CPHQ Exam Comprehensive Q&A Study Guide 2026/2027 Update

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CPHQ EXAM | COMPREHENSIVE QUESTIONS AN k kk k k k




D ANSWERS 2026\2027 UPDATE
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Volatility in nursing workload is less likely to be reported than other sources of wast
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e because:
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A. Nurses are unlikely to complain k k k k




B. It can only be perceived using advanced metrics
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C. It is less observable
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D. It takes place infrequently - correct-answer-C. It is less observable
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The primary reason to analyze customer satisfaction surveys is to:
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A. Provide data for the quality improvement program
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B. Meet pay for performance requirements
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C. Identify how perceptions relate to services provided
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D. Assist with evaluation of employee performance - correct-answer-
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C. Identify how perceptions relate to services provided
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One important driver of patient dissatisfaction in health care over the past decad
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e has been:
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A. Introduction of online services k k k

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B. Lack of communication between physicians and patients
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C. Rise in income inequality
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D. Improvement of customer care in other service industries - correct-answer-
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A. Introduction of online services
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Health Care Impact from this Federal Regulation:
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• Hospitals participating in Medicare and offering emergency services must provide
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a medical screening exam when requested for examination/treatment for emergen
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cy medical condition (EMC), including active labor, regardless of patient's ability to p
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ay
• Hospital is required to provide stabilizing treatment for patients with EMC's
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• If hospital is unable to stabilize a patient or request is made to transfer, approp
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riate transfer will be implemented - correct-answer-
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Emergency Medical Treatment and Active k k k k




Labor Act (EMTALA) k k




Health Care Impact from this Federal Regulation:
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Protection of personal health information and provides patient rights - correct-
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answer-Health Insurance Portability and k k k




Accountability Act (HIPAA) k k




Health Care Impact from this Federal Regulation:
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Established quality standards for labs, regardless of where test is done - correct-
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answer-Clinical Laboratory Improvement k k




Amendments (CLIA) k




Health Care Impact from this Federal Regulation:
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• Comprehensive U.S. health insurance reforms k k k k




• Transforms and modernizes the American health care system
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• New payment models with the goal to reward value and quality, not volume
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• Bundled payments, medical home models for primary care physicians, financial i
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ncentives to coordinate care k k k




• Includes accountable care organizations (ACO's) - correct-answer-
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Patient Protection and Affordable Care Act
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(PPACA) Affordable Care Act (ACA)
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Health Care Impact from this Federal Regulation:
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Impacts the way providers are reimbursed through merit based payment Incentives
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kand alternative payment models (APMs), collectively referred to as quality paymen
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t programs (QPPs) - correct-answer-MACRA = Medicare Access and CHIP
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Reauthorization Act k




(CHIP = Medicaid = Children's Health Insuran
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ce Program)
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Network of health care providers that band together to provide the full continuum o
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f health care services for patients. Receives a payment for all care provided to a pati
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ent and held accountable for the quality and cost of care. - correct-answer-
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Accountable Care k




Organization (ACO) k




Classification system that groups patients by diagnosis, type of treatment, age and o
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ther relevant criteria.
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Under the prospective payment system (PPS), hospitals are paid a set fee for treating
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patients in a single
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DRG category, regardless of the actual cost of care for the individual. - correct-
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answer-Diagnosis Related Group k k




Series of programs created by health care payers comprised of incentives and reduct
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ions for payment
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(adjustments by CMS) - correct-answer-Incentive and Penalty Programs
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Health care delivery system organized to manage cost, utilization and quality. -
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correct-answer-Managed Care
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