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Healthcare CPHQ : Certified Professional in Healthcare Quality (CPHQ) Exam

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Test Number : CPHQ
Test Name : Certified Professional in Healthcare Quality (CPHQ)
Vendor Name : Healthcare
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CPHQ exam Format | CPHQ Course Contents | CPHQ Course Outline | CPHQ exam Syllabus | CPHQ exam 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 exam 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 Quality test prep

fundamentals of high-quality development | CPHQ dump questions and Cheatsheet

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satisfactory growth (QI) is a systematic, formal strategy to the analysis of apply performance and efforts to increase efficiency.

a number of strategies—or QI models—exist to aid you assemble and analyze facts and look at various trade. whereas it’s important to select a good QI mannequin to e book your efforts, it’s greater important that you simply totally decide to using the QI manner and respectable QI practices.

benefits of QI

figuring out and effectively enforcing QI is elementary to a neatly-functioning follow, and is indispensable for any follow attracted to improving efficiency, affected person safeguard, or scientific consequences.

  • verify and prioritize capabilities areas for growth. you will deserve to determine and have in mind the ways wherein your practice could increase. assess your patient population (e.g., to identify barriers to care, frequently diagnosed continual circumstances, or companies of excessive-possibility patients) and your observe operations (e.g., to establish management issues reminiscent of low morale, lengthy affected person wait times, or terrible communication). Use dependent great measures, such as these from the national first-rate discussion board(www.qualityforum.org), agency for Healthcare research and best(www.qualitymeasures.ahrq.gov), and the nice charge application(qpp.cms.gov) to e-book your efforts.
  • assemble and analyze data. statistics collection and evaluation lie at the heart of exceptional improvement. Your facts will aid you understand how neatly your methods work, determine capabilities areas for growth, set measurable desires, and computer screen the effectiveness of trade. It’s vital to assemble baseline facts before you begin a QI challenge, commit to normal statistics assortment, carefully analyze your effects during the mission, and make decisions in line with your analysis.
  • talk your results. great development efforts should be transparent to your workforce, physicians, and sufferers. include the complete observe crew and sufferers when planning and implementating QI initiatives, and communicate your task wants, priorities, movements, and results to each person (sufferers covered). When a challenge is successful, have fun and well known that success.
  • decide to ongoing contrast. first-class growth is an ongoing system. A excessive-functioning practice will try to perpetually enrich performance, revisit the effectiveness of interventions, and regularly solicit patient and team of workers feedback.
  • spread your successes. Share training discovered with others to help large-scale, speedy  improvement that merits all sufferers and the fitness care trade as an entire. 
  • nice improvement models and tools

    first-class improvement models latest a scientific, formal framework for organising QI procedures on your apply. Examples of normal QI models encompass here:

  • mannequin for growth (Plan-Do-analyze-Act [PDSA] cycles)(www.ihi.org): The Institute for Healthcare growth’s mannequin for growth combines two customary QI fashions: total best administration (TQM) and swift-Cycle improvement (RCI). The outcomes is a framework that uses PDSA cycles to check interventions on a small scale.
  • Six Sigma(asq.org): Six Sigma is a way of development that strives to lessen version and defects.
  • Lean(www.ihi.org) is an method that drives out waste and improves efficiency in work procedures so that all work provides value.
  • satisfactory development tools are standalone options or techniques that can support you more advantageous keep in mind, analyze, or communicate your QI efforts. Examples of QI equipment(www.ihi.org) encompass run charts, system maps, and fishbone diagrams (ihi.org(www.ihi.org)).


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