANSWER--smaller, didn't train residents, more affluent patient mix, for profit
What are the characteristics of hospitals that did NOT do well with value based purchasing? -
ANSWER--bigger, teaching hospitals, poor patients, govt owned
What is the goal of Partnership for Patients -- ANSWER--decrease preventable
hospitalacquired conditions, decrease preventable complications during care center transition
When did Medicare Physician Pay for Performance begin? -- ANSWER--started in 2015 for
some physicians and physician groups- projected to be for all physicians by 2017
Page | 4
CORRECT ANSWERS 2026/2027 UPDATE (VERIFIED
SOLUTIONS) GUARANTEED PASS.
Describe "Pay for performance" -- ANSWER--provide financial incentives to hospitals,
physicians, and other providers to carry out improvement and achieve optimal outcomes for
patients
What are some reasons patients may not voice their complaints? -- ANSWER--Don't know
where to complain, afraid of retribution, not worth the trouble
What are the IOM six aims of for quality (established in 2001) -- ANSWER--Safe, time,
effective, efficient, equitable, patient-centered (STEEEP)
How did the report of quality measures to CMS begin? -- ANSWER--Hospitals could
voluntarily report quality measures starting in 2001- adapting to current state from there
What is HCAHPS -- ANSWER--Hospital Consumer Assessment of Healthcare Providers and
System
What are some metrics for outcome of care? -- ANSWER--mortality, readmission,
complications, hospital associated infections
What is the IHI triple aim? -- ANSWER--improve patient experience, improve health of
populations, reduce per capita cost
Describe health literacy -- ANSWER--capacity to obtain, process and understand basic health
information needed to make appropriate health decisions
Page | 1
,What percentage of adults are estimated to have a proficient health literacy -- ANSWER--12
%
What is the definition of Culture (Irwin Press) -- ANSWER--Culture exists when its members
share values and behaviors that they take for granted
What is empathy -- ANSWER--the ability to understand and share the feelings of another
What percentage of CMS reimbursement is dependent on patient satisfaction scores --
ANSWER--1%
What are the 4 basic needs that should be met to create an ideal patient experience --
ANSWER--confidence, integrity, pride, passion
In which year did hospitals establish patient advocates and representatives? -- ANSWER-
1965
In which year did the American hospital association develop patients bill of rights --
ANSWER--1973
What is the RATER scale and when was it developed -- ANSWER--Reliability, Assurance,
Tangibles, Empathy, Responsiveness (early 80s)
Page | 2
,What are some of the key concepts of the Planetree model -- ANSWER--Importance of social
support, patient/resident education, healing environment (design- iron curtain)
In which year were Diagnostic Related Groups (DRG) introduced? -- ANSWER--1983
Which year was the American Society for Hospital Risk Management formed? -- ANSWER-
1980
What was the original name for the CMS -- ANSWER--Health Care Financing
Administration
What is the Emergency Medical Treatment and Labor Act (EMTALA) and when was it
established -- ANSWER--requires hospitals to stabilize any patient who shows up in the ER
regardless of ability to pay (1986)
When was the Health Insurance Portability and Patient Protection Act (HIPPA) created? --
ANSWER--1996
In which year did the IOM publish the report "To Err is Human" regarding the significance of
medical errors -- ANSWER--1999
What is the IPFCC -- ANSWER--Institute for patient family-centered care
What are some of the limitations to the Press Ganey surveys -- ANSWER--low return rate,
minorities underrepresented
Page | 3
, What is a "Likert" scale -- ANSWER--Ex: Very poor, poor, fair, good, very good
What is the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
-- ANSWER--first national standardized publicly reported survey of patients perceptions of
hospital experience
What is a level 2 complaint -- ANSWER--addressed at employee or escalated to management
with additional tools (coupons, parking, flowers)
What is a level 3 complaint -- ANSWER--employee escalates to manager refers
patient/family or concern to patient relations
What are the characteristics of hospitals that did well with value based purchasing? --
ANSWER--smaller, didn't train residents, more affluent patient mix, for profit
What are the characteristics of hospitals that did NOT do well with value based purchasing? -
ANSWER--bigger, teaching hospitals, poor patients, govt owned
What is the goal of Partnership for Patients -- ANSWER--decrease preventable
hospitalacquired conditions, decrease preventable complications during care center transition
When did Medicare Physician Pay for Performance begin? -- ANSWER--started in 2015 for
some physicians and physician groups- projected to be for all physicians by 2017
Page | 4
