CPHQ - Certified Professional in Healthcare Quality Population Health Management Questions and Answers

Question 1

An Accountable Care Organization (ACO) is launching a population health management program for its members with Type 2 Diabetes.
Which of the following is the most critical first step to effectively manage this population?

Accepted Answer

Using claims, EHR, and demographic data to stratify the diabetic population by risk level.

Answer

Developing a series of public health seminars on healthy eating.

Answer

Hiring additional endocrinologists to increase appointment availability.

Answer

Immediately enrolling all diabetic patients into a generic, standardized care management program.

Question 2

What is the primary purpose of risk stratification in a population health management strategy?

Accepted Answer

To match the intensity of care management interventions with patients' predicted health needs.

Answer

To bill patients at different rates based on their health status.

Answer

To identify and remove high-cost patients from the health plan.

Answer

To report aggregate quality scores to national regulatory agencies.

Question 3

A population health team identifies a high rate of uncontrolled hypertension in a specific geographic area, which also has limited access to grocery stores with fresh produce. Which of the following interventions best addresses a social determinant of health (SDOH) for this population?

Accepted Answer

Partnering with a local community group to establish a subsidized mobile farmers' market.

Answer

Increasing the frequency of blood pressure screening clinics in the area.

Answer

Prescribing more aggressive anti-hypertensive medication regimens.

Answer

Sending automated text message reminders for patients to take their medication.

Question 4

Which of the following best describes how population health management (PHM) aligns with the Institute for Healthcare Improvement (IHI)'s Triple Aim framework?

Accepted Answer

By improving the experience of care for individuals and the health of populations while reducing per capita costs.

Answer

By focusing exclusively on reducing the per capita cost of care through service limitations.

Answer

By prioritizing the health of the workforce over patient experience and population health outcomes.

Answer

By concentrating solely on individual patient satisfaction scores to drive all improvement efforts.

Question 5

A health system has implemented a comprehensive care coordination program for high-risk patients with multiple chronic conditions. Which of the following is the most appropriate OUTCOME measure to evaluate the program's effectiveness?

Accepted Answer

Reduction in the 30-day hospital readmission rate for the target population.

Answer

Number of care coordinators hired.

Answer

Percentage of eligible patients enrolled in the program.

Answer

Average number of telephone contacts per enrolled patient per month.

Question 6

Within a population health model, the primary function of a care coordinator assigned to a panel of high-risk patients is to:

Accepted Answer

Act as a central point of contact to navigate care transitions and connect patients with necessary health and social resources.

Answer

Perform clinical diagnostic procedures and prescribe medication.

Answer

Handle all medical billing and insurance pre-authorizations for the patient.

Answer

Provide direct, hands-on nursing care in the patient's home.