CPHQ CERTIFICATION EXAM NEWEST
ACTUAL EXAM 2024-2025 QUESTIONS
AND DETAILED CORRECT ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) | A+ GRADE
Based on the principles from the Institute for Healthcare
Improvement (IHI), who has the ultimate responsibility for
the effectiveness of quality improvement and patient
safety within an organization?
A. quality improvement director
B. medical director
C. CEO
D. governing body Correct Answer D. governing body
(This is the expectation of TJC and Centers for Medicare
and Medicaid Services (CMS))
Which of the following charts will most likely be used first
in a root cause analysis?
A. Gantt
B. Pareto
C. flow
D. control Correct Answer D. control
(a tool to evaluate process)
,A federally certified electronic health record (EHR) with the
capacity for e-prescribing, electronic exchange of health
information, and submission of healthcare quality
measures meets:
A. bar-code technology specifications.
B. computer-based monitoring specifications.
C. meaningful use requirements.
D. health privacy requirements Correct Answer C.
meaningful use requirements.
Team cohesion is established during which of the
following stages of team growth?
A. forming
B. storming
C. norming
D. performing Correct Answer C. norming
(The team moves towards cohesion and collaboration
during the norming stage.)
An annual evaluation of a laboratory's quality program
identified no opportunities for improvement. Which of the
following elements of the program should be reviewed?
A. performance indicators
B. format of data display
C. committee meeting attendance
D. frequency of data collection Correct Answer A.
performance indicators
,When errors are discovered, staff and supervisors best
demonstrate a culture of safety by
A. developing a plan for just-in-time training.
B. studying the process to understand the error.
C. planning which details of the error to disclose to senior
leadership.
D. performing a root cause analysis to determine which
individuals were involved. Correct Answer B. studying the
process to understand the error.
In lean thinking, a process step is defined as "value
added" if the
A. customer recognizes the value.
B. customer corrects a mistake to add value.
C. process owner recognizes the value.
D. process owner changes the value of the product.
Correct Answer A. customer recognizes the value.
Customer value is the key concept of lean thinking and
improvement efforts.
Generic screening is an example of risk
A. evaluation.
B. reduction.
C. prevention.
D. identification. Correct Answer D. identification
, Identification is the first step in disease management/risk
management.
One difference between continuous quality improvement
and traditional quality assurance is that quality
improvement always
A. requires the application of statistical process control.
B. excludes monitoring and evaluation of care provided.
C. focuses on systems or processes.
D. addresses potential problems. Correct Answer C.
focuses on systems or processes.
Quality improvement is focused on systems, processes,
and groups to improve. Quality assurance is
focused on monitoring problem areas or individuals.
Statistical process control may be employed a tool to
facilitate quality improvement, but is not a required
component of quality improvement.
In the process of strategic planning, an organization
makes decisions about the future. A basic component of
the planning process is to
A. develop contractual relationships to enhance market
share.
B. contract with a consulting firm to assist with the
planning process.
C. determine organizational profitability during the most
recent fiscal year.
ACTUAL EXAM 2024-2025 QUESTIONS
AND DETAILED CORRECT ANSWERS
WITH RATIONALES (VERIFIED
ANSWERS) | A+ GRADE
Based on the principles from the Institute for Healthcare
Improvement (IHI), who has the ultimate responsibility for
the effectiveness of quality improvement and patient
safety within an organization?
A. quality improvement director
B. medical director
C. CEO
D. governing body Correct Answer D. governing body
(This is the expectation of TJC and Centers for Medicare
and Medicaid Services (CMS))
Which of the following charts will most likely be used first
in a root cause analysis?
A. Gantt
B. Pareto
C. flow
D. control Correct Answer D. control
(a tool to evaluate process)
,A federally certified electronic health record (EHR) with the
capacity for e-prescribing, electronic exchange of health
information, and submission of healthcare quality
measures meets:
A. bar-code technology specifications.
B. computer-based monitoring specifications.
C. meaningful use requirements.
D. health privacy requirements Correct Answer C.
meaningful use requirements.
Team cohesion is established during which of the
following stages of team growth?
A. forming
B. storming
C. norming
D. performing Correct Answer C. norming
(The team moves towards cohesion and collaboration
during the norming stage.)
An annual evaluation of a laboratory's quality program
identified no opportunities for improvement. Which of the
following elements of the program should be reviewed?
A. performance indicators
B. format of data display
C. committee meeting attendance
D. frequency of data collection Correct Answer A.
performance indicators
,When errors are discovered, staff and supervisors best
demonstrate a culture of safety by
A. developing a plan for just-in-time training.
B. studying the process to understand the error.
C. planning which details of the error to disclose to senior
leadership.
D. performing a root cause analysis to determine which
individuals were involved. Correct Answer B. studying the
process to understand the error.
In lean thinking, a process step is defined as "value
added" if the
A. customer recognizes the value.
B. customer corrects a mistake to add value.
C. process owner recognizes the value.
D. process owner changes the value of the product.
Correct Answer A. customer recognizes the value.
Customer value is the key concept of lean thinking and
improvement efforts.
Generic screening is an example of risk
A. evaluation.
B. reduction.
C. prevention.
D. identification. Correct Answer D. identification
, Identification is the first step in disease management/risk
management.
One difference between continuous quality improvement
and traditional quality assurance is that quality
improvement always
A. requires the application of statistical process control.
B. excludes monitoring and evaluation of care provided.
C. focuses on systems or processes.
D. addresses potential problems. Correct Answer C.
focuses on systems or processes.
Quality improvement is focused on systems, processes,
and groups to improve. Quality assurance is
focused on monitoring problem areas or individuals.
Statistical process control may be employed a tool to
facilitate quality improvement, but is not a required
component of quality improvement.
In the process of strategic planning, an organization
makes decisions about the future. A basic component of
the planning process is to
A. develop contractual relationships to enhance market
share.
B. contract with a consulting firm to assist with the
planning process.
C. determine organizational profitability during the most
recent fiscal year.
