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NAHQ CPHQ(認證醫療保健質量專業人員)認證考試是醫療保健專業人員專門從事質量管理、病人安全和風險管理的廣泛認可認證。它是一個全面的考試，測量醫療保健專業人員在這些關鍵領域的知識和技能。 CPHQ 認證非常適合希望在醫療保健質量方面晉升自己的個人，並希望向潛在雇主展示他們的專業知識的人。 最新的 CPHQ Certification CPHQ 免費考試真題 (Q80-Q85):問題 #80
A hospital has just implemented a physician order entry system. Three days into implementation, the users begin having major technical issues with the system. The nurse manager instructs staff to submit troubleshooting requests to the help desk. This is an example of which high-reliability principle?
A. deference to expertise
B. preoccupation with failure
C. sensitivity to operations
D. commitment to resilience
答案：A
解題說明：
Directing staff to the help desk for technical issues exemplifies deference to expertise (D), relying on specialized knowledge. Resilience (A), operations sensitivity (B), and failure preoccupation (C) are less relevant. NAHQ highlights expertise deference in HROs.
NAHQ CPHQ Study Guide, Patient Safety Section, "High-Reliability Organization Principles"; NAHQ CPHQ Practice Exam, Safety Culture and Expertise.
問題 #81
Which of the following payment systems carries the most financial risk for a provider?
A. pay for performance
B. capitation
C. fee for service
D. upside-only bundles
答案：B
解題說明：
A payment system is a method of reimbursing providers for the services they deliver to patients.
Different payment systems have different implications for the financial risk that providers face, which is the possibility of losing money or not making a profit from their activities.
Financial risk can be influenced by factors such as the volume and mix of services, the cost and quality of care, the patient population, and the market conditions.
Fee for service (FFS) is a payment system whereproviders are paid for each service they perform, regardless of the outcome or value of the service. This payment system carries the least financial risk for providers, as they can increase their revenue by increasing the quantity of services. However, this payment system may also create incentives for overutilization, inefficiency, and low quality of care.
Capitation is a payment system where providers are paid a fixed amount per patient or per member per month, regardless of the number or type of services they provide. This payment system carries the most financial risk for providers, as they have to cover all the costs of care for their patients within the fixed budget. However, this payment system may also create incentives for efficiency, coordination, and prevention of care.
Pay for performance (P4P) is a payment system where providers are paid based on the quality and outcomes of the care they provide, rather than the quantity or type of services. This payment system carries a moderate financial risk for providers, as they have to meet certain performance measures or benchmarks to receive the full payment or bonus. However, this payment system may also create incentives for quality improvement, patient satisfaction, and value of care.
Upside-only bundles are a payment system where providers are paid a fixed amount for a bundle of services related to a specific condition or episode of care, such as a hip replacement or a hospitalization. This payment system carries a low financial risk for providers, as they can only share in the savings if they deliver the bundle of services at a lower cost than the fixed amount, but they do not have to bear any losses if they exceed the fixed amount. However, this payment system may also create incentives for coordination, standardization, and efficiency of care.
References:
Benefits of Risk-Based Payments: How Healthcare Data Improves Profits
The future of the payments industry: How managing risk can drive growth Financial crime risk management in digitalpayments
問題 #82
A healthcare organization has decided that the healthcare quality professional will provide performance improvement training to all supervisors. The first step is to
A. assess the past performance of the group.
B. develop the content outline.
C. provide a pretraining reading list.
D. determine current knowledge of the supervisors.
答案：D
解題說明：
The first step in providing performance improvement training to supervisors is to assess their current knowledge. Understanding the existing knowledge level allows the healthcare quality professional to tailor the training content to address gaps, reinforce existing knowledge, and ensure that the training is relevant to the audience's needs. Without this initial assessment, there is a risk that the training might be too basic or too advanced, leading to ineffective learning outcomes.
* Develop the content outline (B): While important, developing the content outline should come after assessing the supervisors' current knowledge to ensure the training is appropriately targeted.
* Assess the past performance of the group (C): Assessing past performance can be helpful, but it is secondary to understanding current knowledge, as the latter directly informs the content and structure of the training.
* Provide a pretraining reading list (D): This is a preparatory step that would be more effective after determining what knowledge needs to be covered during the training.
References
* NAHQ Body of Knowledge: Education and Training in Quality Improvement
* NAHQ CPHQ Exam Preparation Materials: Training Program Development and Implementation
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問題 #83
A quality professional has been asked to assist with prioritizing quality performance Initiatives In the surgery department. Given the Information In the matrix below, which of the following performance Initiatives should take priority?
A. Reduce unplanned readmissions.
B. Reduce surgical site Infections.
C. Reduce urinary tract Infections.
D. Reduce blood transfusion reactions.
答案：B
解題說明：
According to the provided matrix, surgical site infections have high relative weight in both risk and volume, and also score the highest in terms of cost, indicating that they are frequent, carry significant risk, and are costly. While customer satisfaction is lower for urinary tract infections (UTIs), the higher relative weight and cost associated with surgical site infections suggest they have a more significant impact on overall quality and resource use. Therefore, focusing on reducing surgical site infections aligns with prioritizing initiatives that have the potential for the greatest impact on patient safety and resource utilization.
References:This recommendation is consistent with the NAHQ's emphasis on using data to prioritize quality initiatives, focusing on areas that have the highest impact on patient outcomes and healthcare costs. The NAHQ Healthcare Quality Competency Framework also discusses the importance of data analysis in the Performance and Process Improvement domain to prioritize improvements in healthcare quality and safety.
問題 #84
The cockpit of an airplane is a more complex example of a collection of instruments that reports information critical to successful air travel. The driver of a car or the pilot of an airplane monitors multiple indicators of performance simultaneously to arrive at the intended destination successfully. At any given point in the journey, the driver or pilot may focus on one indicator, but overall success depends on the collective performance of the systems represented by the indicators.
This example depicts that dashboard tools that report on the ongoing performance of the critical processes that lead to:
A. Past performance rather than real time performance
B. Organizational success
C. Organization success rather than on the success itself
