CPMSM 2026 COMPREHENSIVE QUESTIONS AND
ANSWERS SURE A+
✔✔Accreditation - ✔✔Recognition that is granted to an
institution (such as a health care provider or health
plan) by a professional association or non-governmental agency demonstrating that the
institution meets pre-established standards.
✔✔Certification - ✔✔Recognition that is granted to an individual
health care worker by a professional association or nongovernmental agency
demonstrating the individual's competency relative to a pre-determined set of criteria
✔✔Clinical Practice Guideline - ✔✔A standard of care based
on current, high-quality evidence that outlines the
recommended course of care, including relevant options and their outcomes, and that is
designed to help providers make the best possible care decisions.
✔✔Disparities in health care - ✔✔Variations in access to care
and in health outcomes due to factors such as race,
ethnicity, gender, and socioeconomic status.
✔✔Evidence-based care - ✔✔Health care that applies the best
available research (evidence) when making decisions
, about a patient's care.
✔✔Morbidity - ✔✔The incidence of disease, or how frequently a condition or illness
occurs in a given population
✔✔Patient experience - ✔✔The full range of patients'
interactions with the health care system, from scheduling appointments to interactions
with their providers to the course of treatment, including whether these interactions
meet patient needs and health goals.
✔✔Patient-centered care - ✔✔Health care that recognizes and
incorporates the distinct wishes and needs of individual
patients, with an emphasis on patient values and
preferences.
✔✔Quality measure - ✔✔A tool that is used to measure
performance against a recognized standard of care
✔✔Standard of Care - ✔✔Care that is delivered in accordance
with clinical practice guidelines or other evidence-based care protocols.
✔✔HCAHPS - ✔✔The Hospital Consumer Assessment of Healthcare Providers and
Systems (HCAHPS) is a formal public reporting initiative that measures patients'
perspectives on hospital care
✔✔Complaints - ✔✔All organizations (TJC, NCQA, HFAP, URAC, AAAHC, and
Medicare) must establish a process for addressing and handling complaints. Most agree
that complaints should be continually monitored for all sites and providers. A
mechanism for investigating the credibility of the complaint, implementing appropriate
actions and continually monitoring those actions until the deficiency is resolved should
in in place and formally published in a guideline that can be reviewed by others.
Patients should easily be able to retrieve information on how and with who they can file
a complaint.
✔✔According to TJC peer reference should include 6 items - ✔✔1. Medical knowledge
2. Technical skill
3. Clinical judgement
4. Professionalism
5. Communication sill
6. Interpersonal skills
✔✔Respondeat Superior - ✔✔Let the master speak/answer
✔✔Quorum - ✔✔Minimum number of members who must be present in a meeting in
order to be able to conduct business
ANSWERS SURE A+
✔✔Accreditation - ✔✔Recognition that is granted to an
institution (such as a health care provider or health
plan) by a professional association or non-governmental agency demonstrating that the
institution meets pre-established standards.
✔✔Certification - ✔✔Recognition that is granted to an individual
health care worker by a professional association or nongovernmental agency
demonstrating the individual's competency relative to a pre-determined set of criteria
✔✔Clinical Practice Guideline - ✔✔A standard of care based
on current, high-quality evidence that outlines the
recommended course of care, including relevant options and their outcomes, and that is
designed to help providers make the best possible care decisions.
✔✔Disparities in health care - ✔✔Variations in access to care
and in health outcomes due to factors such as race,
ethnicity, gender, and socioeconomic status.
✔✔Evidence-based care - ✔✔Health care that applies the best
available research (evidence) when making decisions
, about a patient's care.
✔✔Morbidity - ✔✔The incidence of disease, or how frequently a condition or illness
occurs in a given population
✔✔Patient experience - ✔✔The full range of patients'
interactions with the health care system, from scheduling appointments to interactions
with their providers to the course of treatment, including whether these interactions
meet patient needs and health goals.
✔✔Patient-centered care - ✔✔Health care that recognizes and
incorporates the distinct wishes and needs of individual
patients, with an emphasis on patient values and
preferences.
✔✔Quality measure - ✔✔A tool that is used to measure
performance against a recognized standard of care
✔✔Standard of Care - ✔✔Care that is delivered in accordance
with clinical practice guidelines or other evidence-based care protocols.
✔✔HCAHPS - ✔✔The Hospital Consumer Assessment of Healthcare Providers and
Systems (HCAHPS) is a formal public reporting initiative that measures patients'
perspectives on hospital care
✔✔Complaints - ✔✔All organizations (TJC, NCQA, HFAP, URAC, AAAHC, and
Medicare) must establish a process for addressing and handling complaints. Most agree
that complaints should be continually monitored for all sites and providers. A
mechanism for investigating the credibility of the complaint, implementing appropriate
actions and continually monitoring those actions until the deficiency is resolved should
in in place and formally published in a guideline that can be reviewed by others.
Patients should easily be able to retrieve information on how and with who they can file
a complaint.
✔✔According to TJC peer reference should include 6 items - ✔✔1. Medical knowledge
2. Technical skill
3. Clinical judgement
4. Professionalism
5. Communication sill
6. Interpersonal skills
✔✔Respondeat Superior - ✔✔Let the master speak/answer
✔✔Quorum - ✔✔Minimum number of members who must be present in a meeting in
order to be able to conduct business
