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Certified Professional in Healthcare Quality (CPHQ)

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Test Number : CPHQ
Test 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 Boost 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 genuine 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 Free test PDF

‘Free handout to assurance business’: Trump administration tells insurers they don’t need to cowl COVID-19 assessments for staff | CPHQ test Cram and test dumps

“based on the Trump administration, insurance company earnings are extra essential than the lives of nursing domestic residents and worker's.”

The Trump administration issued coverage information this week telling medical insurance agencies that they don't seem to be required by means of law to cowl the Covid-19 assessments employers may also compel worker's to undergo as a circumstance for returning to their jobs.

The announcement (pdf) Tuesday with the aid of the Departments of Treasury, Labor, and health and Human services alarmed healthcare advocates and lawmakers who warned the stream offers profitable insurers a green gentle to push the expenses of probably expensive coronavirus screenings onto laborers.

“once once more, the Trump administration is prioritizing company earnings over individuals. I’m deeply concerned that this may disproportionately influence frontline worker's.”—Rep. Frank Pallone Jr.

The households First Coronavirus Response Act, a relief bill President Donald Trump signed into legislations in March, comprises a provision (pdf) mandating that insurers and corporation-offered plans cowl “Covid-19 testing and linked functions with out cost-sharing.”

but the Trump administration says in its tips that the legislation best requires insurers to cover “medically applicable” coronavirus screenings, no longer exams “conducted to monitor for time-honored workplace health and safety (similar to employee ‘return to work’ classes).”

Rep. Frank Pallone Jr. (D-N.J.) blasted the Trump administration’s interpretation of the legislations as a violation of congressional intent and “a free handout to the insurance industry.”

“as soon as again, the Trump administration is prioritizing corporate earnings over americans,” Pallone tweeted Wednesday. “I’m deeply thinking that this could disproportionately have an impact on frontline people.”

In April, the Equal Employment opportunity fee—a federal agency tasked with implementing anti-discrimination laws—spoke of employers are legally approved to force employees to take Covid-19 viral assessments to check no matter if it is protected for them to return to the workplace.

long island, New Jersey, and other states at the moment require nursing buildings to check personnel to avoid the unfold of Covid-19 in their facilities, which had been devastating sizzling-spots for the virus.

The ny times reported prior this month that some nursing homes say they could’t have enough money to pay for the checking out and have tried to bill insurance companies for the fees. but not all insurance organizations have agreed to cowl Covid-19 testing, leaving worker's on the hook for the invoice.

Shikilia Davis, a nursing home employee in long island, advised the instances that she turned into sent home with the aid of her corporation one day after she refused to quit her assurance card before getting proven. Davis mentioned she feared being hit with the expenses as a result of her insurer has declined to cowl coronavirus screenings.

“here is a invoice I do not need to get stuck with,” stated Davis. “I don’t have funds mendacity around.”

As buyer advocacy community Public Citizen documented in a file last month, “the huge majority of the biggest health insurers” in the U.S. have quickly waived some fees for Covid-19 checking out and medication.

“but these fee waivers include giant restrictions and most are set to run out long earlier than the pandemic can fairly be anticipated to end,” the record noted.

“In some cases, the insurers’ statements of testing-connected merits seem much less sweeping than Congress required,” the document persisted. “probably the most insurers’ statements only promise to cowl checking out-connected charges via certain dates. different statements suggest a more restrictive universe of covered assessments than the law requires. meanwhile, most of don't evidently warn participants that they might possibly be subject to fees if they see out-of-community providers.”

Public Citizen argued that the most fulfilling way to be sure every person is capable of receive the Covid-19 trying out and treatment they need is with the aid of enforcing Medicare for All, which the community describes as “the most brilliant method to untangle the thicket of their healthcare equipment, protect americans from crushing prices, and create a more fit and more productive society.”

“below Medicare for All,” the group observed, “no one would need to be concerned about falling throughout the cracks of a damaged healthcare equipment and dealing with financial ruin.”

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