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NAHQ CPHQ Exam is designed to test a candidate's understanding of healthcare quality practices and principles. It covers a wide range of topics, including healthcare data analytics, performance measurement, patient-centered care, and healthcare regulations. CPHQ exam is intended for healthcare professionals who are involved in quality management, such as quality directors, managers, and coordinators. It is also ideal for healthcare consultants, patient safety professionals, and healthcare administrators who want to have a better understanding of quality and safety in healthcare.

The Certified Professional in Healthcare Quality (CPHQ) Examination is a certification exam offered by the National Association for Healthcare Quality (NAHQ). The CPHQ Certification is recognized as the gold standard in healthcare quality and is designed for professionals who are committed to improving patient safety and quality of care. The CPHQ exam tests the candidate's knowledge and skills in various areas of healthcare quality, including data analysis, performance improvement, patient safety, and leadership.

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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q312-Q317):

NEW QUESTION # 312
For which incident would a process improvement manager be required to perform a root cause analysis (RCA)?

A. Wrong prescription given to a discharged patient with diabetes.
B. Incorrect critical care patient transported to radiology.
C. Admitting a visitor who fell on hospital grounds.
D. Procedure performed on the wrong knee.

Answer: D

Explanation:
A root cause analysis (RCA) is required when a serious incident occurs, such as a "never event" or a sentinel event, which includes a procedure performed on the wrong knee. This type of incident is considered a significant error that could cause severe harm to the patient and is a clear indicator of a breakdown in the system that requires thorough investigation through an RCA to prevent recurrence.
* Incorrect critical care patient transported to radiology (A): While concerning, this may not reach the threshold for a required RCA unless it led to significant harm.
* Admitting a visitor who fell on hospital grounds (B): This incident may require investigation but typically would not trigger an RCA unless the fall resulted in severe injury.
* Wrong prescription given to a discharged patient with diabetes (C): This is serious but does not usually require an RCA unless it led to severe consequences.
References
* NAHQ Body of Knowledge: Incident Reporting and Root Cause Analysis
* NAHQ CPHQ Exam Preparation Materials: Conducting Root Cause Analysis
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NEW QUESTION # 313
The best means of reducing sentinel events In a care delivery system Is

A. incorporating the perspectives of patients.
B. removing the human variables.
C. layering methods of mistake-proofing.
D. using computerized decision-making tools.

Answer: C

Explanation:
Sentinel events are serious patient safety incidents that signal a need for immediate investigation or response1. Reducing sentinel events in a care delivery system requires a comprehensive approach that includes various strategies2. One of the most effective strategies is layering methods of mistake- proofing2. This involves designing or redesigning systems to reduce and prevent errors2. It also includes enhancing education and training, teamwork, self-assessment, and information management2. These proactive efforts have been shown to reduce and prevent errors2.
Reference: https://www.jointcommissionjournal.com/article/S1070-3241%2816%2930370-4/pdf

NEW QUESTION # 314
Data from an Incident reporting system compares Incident rates for one facility to similar facilities:

After reviewing the graph, which of the following should be done first?

A. Share data with the governing body.
B. Research best practices.
C. Review medication processes.
D. perform additional analysis on falls data.

Answer: D

Explanation:
* Incident reporting systems are tools to collect and analyze data on patient safety incidents, such as medication errors, falls, infections, and adverse events12.
* Incident reporting systems can help identify patterns, trends, and areas of improvement for patient safety and quality of care123.
* The graph shows the incident rates for one facility compared to similar facilities in four categories:
medication, falls, infection, and adverse events. The graph indicates that the facility has a higher incident rate for falls than the average of similar facilities, while the other categories are comparable or lower4.
* Therefore, the first step after reviewing the graph should be to perform additional analysis on falls data, such as the types, causes, consequences, and contributing factors of falls incidents, and compare them with the best practices and standards for falls prevention and management567.
* This will help the facility to understand the root causes of the high falls incident rate, and to develop and implement appropriate interventions to reduce the risk and harm of falls for patients567.
* Reviewing medication processes, researching best practices, and sharing data with the governing body are also important steps, but they should be done after the additional analysis on falls data, as they are more general and less specific to the problem identified by the graph4. References: 1: Patient Safety Incident Reporting and Learning Systems | WHO 2: Incident Reporting: Key to Successful Healthcare Organizations | SafeQual 3: Report a patient safety incident | NHS England 4: Data from an Incident reporting system compares Incident rates for one facility to similar facilities | User-uploaded image 5: Falls Prevention and Management | NAHQ 6: Preventing Falls in Hospitals | Agency for Healthcare Research and Quality 7: Falls Prevention and Management | Institute for Healthcare Improvement

NEW QUESTION # 315
Which of the following represents an unintended consequence of payer-driven quality initiatives?

A. Increased use of performance data by stakeholders
B. Improved population health
C. Improved patient care
D. Increased use of healthcare services

Answer: D

Explanation:
Detailed Explanation:
Increased use of healthcare services can result from payer-driven quality initiatives as providers may increase testing or services to meet quality metrics.
Option A: Increased use of healthcare services
This unintended consequence may occur as providers aim to meet certain quality standards.
References:
Quality initiative literature highlights how payer-driven metrics can lead to increased service utilization, sometimes beyond clinical necessity.

NEW QUESTION # 316
A facility Is reviewing their quality program for compliance with the Centers for Medicare and Medicaid Services (CMS) Conditions of Participation. Which of the following Is the most Important factor in program compliance?

A. Integration into each department and service of the facility
B. 12 months of data for each project
C. poor improvement outcomes monitored for an additional 12 months
D. coordination by a full-time healthcare quality professional

Answer: A

Explanation:
The Centers for Medicare and Medicaid Services (CMS) Conditions of Participation (CoPs) are health and safety standards that healthcare organizations must meet in order to begin and continue participating in the Medicare and Medicaid programs1. These standards are the foundation for improving quality and protecting the health and safety of beneficiaries1.
The CMS CoPs cover a wide range of areas, including emergency preparedness, physical environment, patients' rights, nurse staffing, medical records, lab and radiological services, and utilization review2. They also include requirements for policies and procedures that identify when a patient is in distress, how to initiate an emergency response, how to initiate treatment, and recognizing when the patient must be transferred to another facility to receive appropriate treatment3.
Given this broad scope, it is clear that compliance with the CMS CoPs requires integration into each department and service of the facility. This is because all these areas need to work together to ensure the health and safety of patients and to improve the quality of care. Therefore, the most important factor in program compliance with the CMS CoPs is likely to be B. Integration into each department and service of the facility.
While the other options (A, C, and D) are also important aspects of a quality program, they are not as comprehensive as option B. For example, having 12 months of data for each project (option A) and monitoring poor improvement outcomes for an additional 12 months (option C) are important for tracking performance and making improvements, but they do not cover all the areas required for compliance with the CMS CoPs. Similarly, coordination by a full-time healthcare quality professional (option D) is important for managing the quality program, but it does not ensure that all departments and services of the facility are integrated and compliant with the CMS CoPs.
Therefore, based on the information available, the most important factor in program compliance with the CMS CoPs is likely to be B. Integration into each department and service of the facility. However, it is important to note that this is a complex issue and the actual decision should be made by the healthcare quality professional considering all relevant factors and resources.

NEW QUESTION # 317
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