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New Launch CPHQ PDF Dumps [2025] - NAHQ CPHQ Exam Question

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What Is CPHQ All About?

CPHQ, or Certified Professional in Healthcare Quality, is a certification designed by the National Association for Healthcare Quality (NAHQ) for healthcare professionals who have demonstrated expertise in the vital CPHQ body of knowledge. These consist of the strategic roles needed in leadership, information management, performance measurement, and operational healthcare tasks. With your mastery of the key aspects, you can easily shape your career as a leader in the field and proficiently handle healthcare facilities and systems.

The CPHQ exam that one should pass to become accredited has a total of 140 questions in multiple-choice format. However, only 125 of them are to be used when measuring your score. This is a computerized test that can be taken throughout the year at one of the accredited PSI testing centers.

NAHQ CPHQ Certification is a prestigious credential that demonstrates a healthcare professional's commitment to enhancing the quality and safety of healthcare delivery. With this certification, professionals can advance their career in healthcare quality management and become leaders in their field. The CPHQ certification provides a competitive advantage in the job market and enhances the credibility of healthcare professionals in the eyes of their colleagues and employers.

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CPHQ practice test questions, answers, explanations

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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q119-Q124):

NEW QUESTION # 119
Which organization should be consulted when an organization wishes to expand diagnostic testing?

A. Clinical Laboratory Improvement Amendments (CLIA)
B. College of American Pathologists (CAP)
C. National Committee for Quality Assurance (NCQA)
D. The Joint Commission (TJC)

Answer: A

Explanation:
Explanation: CLIA (C) regulates laboratory testing, requiring certification for expanded diagnostic testing.
CAP (A) provides accreditation, NCQA (B) focuses on managed care, andTJC (D) accredits organizations but not specifically testing. NAHQ specifies CLIA for laboratory compliance.
NAHQ CPHQ Study Guide, Organizational Leadership Section, "Regulatory Compliance for Laboratory Services"; NAHQ CPHQ Practice Exam, Accreditation and Regulatory Standards.

NEW QUESTION # 120
In recent months, the amount of time It takes for Insurance claims to be submitted has increased significantly, resulting in the hospital not being paid in a timely manner.
Which of the following Is the quality professional's best course of action?

A. Design a check sheet for the employees to systematically record the completed tasks.
B. Work with Involved stakeholders to develop a radar chart.
C. Work with the claims manager to develop a Gantt chart.
D. Assemble a work group and facilitate the development of a fishbone diagram.

Answer: D

Explanation:
When dealing with a significant increase in the time it takes for insurance claims to be submitted, which results in the hospital not being paid in a timely manner, the best course of action for a healthcare quality professional is to assemble a work group and facilitate the development of a fishbone diagram12.
A fishbone diagram, also known as a cause-and-effect diagram or Ishikawa diagram, is a visual tool used to systematically identify and present all the possible causes of a particular problem in order to find its root causes1. This approach is particularly useful in this scenario because it allows the team to visualize the many potential factors contributing to the increase in submission time for insurance claims.
Here are the steps that the healthcare quality professional would take:
Assemble a Work Group: Gather a team of individuals who are familiar with the process and can contribute to identifying potential causes of the problem1.
Define the Problem: Clearly articulate the problem of increased time for insurance claims submission.
This is typically written at the head or mouth of the fish in the fishbone diagram1. Identify Major Cause Categories: Common categories include methods, machines (equipment), people (manpower), materials, measurement, and environment. These are drawn as the "bones" of the fish1.
Identify Possible Causes: Brainstorm all the possible causes of the problem that fall into each category.
These are written on the smaller "bones" off of the major cause categories1.
Analyze and Prioritize Causes: Discuss and analyze the identified causes, and prioritize them based on their impact on the problem1.
Identify Solutions: For each high-priority cause, develop strategies or changes to address the cause1.
Implement and Monitor Solutions: Implement the identified solutions, monitor their effectiveness, and make adjustments as necessary1.
By following these steps, the healthcare quality professional can systematically address the problem of increased insurance claim submission time, ultimately improving the hospital's revenue cycle2.

NEW QUESTION # 121
Physician quality data reports for all credentialed physicians disseminated at regular Intervals, as generally mandated by accreditation standards, are called

A. CMS star ratings.
B. quality spot checks.
C. focused professional practice evaluation (FPPE).
D. ongoing professional practice evaluation (OPPE).

Answer: D

Explanation:
Physician quality data reports for all credentialed physicians disseminated at regular intervals, as generally mandated by accreditation standards, are referred to as ongoing professional practice evaluation (OPPE).
* Ongoing Professional Practice Evaluation (OPPE): OPPE is a continuous evaluation of a provider's performance at a frequency greater than every 12 months1. It involves a peer review process, where
* practitioners are reviewed by other practitioners of the same discipline and have personal knowledge of the applicant2. The purpose of OPPE is to ensure that the hospital, through the activities of its medical staff, assesses a practitioner's clinical competence and professional behavior on an ongoing basis3.
* Focused Professional Practice Evaluation (FPPE): FPPE is a process whereby the medical staff evaluates the privilege-specific competence of the practitioner that lacks documented evidence of competently performing the requested privilege(s) at the organization4. It is not a regular, ongoing process, but rather is implemented whenever a question arises regarding a practitioner's ability to provide safe, high-quality patient care5.
* CMS Star Ratings: The CMS Star Ratings system is a consumer-oriented system developed by the Centers for Medicare & Medicaid Services (CMS) to help consumers compare the quality of health and drug plans67. It is not a regular report disseminated for all credentialed physicians.
* Quality Spot Checks: Quality spot checks refer to a random inspection or review of a specific aspect or area within a company's operations8. They are often used to monitor quality control, identify fraud, or ensure adherence to regulations. However, they are not specifically related to physician quality data reports910.
Therefore, the correct answer is D. ongoing professional practice evaluation (OPPE), as it best fits the description of physician quality data reports for all credentialed physicians disseminated at regular intervals, as generally mandated by accreditation standards.

NEW QUESTION # 122
A multidisciplinary team has been convened to review delays in laboratory turnaround time between the medicine clinic and the laboratory. The team's first step in evaluating the issue is to

A. see If the surgery clinic Is also experiencing delays.
B. create a flow chart to study the process.
C. conduct a failure mode and effects analysis.
D. observe how the medical assistants prepare the specimens.

Answer: B

NEW QUESTION # 123
During development of a clinical pathway, a quality professional should

A. consult peer-reviewed evidence.
B. implement best practice alerts.
C. evaluate peer review committee findings.
D. gather patient outcome data.

Answer: A

Explanation:
Clinical pathways (CPWs) are a common component in the quest to improve the quality of health1. They are used to reduce variation, improve quality of care, and maximize the outcomes for specific groups of patients1. The development of a clinical pathway involves a structured multidisciplinary plan of care1. This process includes translating guidelines or evidence into local structures1.
Therefore, during the development of a clinical pathway, a quality professional should consult peer-reviewed evidence. This is because the evidence forms the basis of the guidelines that are translated into the local structures during the development of the clinical pathway1. This ensures that the care provided is based on the most current and best practice, leading to improved patient outcomes2.
It's important to note that while evaluating peer review committee findings, implementing best practice alerts, and gathering patient outcome data can be part of the overall quality improvement process, they are not specifically part of the development of a clinical pathway34. These activities may occur before or after the development of the clinical pathway but are not integral to the development process itself34.

NEW QUESTION # 124
......

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