CPHQ 2025-2026 with well
stated questions and
correct answers
Adverse Event - CORRECT ANSWERS-Unintended harm resulting from medical
care.
What does SMART stand for? - CORRECT ANSWERS-Specific, Measureable, Achievable, Relevant, Time-
Bound
Accreditation - CORRECT ANSWERS-formal recognition by a authorized body indicating a compliance
with standards
Benchmarking - CORRECT ANSWERS-Comparing performance metrics against industry standards.
Balanced Scorecard - CORRECT ANSWERS-A strategic planning tool tracking financial, customer process,
and learning metrics
CAUTI - CORRECT ANSWERS-catheter associated urinary tract infection
Control Chart - CORRECT ANSWERS-Statistical tool monitoring process variation over time
Dashboard - CORRECT ANSWERS-Visual display of real time data (infection rates, readmission) for
decision making
DMAIC - CORRECT ANSWERS-Define, Measure, Analyze, Improve, Control - Is the Six Sigma framework
for process improvement
,EBP - CORRECT ANSWERS-evidence based practice- Clinical decisions grounded in research, patient
preferences, and clinical expertise.
EQRO - CORRECT ANSWERS-External Quality Review Organization, Entity auditing Medicaid/CHIP
programs for CMS compliance
FMEA - CORRECT ANSWERS-Failure Mode and Effects Analysis: process used to identify potential failures
before they result with the intent to minimize or eliminate them
Forcing Function - CORRECT ANSWERS-Design element preventing errors ( ehr alert requiring dose
confirmation)
Gemba - CORRECT ANSWERS-Lean term meaning the real place ( example: observing workflows at the
nurses' station)
Global Trigger Tool - CORRECT ANSWERS-Method for retrospective adverse event detection in medical
records
HRO - CORRECT ANSWERS-High Reliability Organization: Institution prioritizing safety via mindfulness,
reluctance to simplify, and deference to expertise
HEDIS - CORRECT ANSWERS-Healthcare Effectiveness Data and Information Set
IHI - CORRECT ANSWERS-Institute for Healthcare Improvement
Nonprofit organization focused on patient safety
IRB - CORRECT ANSWERS-Institutional Review Board, review research in advance to ensure ethical
considerations are met
, Just Culture - CORRECT ANSWERS-Accountability framework balancing system flaws and individual
responsibility for errors
Joint Commission Sentinel Event - CORRECT ANSWERS-Unexpected occurrence involving death, severe
harm, requiring RCA within 45 days
KSA - CORRECT ANSWERS-Knowledge, skills, or abilities needed to effectively perform a job.
Key Driver - CORRECT ANSWERS-Primary factor influencing the success of a quality initiative. (example:
leadership buyin)
Lean - CORRECT ANSWERS-Methodology minimizing waste (overproduction, waiting) in workflows
LOS - CORRECT ANSWERS-Length of stay- metric tied to resource utilization and reimbursement
penalties
Morbidity and Mortality Conference - CORRECT ANSWERS-Forum for clinicians to review
complications/deaths and identify improvements
Meaningful Use - CORRECT ANSWERS-the use of certified electronic health record technology to
improve care quality
NPSG - CORRECT ANSWERS-National Patient Safety Goals: Annual joint commission priorities (example:
suicide risk assessments)
Never Event - CORRECT ANSWERS-A preventable error, treatment of which is not reimbursed by
Medicare and Medicaid.
stated questions and
correct answers
Adverse Event - CORRECT ANSWERS-Unintended harm resulting from medical
care.
What does SMART stand for? - CORRECT ANSWERS-Specific, Measureable, Achievable, Relevant, Time-
Bound
Accreditation - CORRECT ANSWERS-formal recognition by a authorized body indicating a compliance
with standards
Benchmarking - CORRECT ANSWERS-Comparing performance metrics against industry standards.
Balanced Scorecard - CORRECT ANSWERS-A strategic planning tool tracking financial, customer process,
and learning metrics
CAUTI - CORRECT ANSWERS-catheter associated urinary tract infection
Control Chart - CORRECT ANSWERS-Statistical tool monitoring process variation over time
Dashboard - CORRECT ANSWERS-Visual display of real time data (infection rates, readmission) for
decision making
DMAIC - CORRECT ANSWERS-Define, Measure, Analyze, Improve, Control - Is the Six Sigma framework
for process improvement
,EBP - CORRECT ANSWERS-evidence based practice- Clinical decisions grounded in research, patient
preferences, and clinical expertise.
EQRO - CORRECT ANSWERS-External Quality Review Organization, Entity auditing Medicaid/CHIP
programs for CMS compliance
FMEA - CORRECT ANSWERS-Failure Mode and Effects Analysis: process used to identify potential failures
before they result with the intent to minimize or eliminate them
Forcing Function - CORRECT ANSWERS-Design element preventing errors ( ehr alert requiring dose
confirmation)
Gemba - CORRECT ANSWERS-Lean term meaning the real place ( example: observing workflows at the
nurses' station)
Global Trigger Tool - CORRECT ANSWERS-Method for retrospective adverse event detection in medical
records
HRO - CORRECT ANSWERS-High Reliability Organization: Institution prioritizing safety via mindfulness,
reluctance to simplify, and deference to expertise
HEDIS - CORRECT ANSWERS-Healthcare Effectiveness Data and Information Set
IHI - CORRECT ANSWERS-Institute for Healthcare Improvement
Nonprofit organization focused on patient safety
IRB - CORRECT ANSWERS-Institutional Review Board, review research in advance to ensure ethical
considerations are met
, Just Culture - CORRECT ANSWERS-Accountability framework balancing system flaws and individual
responsibility for errors
Joint Commission Sentinel Event - CORRECT ANSWERS-Unexpected occurrence involving death, severe
harm, requiring RCA within 45 days
KSA - CORRECT ANSWERS-Knowledge, skills, or abilities needed to effectively perform a job.
Key Driver - CORRECT ANSWERS-Primary factor influencing the success of a quality initiative. (example:
leadership buyin)
Lean - CORRECT ANSWERS-Methodology minimizing waste (overproduction, waiting) in workflows
LOS - CORRECT ANSWERS-Length of stay- metric tied to resource utilization and reimbursement
penalties
Morbidity and Mortality Conference - CORRECT ANSWERS-Forum for clinicians to review
complications/deaths and identify improvements
Meaningful Use - CORRECT ANSWERS-the use of certified electronic health record technology to
improve care quality
NPSG - CORRECT ANSWERS-National Patient Safety Goals: Annual joint commission priorities (example:
suicide risk assessments)
Never Event - CORRECT ANSWERS-A preventable error, treatment of which is not reimbursed by
Medicare and Medicaid.
