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AHA Certified Professional in Healthcare Risk Management Practice Test

CPHRM test Format | Course Contents | Course Outline | test Syllabus | test Objectives

- Assess the current state of patient safety and staff awareness within the organization
- Collaborate on proactive patient safety initiatives
- FMEA
- RCA
- Safety Culture
- Just Culture
- Design- implement- and maintain educational programs on risk management and patient safety related topics

- Promote a culture of patient safety through education- policy development- and standardization of processes
- Educate providers- staff- employees- patients and families on the role of patients and families in improving patient safety and reducing risk
- Coach physicians- leaders- managers- and staff on appropriate disclosure methods and processes
- Participate in critical incident debriefing

- Participate in the development of corrective action plans and supervise follow-up of recommended improvements
- stemming from risk assessments
- audits and investigations of reported incidents
- Provide guidance to staff regarding any of the following:
- disruptive patient- family member and/or visitors
- informed consent
- substitute (Surrogate) Decision Makers
- minors consent
- release of information
- law enforcement
- subpoenas
- attorneys
- search warrants
- abuse allegations
- advance directives/orders for life sustaining treatment
- Manage an incident reporting and data analysis system for patient safety- patient complaints- and other risk events
- Provide risk management consultation for specific ethical dilemmas
- Maintain awareness of patient safety initiatives occurring locally and nationally
- Review documentation and assist providers/staff with appropriate documentation to mitigate risk

- Manage a broad comprehensive insurance program including such activities as captive management
- insurance
- insurance purchasing
- insurance consulting
- administering self‐insured coverages
- managing or coordinating the management of claims for all lines of insurance

- Oversee the investigation of accidents or circumstances that could lead to financial loss
- professional
- institutional
- general liability
- product liability

- Analyze historical loss experience; address trends
- Develop enterprise risk financing strategies to address the organization's areas of exposure
- general liability (GL)
- professional liability (PL)
- cyber liability

- Provide recommendations to reduce risk in contracts- ensuring adequate controls and obligations for insurance coverage are appropriate to the risk
- Ensure timely reporting of incidents according to insurance policy language

- Promote compliance with federal and state laws and regulations through policy development- guidance- or education
- Promote compliance with federal and state laws and regulations governing patient confidentiality through policy development
- guidance
- education including protected health information (PHI)
- Promote compliance with federal and state reporting requirements through policy development- guidance- or education
- abuse of vulnerable populations

- Promote compliance with federal and state reporting requirements governing violence in the workplace through policy development- guidance- or education
- Promote compliance with federal and state regulations/organization policy regarding the investigation and resolution of patient complaints or grievances through policy development- guidance- or education
- Collaborate with other departments by preparing and conducting quality and/or risk assessments to maintain a constant state of accreditation readiness

- Promote compliance with laws and regulations governing involuntary detention of patients through policy development- guidance- or education
- Promote compliance with the requirements of the following federal acts/regulations through policy development- guidance- or education:
- Centers for Medicare and Medicaid Services (CMS)
- Emergency Medical Treatment and Active Labor Act (EMTALA/COBRA)
- Health Insurance Portability and Accountability Act (HIPAA)
- National Practitioner Data Bank (NPDB)
- Safe Medical Device Act (SMDA)

- Design a risk management data collection/analysis system to ensure timely reporting and monitoring of:
- device reporting and tracking logs
- regulatory inquiries
- Collaborate in the development of the organization's regulatory compliance plan to ensure workforce compliance of all applicable accreditation standards
- Promote- in partnership with Patient Safety and Medical Staff departments- programs that address provider and staff behavioral issues are culturally- legally and psychologically sound and non-discriminatory
- Participate in the development of responses to inquiries from regulatory and licensing agencies- and insurance companies

- Collaborate with leaders and security personnel on workplace violence prevention
- Conduct risk assessments to identify exposures related to new and existing services and enterprise‐wide services
- Establish a method for planning- evaluating- selecting- management- and on‐going evaluation of enterprise wide event reports of harm or near‐harm incidents
- Supervise and develop risk management staff

- Develop/maintain risk management department specific policies and procedures and modify as required
- Coordinate risk activities for the organization
- Develop annual institutional goals for the risk program/department
- Evaluate the effectiveness of risk management activities
- Develop policies and procedures for acceptance of legal documents
- summons
- complaints
- subpoenas
- court orders

- Support patient safety committee meetings by collecting and formulating relevant information to facilitate decision-making process
- Participate in professional association activities
- Understand the peer review- credentialing and privileging process
- Provide education/in‐service for staff- patients- families- communities on patient’s rights
- end of life decisions

- Collaborate on the development of policies and procedures which provide direction to the organization on courses which have a significant degree of risk
- Privacy
- Informed Consent
- Infection Prevention
- Documentation
- Telemedicine

- Maintain data collection and analysis systems including elements of reports of Potential Compensatory Events (PCEs)- open and closed claims and loss runs
- Notify carriers and/or third-party claims and litigation department or administrators of potential compensatory events or actual claims
- Participate in claims management activities
- assignment of counsel
- setting loss reserves
- respond to discovery requests/interrogatories
- preparation and attendance for depositions
- mediation
- arbitration
- trials
- evidence/record preservation and management
- review and approve legal expenses

- Participate in evaluating claims to determine exposure to organization and the appropriate method for resolution
- Inform administration of high exposure cases and aggregate claims experience- including any impact to the risk financing program.
- Manage and maintain all information related to a potential or actual legal case under attorney/client privilege and protected from discoverability
- Manage the response to service of process and notify appropriate parties of such service
- Support insured defendants through all phases of the litigation process

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CPHRM
AHA Certified Professional in Healthcare Risk Management
https://killexams.com/pass4sure/exam-detail/CPHRM
Question: 1
Which of the following is a responsibility of the CPHRM in relation to claims
and litigation?
A. Providing direct patient care during legal proceedings
B. Setting loss reserves for potential compensatory events
C. Conducting forensic investigations of potential malpractice cases
D. Reviewing and approving medical research studies
Answer: B
Explanation: The CPHRM is responsible for setting loss reserves for potential
compensatory events as part of claims and litigation management. Loss
reserves are estimates of the potential financial liability associated with claims
and are used for financial planning and reporting purposes.
Question: 2
Which of the following federal acts/regulations does the CPHRM promote
compliance with through policy development, guidance, or education?
A. Occupational Safety and Health Act (OSHA)
B. Food and Drug Administration (FDA) regulations
C. Emergency Medical Treatment and Active Labor Act (EMTALA/COBRA)
D. Federal Communications Commission (FCC) regulations
Answer: C
Explanation: The CPHRM promotes compliance with the Emergency Medical
Treatment and Active Labor Act (EMTALA/COBRA) through policy
development, guidance, or education. EMTALA/COBRA is a federal act that
requires hospitals with emergency departments to provide medical screening
examinations and stabilize patients who have emergency medical conditions,
regardless of their ability to pay.
Question: 3
Which of the following is an example of a risk assessment conducted by the
CPHRM?
A. Financial analysis of the organization's investments
B. Analysis of patient satisfaction survey results
C. Evaluation of employee performance
D. Identification of exposures related to new and existing services
Answer: D
Explanation: The CPHRM conducts risk assessments to identify exposures
related to new and existing services. This involves assessing potential risks and
vulnerabilities associated with the organization's services and developing
strategies to mitigate those risks.
Question: 4
Which of the following activities does the CPHRM participate in when
responding to inquiries from regulatory and licensing agencies, and insurance
companies?
A. Negotiating physician contracts
B. Conducting clinical trials
C. Reviewing patient medical records for billing purposes
D. Providing requested documentation and information
Answer: D
Explanation: The CPHRM participates in providing requested documentation
and information when responding to inquiries from regulatory and licensing
agencies, and insurance companies. This may involve gathering relevant
records, reports, and other documents to address the inquiries.
Question: 5
In developing the organization's regulatory compliance plan, which of the
following should a risk management professional ensure?
1: Workforce compliance with accreditation standards
2: Collaboration with patient safety and medical staff departments
3: Cultural, legal, and psychological soundness of programs addressing
behavioral issues
4: Non-discriminatory practices in provider and staff management
A. 1 and 2 only
B. 1, 2, and 3 only
C. 2, 3, and 4 only
D. 1, 2, 3, and 4
Answer: D
Explanation: A risk management professional plays a crucial role in developing
the organization's regulatory compliance plan. Workforce compliance with
accreditation standards is essential to ensure that the organization meets the
necessary quality and safety requirements. Collaboration with patient safety
and medical staff departments ensures a comprehensive approach to addressing
risk and safety issues. Programs addressing provider and staff behavioral
issuesshould be culturally, legally, and psychologically sound to promote a safe
and inclusive work environment. Non-discriminatory practices in provider and
staff management are vital to ensure fair treatment and adherence to anti-
discrimination laws. Therefore, all options 1, 2, 3, and 4 should be ensured by a
risk management professional in developing the organization's regulatory
compliance plan, making option D the correct answer.
Question: 6
Which of the following is a responsibility of the CPHRM in relation to
enterprise-wide event reports of harm or near-harm incidents?
A. Conducting medical research studies
B. Establishing performance improvement initiatives
C. Managing the organization's budget
D. Planning and evaluating the reporting and monitoring system
Answer: D
Explanation: The CPHRM is responsible for planning and evaluating the
reporting and monitoring system for enterprise-wide event reports of harm or
near-harm incidents. This includes establishing processes for timely reporting,
analyzing the data, and monitoring trends to support patient safety and risk
management.
Question: 7
What is the role of the CPHRM in evaluating claims?
A. Providing expert medical testimony in court
B. Determining the guilt or innocence of healthcare providers
C. Assessing the financial exposure of the organization
D. Negotiating settlement agreements with claimants
Answer: C
Explanation: The role of the CPHRM in evaluating claims is to assess the
financial exposure of the organization. This involves analyzing the facts and
circumstances of the claim, reviewing relevant documentation, and considering
potential financial implications for the organization.
Question: 8
Which department does the CPHRM collaborate with to address provider and
staff behavioral issues?
A. Finance department
B. Human Resources department
C. Marketing department
D. Information Technology department
Answer: B
Explanation: The CPHRM collaborates with the Human Resources department
to address provider and staff behavioral issues. Human Resources is
responsible for managing employee relations and addressing issues related to
behavior and conduct in the workplace.
Question: 9
Which of the following activities are part of supervising and developing risk
management staff?
1: Setting performance goals and expectations
2: Conducting performance evaluations
3: Providing ongoing training and education
4: Implementing risk management policies and procedures
A. 1, 2, and 3 only
B. 1, 2, 3, and 4
C. 2, 3, and 4 only
D. 1 and 4 only
Answer: B
Explanation: Supervising and developing risk management staff involves
various activities to ensure their effectiveness and growth. Setting performance
goals and expectations provides a clear direction for the staff and aligns their
work with organizational objectives. Conducting performance evaluations
allows for assessing individual performance, providing feedback, and
identifying areas for improvement. Providing ongoing training and education
ensures that the staff remains updated with relevant knowledge and skills.
Implementing risk management policies and procedures is crucial for
maintaining consistency and adherence to established protocols. Therefore, all
options 1, 2, 3, and 4 are part of supervising and developing risk management
staff, making option B the correct answer.
Question: 10
Which of the following activities should a risk management professional
engage in to support patient safety committee meetings?
1: Collecting and formulating relevant information
2: Facilitating the decision-making process
3: Chairing the meetings
4: Documenting meeting minutes
A. 1 and 2 only
B. 1, 2, and 3 only
C. 2, 3, and 4 only
D. 1, 2, 3, and 4
Answer: A
Explanation: Supporting patient safety committee meetings requires active
involvement from a risk management professional. Collecting and formulating
relevant information is important to provide the committee with necessary data
and insights for informed decision-making. Facilitating the decision-making
process involves guiding the committee members through discussions, analysis,
and evaluation of safety-related matters. Chairing the meetings and
documenting meeting minutes, although important, are not explicitly mentioned
as activities that a risk management professional should engage in to support
patient safety committee meetings in this context. Therefore, options 1
(collecting and formulating relevant information) and 2 (facilitating the
decision-making process) are the activities that a risk management professional
should engage in, making option A the correct answer.
Question: 11
Which of the following is a responsibility of a risk management professional in
claims management?
1: Assignment of counsel
2: Setting loss reserves
3: Responding to discovery requests/interrogatories
4: Diagnosis and treatment of patients
A. 1, 2, and 3 only
B. 1, 2, 3, and 4
C. 2, 3, and 4 only
D. 1 and 4 only
Answer: A
Explanation: Claims management is an important aspect of risk management,
and the role of a risk management professional includes specific responsibilities
in this area. Assignment of counsel involves selecting and appointing legal
representation for the organization in claims-related matters. Setting loss
reserves is the process of estimating the potential financial impact of a claim
and allocating funds accordingly. Responding to discovery
requests/interrogatories involves providing requested information and
documentation during the legal discovery phase. Diagnosis and treatment of
patients are not within the scope of a risk management professional's
responsibilities. Therefore, options 1 (assignment of counsel), 2 (setting loss
reserves), and 3 (responding to discovery requests/interrogatories) are
responsibilities of a risk management professional in claims management,
making option A the correct answer.
Question: 12
Which of the following federal acts/regulations require compliance through
policy development, guidance, or education in healthcare risk management?
1: Centers for Medicare and Medicaid Services (CMS)
2: Emergency Medical Treatment and Active Labor Act (EMTALA/COBRA)
3: Health Insurance Portability and Accountability Act (HIPAA)
4: National Practitioner Data Bank (NPDB)
5: Safe Medical Device Act (SMDA)
A. 1, 2, and 3 only
B. 1, 3, 4, and 5 only
C. 2, 3, and 4 only
D. 1, 2, 3, 4, and 5
Answer: D
Explanation: Compliance with various federal acts and regulations is crucial in
healthcare risk management. The Centers for Medicare and Medicaid Services
(CMS) sets guidelines and requirements for healthcare facilities participating in
these programs. The Emergency Medical Treatment and Active Labor Act
(EMTALA/COBRA) ensures that patients receive emergency medical care
regardless of their ability to pay. The Health Insurance Portability and
Accountability Act (HIPAA) protects patient privacy and sets standards for the
security and confidentiality of health information. The National Practitioner
Data Bank (NPDB) collects and discloses information on healthcare
practitioners' malpractice and disciplinary actions. The Safe Medical Device
Act (SMDA) focuses on the reporting and tracking of adverse events related to
medical devices. Therefore, all options 1, 2, 3, 4, and 5 require compliance
through policy development, guidance, or education, making option D the
correct answer.
Question: 13
Which of the following activities does the CPHRM participate in to support
patient safety committee meetings?
A. Conducting employee satisfaction surveys
B. Reviewing facility maintenance records
C. Collecting and formulating relevant information for decision-making
D. Developing marketing strategies for the organization
Answer: C
Explanation: The CPHRM participates in supporting patient safety committee
meetings by collecting and formulating relevant information to facilitate the
decision-making process. This may involve gathering data, reports, and other
information related to patient safety initiatives and presenting it to the
committee for discussion and decision-making.
Question: 14
Which of the following activities should a risk management professional
engage in to promote compliance with laws and regulations governing
involuntary detention of patients?
1: Policy development
2: Guidance
3: Education
4: Patient advocacy
A. 1, 2, and 3 only
B. 1, 2, 3, and 4
C. 1 and 3 only
D. 2 and 4 only
Answer: C
Explanation: To promote compliance with laws and regulations governing
involuntary detention of patients, risk management professionals play a crucial
role. Policy development is essential to establish clear guidelines and
procedures that align with the legal requirements. Guidance helps healthcare
providers understand and interpret the laws and regulations to ensure proper
compliance. Education involves training and educating the staff on the relevant
laws, regulations, and procedures. Patient advocacy, although important, is not
directly related to promoting compliance with involuntary detention laws and
regulations in this context. Therefore, options 1 (policy development) and 3
(education) should be engaged in by risk management professionals to promote
compliance, making option C the correct answer.
Question: 15
Which of the following is NOT a component of a risk management data
collection/analysis system?
A. Incident reporting forms
B. Device reporting and tracking logs
C. Regulatory inquiries
D. Employee performance evaluations
Answer: D
Explanation: Employee performance evaluations are not typically included in a
risk management data collection/analysis system. Such evaluations are more
related to human resources and performance management rather than risk
management.
Question: 16
In the development of the organization's regulatory compliance plan, the
CPHRM ensures workforce compliance with:
A. Occupational Safety and Health Administration (OSHA) standards
B. Environmental Protection Agency (EPA) regulations
C. Centers for Medicare and Medicaid Services (CMS) requirements
D. Federal Trade Commission (FTC) guidelines
Answer: C
Explanation: The CPHRM ensures workforce compliance with Centers for
Medicare and Medicaid Services (CMS) requirements as part of the
organization's regulatory compliance plan. CMS is a federal agency that
administers the Medicare and Medicaid programs and sets standards for
healthcare providers participating in these programs.
Question: 17
Which of the following components should be included in a risk management
data collection/analysis system for timely reporting and monitoring?
1: Device reporting and tracking logs
2: Regulatory inquiries
3: Incident reports
4: Patient satisfaction surveys
A. 1, 2, and 3 only
B. 1, 2, 3, and 4
C. 1, 3, and 4 only
D. 2, 3, and 4 only
Answer: A
Explanation: A robust risk management data collection/analysis system is
crucial for timely reporting and monitoring. Device reporting and tracking logs
are essential for capturing information about medical devices, including any
malfunctions or adverse events. Regulatory inquiries refer to investigations or
audits conducted by regulatory agencies to ensure compliance with standards
and regulations. Incident reports capture details about any adverse incidents,
near misses, or harm events that occur within the organization. Patient
satisfaction surveys, although valuable for assessing overall patient experience,
are not directly related to risk management data collection and analysis in this
context. Therefore, options 1 (device reporting and tracking logs), 2 (regulatory
inquiries), and 3 (incident reports) are components that should be included in a
risk management data collection/analysis system, making option A the correct
answer.
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