CPXP Exam Study Guide 2024/2025
ACTUAL Questions with Answers
GRADED A+ PASS
1. How did the report of quality measures to CMS begin?
Hospitals could voluntarily report quality measures starting in 2001- adapting to
current state from there
2. What is HCAHPS
Hospital Consumer Assessment of Healthcare Providers and System
3. What are some metrics for outcome of care?
mortality, readmission, complications, hospital associated infections
4. Describe "Pay for performance"
provide financial incentives to hospitals, physicians, and other providers to carry
out improvement and achieve optimal outcomes for patients
5. What are some reasons patients may not voice their complaints?
Don't know where to complain, afraid of retribution, not worth the trouble
6. What are the IOM six aims of for quality (established in 2001)
Safe, time, effective, efficient, equitable, patient-centered (STEEEP)
7. What is the IHI triple aim?
improve patient experience, improve health of populations, reduce per capita
cost
8. Describe health literacy
capacity to obtain, process and understand basic health information needed to
make appropriate health decisions
, 9. What percentage of adults are estimated to have a proficient health
literacy
12 %
10. Which year was the American Society for Hospital Risk Management
formed?
1980
11.What was the original name for the CMS
Health Care Financing Administration
12. What is the definition of Culture (Irwin Press)
Culture exists when its members share values and behaviors that they take for
granted
13.What is empathy
the ability to understand and share the feelings of another
14.What percentage of CMS reimbursement is dependent on patient
satisfaction scores
1%
15.What are the 4 basic needs that should be met to create an ideal patient
experience
confidence, integrity, pride, passion
16.In which year did hospitals establish patient advocates and
representatives?
1965
17.In which year did the American hospital association develop patients bill of
rights
1973
18.What is the RATER scale and when was it developed
,Reliability, Assurance, Tangibles, Empathy, Responsiveness (early 80s)
19.What are some of the key concepts of the Planetree model
Importance of social support, patient/resident education, healing environment
(design- iron curtain)
20.In which year were Diagnostic Related Groups (DRG) introduced?
1983
What is the Emergency Medical Treatment and Labor Act (EMTALA) and when
was it established
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?
1996
In which year did the IOM publish the report "To Err is Human" regarding the
significance of medical errors
1999
What is the IPFCC
Institute for patient family-centered care
What are some of the limitations to the Press Ganey surveys
low return rate, minorities underrepresented
What is a "Likert" scale
Ex: Very poor, poor, fair, good, very good
What is the Hospital Consumer Assessment of Healthcare Providers and Systems
(HCAHPS)
first national standardized publicly reported survey of patients perceptions of
hospital experience
, What are the main functions of the Office of Patient Relations
Provide a centralized mechanism for addressing patient concerns, liaison between
patients and medical providers
What are the main goals of the Office of Patient Relations at Rush
Understand service gaps through increased complaint capture
Improve complaint resolution time
What is a level 1 complaint
concern addressed immediately by employee
What is a level 2 complaint
addressed at employee or escalated to management with additional tools
(coupons, parking, flowers)
What is a level 3 complaint
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?
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?
bigger, teaching hospitals, poor patients, govt owned
What is the goal of Partnership for Patients
decrease preventable hospital-acquired conditions, decrease preventable
complications during care center transition
When did Medicare Physician Pay for Performance begin?
started in 2015 for some physicians and physician groups- projected to be for all
physicians by 2017
ACTUAL Questions with Answers
GRADED A+ PASS
1. How did the report of quality measures to CMS begin?
Hospitals could voluntarily report quality measures starting in 2001- adapting to
current state from there
2. What is HCAHPS
Hospital Consumer Assessment of Healthcare Providers and System
3. What are some metrics for outcome of care?
mortality, readmission, complications, hospital associated infections
4. Describe "Pay for performance"
provide financial incentives to hospitals, physicians, and other providers to carry
out improvement and achieve optimal outcomes for patients
5. What are some reasons patients may not voice their complaints?
Don't know where to complain, afraid of retribution, not worth the trouble
6. What are the IOM six aims of for quality (established in 2001)
Safe, time, effective, efficient, equitable, patient-centered (STEEEP)
7. What is the IHI triple aim?
improve patient experience, improve health of populations, reduce per capita
cost
8. Describe health literacy
capacity to obtain, process and understand basic health information needed to
make appropriate health decisions
, 9. What percentage of adults are estimated to have a proficient health
literacy
12 %
10. Which year was the American Society for Hospital Risk Management
formed?
1980
11.What was the original name for the CMS
Health Care Financing Administration
12. What is the definition of Culture (Irwin Press)
Culture exists when its members share values and behaviors that they take for
granted
13.What is empathy
the ability to understand and share the feelings of another
14.What percentage of CMS reimbursement is dependent on patient
satisfaction scores
1%
15.What are the 4 basic needs that should be met to create an ideal patient
experience
confidence, integrity, pride, passion
16.In which year did hospitals establish patient advocates and
representatives?
1965
17.In which year did the American hospital association develop patients bill of
rights
1973
18.What is the RATER scale and when was it developed
,Reliability, Assurance, Tangibles, Empathy, Responsiveness (early 80s)
19.What are some of the key concepts of the Planetree model
Importance of social support, patient/resident education, healing environment
(design- iron curtain)
20.In which year were Diagnostic Related Groups (DRG) introduced?
1983
What is the Emergency Medical Treatment and Labor Act (EMTALA) and when
was it established
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?
1996
In which year did the IOM publish the report "To Err is Human" regarding the
significance of medical errors
1999
What is the IPFCC
Institute for patient family-centered care
What are some of the limitations to the Press Ganey surveys
low return rate, minorities underrepresented
What is a "Likert" scale
Ex: Very poor, poor, fair, good, very good
What is the Hospital Consumer Assessment of Healthcare Providers and Systems
(HCAHPS)
first national standardized publicly reported survey of patients perceptions of
hospital experience
, What are the main functions of the Office of Patient Relations
Provide a centralized mechanism for addressing patient concerns, liaison between
patients and medical providers
What are the main goals of the Office of Patient Relations at Rush
Understand service gaps through increased complaint capture
Improve complaint resolution time
What is a level 1 complaint
concern addressed immediately by employee
What is a level 2 complaint
addressed at employee or escalated to management with additional tools
(coupons, parking, flowers)
What is a level 3 complaint
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?
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?
bigger, teaching hospitals, poor patients, govt owned
What is the goal of Partnership for Patients
decrease preventable hospital-acquired conditions, decrease preventable
complications during care center transition
When did Medicare Physician Pay for Performance begin?
started in 2015 for some physicians and physician groups- projected to be for all
physicians by 2017
