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Exam Number : CPHQ
Exam Name : Certified Professional in Healthcare Quality (CPHQ)
Vendor Name : Healthcare
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CPHQ test Format | CPHQ Course Contents | CPHQ Course Outline | CPHQ test Syllabus | CPHQ test Objectives

The content validity of the CPHQ examination is based on a practice analysis which surveys healthcare quality professionals on the tasks they perform as a part of their job. Each question on the test links directly to one of the tasks listed in the content outline. Each question is designed to test if the candidate possesses the knowledge necessary to perform the task and/or has the ability to apply it to a job situation.

1. Organizational Leadership (35 items)
A. Structure and Integration
1. Support organizational commitment to quality
2. Participate in organization-wide strategic planning related to quality
3. Align quality and safety activities with strategic goals
4. Engage stakeholders to promote quality and safety (e.g.- emergency preparedness- corporate compliance- infection prevention- case management- patient experience- provider network- vendors)
5. Provide consultative support to the governing body and clinical staff regarding their roles and responsibilities (e.g.- credentialing- privileging- quality oversight- risk management)
6. Facilitate development of the quality structure (e.g.- councils and committees)
7. Assist in evaluating or developing data management systems (e.g.- data bases- registries)
8. Evaluate and integrate external best practices (e.g.- resources from AHRQ- IHI- NQF- WHO- HEDIS- outcome measures)
9. Participate in activities to identify and evaluate innovative solutions and practices
10. Lead and facilitate change (e.g.- change theories- diffusion- spread)
11. Participate in population health promotion and continuum of care activities (e.g.- handoffs- transitions of care- episode of care- outcomes- healthcare utilization)
12. Communicate resource needs to leadership to Excellerate quality (e.g.- staffing- equipment- technology)
13. Recognize quality initiatives impacting reimbursement (e.g.- pay for performance- value-based contracts)
B. Regulatory- Accreditation- and External Recognition
1. Assist the organization in maintaining awareness of statutory and regulatory requirements (e.g.- CMS- HIPAA- OSHA- PPACA)
2. Identify appropriate accreditation- certification- and recognition options (e.g.- AAAHC- CARF- DNV GL- ISO- NCQA- TJC- Baldrige- Magnet)
3. Assist with survey or accreditation readiness
4. Participate in the process for evaluating compliance with internal and external requirements for:
a. clinical practice guidelines and pathways (e.g.- medication use- infection prevention)
b. service quality
c. documentation
d. practitioner performance evaluation (e.g.- peer review- credentialing- privileging)
e. gaps in patient experience outcomes (e.g.- surveys- focus groups- teams- grievance- complaints)
f. identification of reportable events for accreditation and regulatory bodies
5. Facilitate communication with accrediting and regulatory bodies Certified Professional in Healthcare Quality Detailed Content Outline1
C. Education- Training- and Communication
1. Design performance- process- and quality improvement training
2. Provide education and training on performance- process- and quality improvement (e.g.- including improvement methods- culture change- project and meeting management)
3. Evaluate effectiveness of performance/quality improvement training
4. Develop/provide survey preparation training (e.g.- accreditation- licensure- or equivalent)
5. Disseminate performance- process- and quality improvement information within the organization
2. Health Data Analytics (30 items)
A. Design and Data Management
1. Maintain confidentiality of performance/quality improvement records and reports
2. Design data collection plans:
a. measure development (e.g.- definitions- goals- and thresholds)
b. tools and techniques
c. sampling methodology
3. Participate in identifying or selecting measures (e.g.- structure- process- outcome)
4. Assist in developing scorecards and dashboards
5. Identify external data sources for comparison (e.g.- benchmarking)
6. Collect and validate data
B. Measurement and Analysis
1. Use data management systems (e.g.- organize data for analysis and reporting)
2. Use tools to display data or evaluate a process (e.g.- Pareto chart- run chart- scattergram- control chart)
3. Use statistics to describe data (e.g.- mean- standard deviation- correlation- t-test)
4. Use statistical process control (e.g.- common and special cause variation- random variation- trend analysis)
5. Interpret data to support decision-making
6. Compare data sources to establish benchmarks
7. Participate in external reporting (e.g.- core measures- patient safety indicators- HEDIS bundled payments)
3. Performance and Process Improvement (40 items)
A. Identifying Opportunities for Improvement
1. Facilitate discussion about quality improvement opportunities
2. Assist with establishing priorities
3. Facilitate development of action plans or projects
4. Facilitate implementation of performance improvement methods (e.g.- Lean- PDCA- Six Sigma)
5. Identify process champions
Certified Professional in Healthcare Quality
Detailed Content Outline1
B. Implementation and Evaluation
1. Establish teams- roles- responsibilities- and scope
2. Use a range of quality tools and techniques (e.g.- fishbone diagram- FMEA- process map)
3. Participate in monitoring of project timelines and deliverables
4. Evaluate team effectiveness (e.g.- dynamics- outcomes)
5. Evaluate the success of performance improvement projects
6. Document performance and process improvement results
4. Patient Safety (20 items)
A. Assessment and Planning
1. Assess the organization's culture of safety
2. Determine how technology can enhance the patient safety program (e.g.- electronic health record (EHR)- abduction/elopement security systems- smart pumps- alerts)
3. Participate in risk management assessment activities (e.g.- identification and analysis)
B. Implementation and Evaluation
1. Facilitate the ongoing evaluation of safety activities
2. Integrate safety concepts throughout the organization
3. Use safety principles:
a. human factors engineering
b. high reliability
c. systems thinking
4. Participate in safety and risk management activities related to:
a. incident report review (e.g.- near miss and real events)
b. sentinel/unexpected event review (e.g.- never events)
c. root cause analysis
d. failure mode and effects analysis

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Healthcare (CPHQ) Real test Questions

What My Dog’s Neutering Taught Me About U.S. Healthcare | CPHQ PDF obtain and real Questions

As a physician, I under no circumstances anticipated my 60-lb. Samoyed to teach me whatever new about healthcare.

@powderthepolarbear by way of Instagram

His identify is Powder, notwithstanding some pals and household choose “Powpow.” He’s a 60-lb. Samoyed, white as snow and whole of fluff. He came into my life last 12 months, one in every of roughly 900,000 “pandemic pets” adopted in 2020.

I’d been a dog dad twice before, once with a stray spaniel named Tasha who sat shotgun on a move-nation commute from Yale’s campus to Stanford’s, the place I began my surgical internship. When Tasha died eight years later, I rescued Bandit, a tireless terrier who helped me educate for a dozen marathons. He passed away simply earlier than I begun my 18-12 months tenure as CEO of Kaiser Permanente. with the aid of that element, I didn’t have the time to be a dog’s ally.

Now there’s Powder, the superb work accomplice for today’s digital world. He lays at my ft and listens each time I checklist healthcare podcasts. He trots across the historical past of my keynote shows together with his poufy, corkscrew tail held excessive. He’s gregarious, has his personal Instagram web page and these days required a trip to the vet’s workplace to “assist control the pet inhabitants.”

Powder’s neutering, a lot to my shock, taught me a number of classes about U.S. healthcare that I’d on no account regarded as a doctor or medical neighborhood CEO.

He become most effective six months ancient when they adopted him from a military veteran. the man had just entered a prolonged rehab program and necessary to rehome his dog. They promised to take first rate care of his boy and made an appointment that equal week for Powder’s first exam. The veterinarian suggested they wait an additional yr to neuter him, so his bones and joints might grow completely.  

When the time came, I requested how a great deal the process would cost. The vet’s quote of $800 left me with decal shock. i know a element or two about scientific pricing, so I ran the numbers in my head for the IV, anesthesia, sterile box, a short process and the publish-operative recovery. Factoring within the diminished possibility of working on a dog vs. a human, the vet’s total was double my expectation.

I Googled “dog neutering,” together with my region, and turned into stunned with how convenient it turned into to locate dozens of options, every with an accurate fee. One animal health facility regional, which focuses on spay/neuter tactics, charged a flat charge of $350—a good deal closer to my calculation.

I booked an appointment on-line, paid a nonrefundable deposit after which, virtually directly, felt a wave of guilt wash over me.

possibly every pet mother or father feels a tinge of regret about “fixing” an animal, besides the fact that it’s the socially liable thing to do. And despite the fact that death costs from spay/neuter are less than 0.1% of all situations, I then again panic in regards to the risk of anesthesia, the pain following surgical procedure and the possibility of issues, despite the fact minor.

nevertheless it wasn’t unless they pulled up to the animal sanatorium on the day of surgery that i spotted what was basically on the root of my responsible judgment of right and wrong.  

Fifteen minutes before the doors opened, the car parking zone backyard the medical institution become a cacophony of vehicles, dogs and people. inner, the lobby looked clean however the floor become manufactured from low priced linoleum and the chairs seemed a bit of worn. A single receptionist slowly checked in over a dozen canine.

This become nothing like Powder’s commonplace vet. There, a greeter stands outside to welcome pet owners upon arrival. Three receptionists in uniforms sit in the back of a U-fashioned partition, all with friendly faces. The tiled flooring sparkle and the ready area smells of clean sage. monitor instances function gourmand snacks and hand-sewn toys.

One location more closely resembles the lobby of a four Seasons hotel. The different place, the web site of Powder’s surgery, appears greater just like the lobby of a price range lodge chain.

all of sudden, a voice inside me requested, accusingly, “What are you doing? Why are you compromising the health of your loyal and loving companion to retailer a number of hundred bucks?”

I almost became to go away. Seconds later, I laughed out loud, drawing extraordinary looks from all and sundry in earshot. It became in that second i realized how significantly feelings can have an effect on their healthcare selections. although the contrast in atmosphere between the spay/neuter health facility and Powder’s ordinary vet changed into astonishing, it become additionally totally inappropriate.

a man and his dog out on the water, sharing a paddle board

Robert Pearl

Judging by means of the packed parking space and the sanatorium’s primary center of attention on spay/neuter, it became clear the vets here did a excessive quantity of approaches. These people have been professionals with neatly-honed surgical potential and the entire vital equipment to get the job executed appropriate.

The low-cost linoleum and shortage of a greeter had no pertaining to the quality of care. i noticed I had subconsciously unsuitable fashion for substance.

At Stanford school, I train graduate company-college college students about excessive-extent surgical facilities around the globe: the Aravind eyecare system in Tamil Nadu, the Shouldice hernia hospital in Ontario and the Narayana cardiac medical institution in Bangalore. each facility specializes in a single manner and nothing else. interior, teams of enormously proficient surgeons spend their days repeating the same operative steps, again and again, reaching near-perfection.

you could predict astonishing nice from such popular repetition. after all, professional golfers practice their swings and dancers their routines until the actions develop into muscle memory—that seamless and unconscious stream between the brain and the physique. surgery works the equal approach. Repetition results in mastery, which leads to superior consequences.

That’s precisely what these world-favorite surgical facilities deliver: at all times tremendous results with fewer issues (from scientific mistakes or infections). And if you happen to combine hyper-specialization with high quantity, you additionally attain economies of scale, which results in dramatically lessen costs. These hospitals don’t function marble floor or crystal chandeliers like their global rivals, however their clinical effects healthy or exceed the first-rate of even the most appropriate hospitals in the u.s.—all at a fraction of the rate.

on the other hand, each medical doctors and sufferers harbor biases towards these places. in the united states, patients wrongly equate the dull façades and spartan interiors of high-quantity surgical centers with bad pleasant. in the meantime, many medical doctors dismiss these amenities as inferior. in their minds, medication isn’t some meeting-line product. It’s a craft, a creative ability, an artwork kind. and they believe this regardless of overwhelming records that link high-extent and standardization to superior pleasant results.

as the vet assistant took my furry friend throughout the back door for his manner, I knew I had made a wise decision. Of course, Powder may have experienced an equally brief and complication-free recovery had his commonplace vet performed the operation. but there was no motive to consider the results would were more suitable—regardless of the fancier ambiance and better price.

My new book “Uncaring: How the lifestyle of drugs Kills doctors & patients” is all about assisting sufferers have in mind their doctors and the style medical culture shapes the realm of healthcare—for stronger and worse.  

in one of the remaining chapters, I spell out nine questions everyone may still ask their healthcare professional. Two of them observe to surgery, either for canine or individuals: (a) how many of these approaches did you do last 12 months and (b) What became your complication rate?

whereas there’s no ensure a surgeon who did 35 operations remaining year is superior than a surgeon who did 30, each are more likely to obtain more suitable outcomes than a surgeon who did fewer than 10.

despite my analysis and bought expertise, I’d fallen into the equal psychological trap as many patients, relying on surrogate measures for first-rate: a fancy ready room, friendly receptionists and “top rate” expenditures. It’s one thing to understand the facts, intellectually. really, I’ve spent the past six years instructing about excessive-quantity centers of excellence. however I’d not ever absolutely liked the excessive emotional pull that higher fees and luxury trappings have on their perceptions of best as sufferers and family members. The latter serves as a magnificent drive, resulting in irrational selections.

As buyers, they continually get greater after they pay more. youngsters a $60,000 car isn’t always three times enhanced than one priced at $20,000, it's going to probably have greater of the bells and whistles you want.

That’s now not the case in healthcare. again in 2008, the Pacific enterprise neighborhood on fitness appeared on the cost of hip replacement surgical procedure and located that fees numerous from $30,000 to over $100,000 without any measurable change in effects.

In healthcare, settling on the more expensive alternative is common because assurance continually insulates patient from the total charges. after all, who wouldn’t choose the more costly motor vehicle if somebody else was going to pay the extra $forty,000?

however there is not any correlation between better expenses and more suitable consequences in drugs. high priced manufacturer-name medicine are identical to generics. coronary heart hospitals in India obtain similar results to cardiovascular surgeons in the U.S. at a fraction of the cost. And, of course, vets with wide experience in spay/neuter techniques are only as good because the vets who can charge double for a similar service.

In healthcare, the historic adage about getting what you pay for is correct, but handiest once you recognise what you’re purchasing is the illusion of more advantageous clinical care, now not the true thing.

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