NAHQ PRACTICE CPHQ EXAMINATION TEST
2026 COMPLETE QUESTIONS AND ANSWERS
◉ False. Answer: The governing body is responsible for
implementing strategies and collecting measurements of quality
indicators.
A. True
B. False
◉ d. 80%. Answer: According to TJC (2012), how many serious
medical errors involved miscommunication between caregivers
when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
◉ True. Answer: Observation and documentation of interpersonal
and communication skills is an example of an FPPE.
A. True
B. False
,◉ True. Answer: An example of criteria that might be tracked for
OPPE is morbidity and mortality data
A. True
B. False
◉ True. Answer: Examples of data for physician profiles include data
representing major service lines, patient safety issues, and
outpatient information
A. True
B. False
◉ b. Be a visible participant in the process. Answer: A CQO has the
responsibility for education and implementation of a quality
improvement process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
◉ a. Meet all regulatory requirements. Answer: When a healthcare
org is contracting with an outside provider for services, the
subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
,c. Have an active risk management program
d. Have a competitively priced service
◉ a. Purpose of the request. Answer: A healthcare quality
professional is developing a policy regarding access to physician
quality files. In addition to the date and name of the person
requesting the information, which of the following should be
included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
◉ b. Assess practitioner competency. Answer: Physician profiles
should be reviewed at the time of reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval
◉ a. Setting goals and objectives. Answer: Which of the following is
the first step in the strategic planning process?
a. Setting goals and objectives
, b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
◉ a. Set goals, measure performance, provide coaching and
feedback, reward and recognize positive efforts. Answer: If someone
in your organization is resisting and not willing to make the change,
what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback,
reward and recognize positive efforts
b. Communicate what, why, how, when and who of change process,
present positive outlook, have clear focus and goal for change and
expectations
c. Provide education and training in new skills and use of various
management techniques
◉ a. Provide education and training in new skills and use of various
management techniques. Answer: If someone in your organization is
resisting and not able to perform change, what is the best strategy to
take?
a. Provide education and training in new skills and use of various
management techniques
b. Communicate what, why, how, when and who of change process,
present positive outlook, have clear focus and goal for change and
expectations
2026 COMPLETE QUESTIONS AND ANSWERS
◉ False. Answer: The governing body is responsible for
implementing strategies and collecting measurements of quality
indicators.
A. True
B. False
◉ d. 80%. Answer: According to TJC (2012), how many serious
medical errors involved miscommunication between caregivers
when patients are transferred or handed-off?
a. 67%
b. 25%
c. 32%
d. 80%
◉ True. Answer: Observation and documentation of interpersonal
and communication skills is an example of an FPPE.
A. True
B. False
,◉ True. Answer: An example of criteria that might be tracked for
OPPE is morbidity and mortality data
A. True
B. False
◉ True. Answer: Examples of data for physician profiles include data
representing major service lines, patient safety issues, and
outpatient information
A. True
B. False
◉ b. Be a visible participant in the process. Answer: A CQO has the
responsibility for education and implementation of a quality
improvement process. To affect cultural change, the CQO must:
a. Receive quarterly reports
b. Be a visible participant in the process
c. Believe the costs are justified by the benefits
d. Limit training to managers and supervisors
◉ a. Meet all regulatory requirements. Answer: When a healthcare
org is contracting with an outside provider for services, the
subcontractor must:
a. Meet all regulatory requirements
b. Provide a representative to the Quality Council
,c. Have an active risk management program
d. Have a competitively priced service
◉ a. Purpose of the request. Answer: A healthcare quality
professional is developing a policy regarding access to physician
quality files. In addition to the date and name of the person
requesting the information, which of the following should be
included in the policy?
a. Purpose of the request
b. Permission from the applicable physician
c. Approval from the department chair
d. Approval from legal counsel
◉ b. Assess practitioner competency. Answer: Physician profiles
should be reviewed at the time of reappointment to:
a. Review the number of complaints
b. Assess practitioner competency
c. Compare the practitioner to their peers
d. Facilitate reappointment approval
◉ a. Setting goals and objectives. Answer: Which of the following is
the first step in the strategic planning process?
a. Setting goals and objectives
, b. Defining organizational structure
c. Establishing and controlling a budget
d. Determining productivity indicators
◉ a. Set goals, measure performance, provide coaching and
feedback, reward and recognize positive efforts. Answer: If someone
in your organization is resisting and not willing to make the change,
what is the best strategy to take?
a. Set goals, measure performance, provide coaching and feedback,
reward and recognize positive efforts
b. Communicate what, why, how, when and who of change process,
present positive outlook, have clear focus and goal for change and
expectations
c. Provide education and training in new skills and use of various
management techniques
◉ a. Provide education and training in new skills and use of various
management techniques. Answer: If someone in your organization is
resisting and not able to perform change, what is the best strategy to
take?
a. Provide education and training in new skills and use of various
management techniques
b. Communicate what, why, how, when and who of change process,
present positive outlook, have clear focus and goal for change and
expectations
