CPHQ Practice Test 3 — Questions and Answers
Question 1: Which accreditation standard specifically addresses the management of ongoing care across settings, including transitions of care?
- Environment of Care
- Record of Care
- Provision of Care (Correct answer)
- Leadership
Correct answer: Provision of Care
The Provision of Care (PC) standard addresses the continuum of patient care, including assessments, planning, and care coordination across settings.
Question 2: A quality manager notices that fall rates increased after a new staffing model was implemented. What type of measure is the fall rate?
- Structure measure
- Process measure
- Outcome measure (Correct answer)
- Balancing measure
Correct answer: Outcome measure
Fall rate is an outcome measure because it reflects the result of care delivery on patient health and safety.
Question 3: Which CMS program financially penalizes hospitals with excess readmissions for certain conditions?
- Hospital Value-Based Purchasing Program
- Hospital Readmissions Reduction Program (HRRP) (Correct answer)
- Merit-based Incentive Payment System
- Deficit Reduction Act
Correct answer: Hospital Readmissions Reduction Program (HRRP)
The HRRP reduces payments to hospitals with higher-than-expected 30-day readmission rates for conditions such as AMI, heart failure, and pneumonia.
Question 4: In healthcare quality, what does the term 'reliability' refer to when describing a measurement tool?
- The tool measures what it is intended to measure
- The tool produces consistent results when used repeatedly under the same conditions (Correct answer)
- The tool is approved by a regulatory body
- The tool is easy to administer
Correct answer: The tool produces consistent results when used repeatedly under the same conditions
Reliability refers to the consistency of a measurement instrument — it should yield the same results when applied under identical conditions.
Question 5: Which quality improvement methodology uses DMAIC as its core problem-solving framework?
- Lean
- Six Sigma (Correct answer)
- PDSA
- ISO 9001
Correct answer: Six Sigma
Six Sigma uses the DMAIC (Define, Measure, Analyze, Improve, Control) framework to reduce variation and defects in processes.
Question 6: A hospital's infection control committee wants to track central line-associated bloodstream infections (CLABSIs). Which calculation represents the correct CLABSI rate?
- Number of CLABSIs / Total patient days × 1,000
- Number of CLABSIs / Number of central line days × 1,000 (Correct answer)
- Number of CLABSIs / Number of admissions × 100
- Number of CLABSIs / Number of ICU beds × 1,000
Correct answer: Number of CLABSIs / Number of central line days × 1,000
The CLABSI rate is calculated per 1,000 central line days to account for exposure time to the central line device.
Question 7: In peer review, which principle is MOST important to ensure the review process leads to improvement rather than blame?
- Confidentiality of proceedings (Correct answer)
- Transparency of all findings to the public
- Immediate reporting to licensing boards
- Exclusion of the reviewed physician from future cases
Correct answer: Confidentiality of proceedings
Confidentiality protections encourage honest peer review and protect participants, making physicians more willing to engage openly in the process.
CPHQ Practice Test 3
Which accreditation standard specifically addresses the management of ongoing care across settings, including transitions of care?