HEALTHCARE QUALITY
IMPROVEMENT AND RISK
MANAGEMENT. EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
CHAPTER 1 -
The Joint Commission Standards - ANS 1. providing leadership
2. improving organizational performance
3. information management
4. patient's rights
-quality of care and legal responsibilities to do no harm
Risk Management - ANS an organized effort to identify, assess, and reduce, where
appropriate, risks to patients, visitors, staff, and organizational assets
-a program designed to reduce the incidence of preventable accidents and injuries to minimize
the financial loss to the institution should an injury or accident occurr
risk - ANS uncertainty about future events that may threaten the safety of patients, assets
(people, property, financial, and goodwill), and reputation of providers
Risk management process - ANS 1. Risk Identification
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 30
,2. Risk Analysis
3. Risk control/treatment
4. Risk financing
Risk identification - ANS the collection of information about current and past patient care
occurrences and other events that represent potential loss to the institution
-examples: antitrust violation, breach of contract, casualty exposure, defamation,
embezzlement, environmental damage, fraud and abuse, general liability, hazard substance
exposure, professional malpractice, security violations, transportation liability, and worker's
compensation
Risk Analysis - ANS evaluation of past experience and current exposure to eliminate or limit
substantially the impact of risk on cash flow, community image, and employee and medical staff
morale
Risk Control/Treatment - ANS Organization's response to significant risk areas, as well as its
effort to limit the liability associated with incidents that have occurred.
-bodily injuries
-liability losses
-property loss
-consequential losses
Risk Control Techniques - ANS -risk acceptance: organization doesn't purchase insurance
because risk is unavoidable, reduced, or transferred
-exposure avoidance: lose service, personnel or equipment that will make risk likely
-loss prevention: training in areas where there are high loss
-loss reduction: lowers risk due to proper documentation
-exposure segregation: narrow down to where the loss is happening
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 30
, -contractual transfer: contract out services and the other organization will accept the liability
Risk Financing - ANS techniques that provide for the funding of losses
-self insurance, commercial insurance, captive
Risk Management activities - ANS -American Society of Healthcare Risk Management
(ASHRM)
-educated and trained on risks
-given all access to data
-risk manager designation
-organization has to be committed
-system for identifying, reviewing, and analyzing adverse outcomes
-necessary resources given
-share and integrate data program activities
-evaluate risk management
Property risks - ANS structural damage, car accidents, technological obsolescence, theft,
sabotage, production breakdown, and consequential losses
Casualty/liability risks - ANS Professional negligence (PCEs and adverse patient occurrences),
worker's compensation, directors and officers liability, environmental liability, and product
liability
Employee benefit risks - ANS cost of benefit plans, disability claims, and employee retirement
and income security ACT (ERISA) violations
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 30
IMPROVEMENT AND RISK
MANAGEMENT. EXAM QUESTIONS AND
ANSWERS 2026 VERIFIED.
CHAPTER 1 -
The Joint Commission Standards - ANS 1. providing leadership
2. improving organizational performance
3. information management
4. patient's rights
-quality of care and legal responsibilities to do no harm
Risk Management - ANS an organized effort to identify, assess, and reduce, where
appropriate, risks to patients, visitors, staff, and organizational assets
-a program designed to reduce the incidence of preventable accidents and injuries to minimize
the financial loss to the institution should an injury or accident occurr
risk - ANS uncertainty about future events that may threaten the safety of patients, assets
(people, property, financial, and goodwill), and reputation of providers
Risk management process - ANS 1. Risk Identification
@COPYRIGHT ALL RIGHTS RESERVED PAGE 1 OF 30
,2. Risk Analysis
3. Risk control/treatment
4. Risk financing
Risk identification - ANS the collection of information about current and past patient care
occurrences and other events that represent potential loss to the institution
-examples: antitrust violation, breach of contract, casualty exposure, defamation,
embezzlement, environmental damage, fraud and abuse, general liability, hazard substance
exposure, professional malpractice, security violations, transportation liability, and worker's
compensation
Risk Analysis - ANS evaluation of past experience and current exposure to eliminate or limit
substantially the impact of risk on cash flow, community image, and employee and medical staff
morale
Risk Control/Treatment - ANS Organization's response to significant risk areas, as well as its
effort to limit the liability associated with incidents that have occurred.
-bodily injuries
-liability losses
-property loss
-consequential losses
Risk Control Techniques - ANS -risk acceptance: organization doesn't purchase insurance
because risk is unavoidable, reduced, or transferred
-exposure avoidance: lose service, personnel or equipment that will make risk likely
-loss prevention: training in areas where there are high loss
-loss reduction: lowers risk due to proper documentation
-exposure segregation: narrow down to where the loss is happening
@COPYRIGHT ALL RIGHTS RESERVED PAGE 2 OF 30
, -contractual transfer: contract out services and the other organization will accept the liability
Risk Financing - ANS techniques that provide for the funding of losses
-self insurance, commercial insurance, captive
Risk Management activities - ANS -American Society of Healthcare Risk Management
(ASHRM)
-educated and trained on risks
-given all access to data
-risk manager designation
-organization has to be committed
-system for identifying, reviewing, and analyzing adverse outcomes
-necessary resources given
-share and integrate data program activities
-evaluate risk management
Property risks - ANS structural damage, car accidents, technological obsolescence, theft,
sabotage, production breakdown, and consequential losses
Casualty/liability risks - ANS Professional negligence (PCEs and adverse patient occurrences),
worker's compensation, directors and officers liability, environmental liability, and product
liability
Employee benefit risks - ANS cost of benefit plans, disability claims, and employee retirement
and income security ACT (ERISA) violations
@COPYRIGHT ALL RIGHTS RESERVED PAGE 3 OF 30
