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To be eligible to take the NAHQ CPHQ Certification Exam, individuals must meet certain education and work experience requirements. These requirements vary depending on the individual's level of education and work experience in the healthcare field. Once eligibility is confirmed, individuals can register for the exam and begin preparing by reviewing the exam content outline, studying relevant materials, and participating in exam preparation courses and workshops.
The CPHQ Certification Exam is a comprehensive exam that tests the knowledge and skills of healthcare quality professionals across various domains. CPHQ exam consists of 140 multiple-choice questions, which are divided into five content areas: healthcare quality and patient safety, performance and process improvement, healthcare data analytics, healthcare financial management, and healthcare regulations and accreditation.
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NAHQ CPHQ or Certified Professional in Healthcare Quality Examination is a globally recognized certification program designed for professionals interested in pursuing a career in healthcare quality. This credential is offered by the National Association for Healthcare Quality (NAHQ) and is recognized by employers worldwide.
NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q297-Q302):NEW QUESTION # 297
A Quality Council has received the following requests for establishing performance improvement teams:
Maintenance: Overtime reductions
Dietary: Meal delivery process
Housekeeping: Room turnaround times
Biomedical: Identification of malfunctioning equipment
Human Resources: Competency assessments
Which of the following should the Quality Council do first?
- A. Review patient satisfaction to verify problem areas
- B. Prioritize the requests
- C. Obtain CFO approval
- D. Determine team leaders
Answer: B
Explanation:
The Quality Council oversees quality improvement initiatives and must prioritize requests to allocate resources effectively, given multiple competing demands.
Option A (Review patient satisfaction to verify problem areas): Patient satisfaction data may inform some requests (e.g., meal delivery, room turnaround), but not all (e.g., overtime, equipment) are directly patient- facing, and verification is a secondary step.
Option B (Obtain CFO approval): CFO approval may be needed for funding but is not the first step, as prioritization determines which initiatives to pursue.
Option C (Determine team leaders): Assigning leaders follows prioritization, as teams are formed for selected initiatives.
Option D (Prioritize the requests): This is the correct answer. The NAHQ CPHQ study guide states, "When faced with multiple improvement requests, a Quality Council should first prioritize based on impact, risk, and alignment with organizational goals" (Domain 4). For example, meal delivery and room turnaround may directly affect patient experience, while equipment issues pose safety risks, requiring a prioritization framework like a scoring matrix.
CPHQ Objective Reference: Domain 4: Performance and Process Improvement, Objective 4.2, "Prioritize performance improvement activities," emphasizes prioritizing based on impact and goals. The NAHQ study guide notes, "Quality Councils use prioritization to manage competing demands effectively" (Domain 4).
Rationale: Prioritizing requests ensures resources are allocated to high-impact initiatives, aligning with CPHQ' s improvement principles.
Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, Objective 4.2.
NEW QUESTION # 298
Which of the following is the best method for determining improvement priorities to benefit the health of the community?
- A. Focus group interviews
- B. Needs assessment survey
- C. Census data review
- D. Windshield survey
Answer: B
Explanation:
The NAHQ CPHQ exam blueprint identifies community health needs assessments (CHNAs) as the primary method for identifying and prioritizing population health improvement opportunities. A needs assessment survey systematically collects quantitative and qualitative data from community members, stakeholders, and public health sources to identify health status, gaps in services, and priority needs.
Option B is correct because needs assessments provide a comprehensive, data-driven foundation for determining which interventions will most benefit community health. They allow organizations to allocate resources based on prevalence, severity, disparities, and community input.
Census data (Option A) describe population characteristics but do not identify specific health priorities.
Windshield surveys (Option C) provide observational insights but lack depth and statistical rigor. Focus groups (Option D) offer valuable qualitative information but are limited in scope and not sufficient alone for priority setting.
The CPHQ framework emphasizes that population health initiatives should be evidence-based, inclusive, and strategic, making a needs assessment survey the best method.
NEW QUESTION # 299
A nursing director for a unit in a cancer hospital Is reviewing and assessing outcomes data in the followingscatter diagram:

The relationship between the incidence of infection and the decrease in staffing targets is
- A. strong and negative.
- B. weak and negative.
- C. weak and positive.
- D. strong and positive.
Answer: A
Explanation:
The scatter diagramshows that as the decrease in staffing targets becomes more significant (moving right on the horizontal axis), the incidence of infection goes up (moving up on the vertical axis). This indicates a negative relationship because as one variable increases, the other one decreases. The relationship appears to be strong because the points lie closely to an imaginary line that slopes upwards from left to right, which suggests a consistent trend across the data points.
References:In healthcare quality improvement, it is critical to use data to inform decision-making. Scatter diagrams are a common tool used for this purpose. The NAHQ Healthcare Quality Competency Framework emphasizes the importance of analyzing and utilizing data in decision-making, as indicated in the Performance and Process Improvement domain. A strong negative relationship in this context could indicate that decreased staffing levels are associated with higher infection rates, which is a significant finding for a nursing director assessing outcomes and considering quality improvement initiatives.
NEW QUESTION # 300
An organization Is tracking Infection rates to determine the benchmarks for the next fiscal year. The team Is analyzing the data for Infection rates. Which key variables are missing to interpret the graph?

- A. the mode of the data points and expected rate for external hospitals
- B. the timeframe for each data point and the source (or the target line
- C. the standardized infection ratio for the previous year and denominator for each measure
- D. the quality of patients and hospital compliance with handwashing
Answer: B
Explanation:
The question pertains to key variables missing in a graph that tracks infection rates for benchmarking purposes. The options provided suggest various combinations of data that could potentially be missing, impacting the interpretation of the graph.
* Option A suggests a need for historical data and specific denominators, but it doesn't address immediate contextual needs like timeframe or source/target lines.
* Option C introduces external hospital expected rates and modes of data points, which might not be directly relevant to interpreting a specific organization's infection rate trends.
* Option D focuses on qualitative aspects like patient quality and compliance with handwashing protocols, which are essential but not directly related to interpreting graphical data.
Option B is verified as correct because it highlights two critical elements: "the timeframe for each data point" and "the source (or target line)." These elements are fundamental to understanding any graph as they provide context regarding when the data was collected and what benchmarks or standards are being compared against.
* The timeframe is essential to identify trends over time, seasonal variations, or impacts of specific interventions or changes in practice.
* The source or target line provides a benchmark indicating expected performance levels or goals that the organization aims to achieve.
Without these two pieces of information, it would be challenging to derive meaningful insights from the graph about infection rate trends and their implications for future benchmarks.
References:
* HQ Solutions: Resource for the Healthcare Quality Professional, Fifth Edition, Chapter 5: Quality Review and Accountability, p. 133-134
* Learning Lab: Survey Readiness - A Team Approach to Success, Slide 8: Data Display
* Learning Lab: The Role of the Healthcare Quality Professional in Population Health Management, Slide 10: Data Visualization
NEW QUESTION # 301
The clinic has a goal to reduce the Healthcare Effectiveness Data and Information Set (HEDIS) measure of ' the percent of diabetic patients with a HgA1c greater than 9.0% for accreditation. Who should be Included on the quality Improvement team?
- A. clinic manager, provider champion. HEDIS chart abstractor
- B. HEDIS chart abstractor, coder, primary care provider
- C. clinic manager, quality Improvement specialist, provider champion
- D. primary care provider, quality improvement specialist, coder
Answer: C
Explanation:
* The HEDIS measure of the percent of diabetic patients with a HgA1c greater than 9.0% is an indicator of poor glycemic control and a risk factor for complications12. Reducing this measure is a quality improvement goal that requires a multidisciplinary approach and data-driven strategies34.
* A quality improvement team is a group of individuals with different roles and responsibilities who work together to achieve a common aim56. The team should include representatives from various areas of the clinic, such as management, clinical staff, and data analysts78.
* The clinic manager is responsible for providing effective and consistent leadership, communicating the vision and the steps for improvement, engaging the team in planning and monitoring, allocating resources and training, and fostering a culture of open communication and continuous learning78.
* The quality improvement specialist is responsible for analyzing and reviewing the clinical and business data, suggesting and selecting the key priority areas, implementing and evaluating the improvement interventions, and reporting the results and outcomes78.
* The provider champion is responsible for modeling enthusiasm and support for quality improvement, leading the clinical discussions and decisions, influencing and educating other providers and staff, and ensuring adherence to evidence-based guidelines and best practices78.
* The HEDIS chart abstractor, the coder, and the primary care provider are also important members of the quality improvement process, but they are not sufficient to form a comprehensive and effective team.
The HEDIS chart abstractor and the coder are mainly involved in collecting and coding the data, while the primary care provider is mainly involved in delivering the care. They need the guidance and coordination of the clinic manager, the quality improvement specialist, and the provider champion to
* align their efforts and achieve the desired outcomes78. References: 1: Hemoglobin A1c Control for Patients with Diabetes (HBD) 2: Glycemic Status Assessment for Patients with Diabetes 3: Quality Improvement Team Roles and Responsibilities - PracticeAssist 4: The Roles & Responsibilities of A Quality Management Team 5: QUALITY IMPROVEMENT TEAMS COMPOSITION 6: Comprehensive Diabetes Care - NCQA 7: HEDIS 2022 Manual - Johns Hopkins Medicine 8: HEDIS Hemoglobin A1c Control for Patients with Diabetes (HBD) 9: GSD - Glycemic Status Assessment for Patients With Diabetes
NEW QUESTION # 302
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