CPHQ HEALTHCARE QUALITY MANAGEMENT
EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
1. In a healthcare facility, if a significant number of medication errors are
reported through occurrence or event reporting, what should be the next
step taken by the quality management team?
Conduct a root cause analysis to identify underlying issues.
Increase the number of staff training sessions without further
investigation.
Focus on improving patient satisfaction surveys instead.
Ignore the reports if they are below a certain threshold.
2. What is the term used to describe the process of granting specific clinical
privileges to a healthcare provider based on their qualifications?
Privileging
Accreditation
Credentialing
Certification
3. What system was established to provide financial incentives to healthcare
providers based on quality and efficiency measures?
Pay for performance system
Performance appraisal
Sliding payment system
,Capitation
,4. What type of indicators are measured at implementation according to the
provided information?
Process
Outcome
Structure
Competency
5. Describe the role of the 'Act' phase in the PDCA cycle within the context of
quality management in healthcare.
The 'Act' phase is primarily concerned with training staff.
The 'Act' phase is where data is collected for analysis.
The 'Act' phase involves implementing changes on a broad scale
based on the evaluation of results from the 'Check' phase.
The 'Act' phase focuses on planning new strategies for improvement.
6. What is one potential action that can be taken if a physician struggles with
managing diabetic patients?
A letter
Summary suspension of privileges
Required consultation for all of the physician's diabetic patients
Medical education
7. Which statement best describes the purpose of provider credentialing?
the purpose of credentialing is to select the most qualified providers
and meet accreditation standards
, the purpose of credentialing is to select the most qualified providers
the purpose of credentialing is to minimize legal risks to a health
plan
the purpose of credentialing is to select the most qualified
providers, meet accreditation standards, and minimize legal risks
8. In a healthcare organization facing resistance to change, what strategies
should quality leaders implement to promote a culture of compliance and
readiness?
Limit discussions about change to upper management only.
Encourage open communication and provide training on the
business case for compliance.
Implement strict penalties for non-compliance without addressing
culture.
Focus only on meeting accreditation standards without engaging
staff.
9. If a healthcare organization implements required consultations for a
physician's diabetic patients, what might be a subsequent step to further
support the physician's development?
Providing targeted medical education on diabetes management.
Increasing the physician's patient load to improve experience.
Issuing a formal reprimand to the physician.
Removing the physician from patient care responsibilities.
10. Which privileging status type is specifically designated for use during a
disaster situation?
EXAM 2025/2026 WITH 100% ACCURATE
ANSWERS
1. In a healthcare facility, if a significant number of medication errors are
reported through occurrence or event reporting, what should be the next
step taken by the quality management team?
Conduct a root cause analysis to identify underlying issues.
Increase the number of staff training sessions without further
investigation.
Focus on improving patient satisfaction surveys instead.
Ignore the reports if they are below a certain threshold.
2. What is the term used to describe the process of granting specific clinical
privileges to a healthcare provider based on their qualifications?
Privileging
Accreditation
Credentialing
Certification
3. What system was established to provide financial incentives to healthcare
providers based on quality and efficiency measures?
Pay for performance system
Performance appraisal
Sliding payment system
,Capitation
,4. What type of indicators are measured at implementation according to the
provided information?
Process
Outcome
Structure
Competency
5. Describe the role of the 'Act' phase in the PDCA cycle within the context of
quality management in healthcare.
The 'Act' phase is primarily concerned with training staff.
The 'Act' phase is where data is collected for analysis.
The 'Act' phase involves implementing changes on a broad scale
based on the evaluation of results from the 'Check' phase.
The 'Act' phase focuses on planning new strategies for improvement.
6. What is one potential action that can be taken if a physician struggles with
managing diabetic patients?
A letter
Summary suspension of privileges
Required consultation for all of the physician's diabetic patients
Medical education
7. Which statement best describes the purpose of provider credentialing?
the purpose of credentialing is to select the most qualified providers
and meet accreditation standards
, the purpose of credentialing is to select the most qualified providers
the purpose of credentialing is to minimize legal risks to a health
plan
the purpose of credentialing is to select the most qualified
providers, meet accreditation standards, and minimize legal risks
8. In a healthcare organization facing resistance to change, what strategies
should quality leaders implement to promote a culture of compliance and
readiness?
Limit discussions about change to upper management only.
Encourage open communication and provide training on the
business case for compliance.
Implement strict penalties for non-compliance without addressing
culture.
Focus only on meeting accreditation standards without engaging
staff.
9. If a healthcare organization implements required consultations for a
physician's diabetic patients, what might be a subsequent step to further
support the physician's development?
Providing targeted medical education on diabetes management.
Increasing the physician's patient load to improve experience.
Issuing a formal reprimand to the physician.
Removing the physician from patient care responsibilities.
10. Which privileging status type is specifically designated for use during a
disaster situation?
