CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified,
the surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most
likely
identified as a result of:
A. a surgical team 'time-out.'
B. informed consent documentation.
C. an equipment check.
D. a root cause analysis. - ✔✔✔-A. a surgical team 'time-out.'
the "time-out" is a team briefing conducted by the surgeon before the procedure starts and
includes verification of the surgical site.
A clinical pathway on the management of hip fractures has been developed by a multi-
disciplinary team and implemented in a large teaching hospital. After monitoring for 6 months,
the length of stay continues to exceed the guidelines. Which of the following should be the next
step?
A. Evaluate compliance with the pathway.
B. Correlate the pathway with staffing levels.
C. Re-educate the staff on the purpose of the pathway.
D. Continue to monitor, and collect additional data - ✔✔✔-A. Evaluate compliance with the
pathway.
Evaluation of compliance with the proven (pathway) should be conducted first to see if that may
be influencing the lack of change in the outcome.
,CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
A consulting firm has been selected by a healthcare Board of Directors to assess the quality
improvement program. Before starting the assessment, the quality professional should first
A. set up a project plan.
B. develop potential action plans.
C. define expectations and outcomes.
D. design a dashboard. - ✔✔✔-C. define expectations and outcomes.
All answers could be done, however, expectations and outcomes should be established
FIRST.
A critical difference between quality assurance (QA) and quality improvement is a shift in focus
from
A. retrospective review to concurrent screening.
B. nonclinical aspects to customer satisfaction.
C. identifying poor performers to improving group performance.
D. QA coordinators to teams. - ✔✔✔-C. identifying poor performers to improving group
performance.
Quality improvement is focused on systems, processes, and groups to improve. Quality
assurance is focused on monitoring problem areas or individuals.
A culture of patient safety in an organization will have been successfully created when
A. personal accountability is removed from the organization.
,CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
B. near miss reporting of safety issues declines.
C. staff members serve as safety advocates.
D. a root cause analysis is performed regularly. - ✔✔✔-C. staff members serve as safety
advocates.
A facility is becoming part of a healthcare network. Which of the following employee education
programs is most important?
A. quality teams
B. organizational change
C. consumer expectations
D. conflict resolution - ✔✔✔-B. organizational change
During times of significant change, it is critical to facilitate training on organizational change to
set overarching organizational expectations and address culture changes before addressing
quality teams, consumer expectations, or conflict resolution.
A failure mode and effects analysis (FMEA) provides which of the following types of review?
A. proactive
B. retrospective
C. concurrent
D. retroactive - ✔✔✔-A. proactive
A federally certified electronic health record (EHR) with the capacity for e-prescribing, electronic
exchange of health information, and submission of healthcare quality measures meets:
, CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
A. bar-code technology specifications.
B. computer-based monitoring specifications.
C. meaningful use requirements.
D. health privacy requirements - ✔✔✔-C. meaningful use requirements.
A group of pediatric patients diagnosed with cystic fibrosis is being studied. Their attitudes
toward the disease have been measured each year for the past 4 years. The methodology used
is an example of a:
A. cohort study.
B. regression analysis.
C. case-mix study.
D. cross-sectional analysis - ✔✔✔-ANSWER
A. cohort study
(analyzes a group with a specific characteristic, such as cystic fibrosis.)
A health plan is required to have a mechanism for members to submit complaints. Which of the
following
actions must be included in the complaint analysis to ensure the plan makes full use of this type
of information?
A. Total each complaint category at least on an annual basis.
B. Calculate the average number of complaints per office site.
C. Review complaints to find system problems that can be improved.
D. Determine the date/time the complaint occurred and the person responsible. - ✔✔✔-C.
Review complaints to find system problems that can be improved.
Updated) – 100% Solved
A 69-year-old female admitted for hip replacement is taken to surgery. The patient is identified,
the surgical site is marked incorrectly, and equipment/x-rays are present. A near miss was most
likely
identified as a result of:
A. a surgical team 'time-out.'
B. informed consent documentation.
C. an equipment check.
D. a root cause analysis. - ✔✔✔-A. a surgical team 'time-out.'
the "time-out" is a team briefing conducted by the surgeon before the procedure starts and
includes verification of the surgical site.
A clinical pathway on the management of hip fractures has been developed by a multi-
disciplinary team and implemented in a large teaching hospital. After monitoring for 6 months,
the length of stay continues to exceed the guidelines. Which of the following should be the next
step?
A. Evaluate compliance with the pathway.
B. Correlate the pathway with staffing levels.
C. Re-educate the staff on the purpose of the pathway.
D. Continue to monitor, and collect additional data - ✔✔✔-A. Evaluate compliance with the
pathway.
Evaluation of compliance with the proven (pathway) should be conducted first to see if that may
be influencing the lack of change in the outcome.
,CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
A consulting firm has been selected by a healthcare Board of Directors to assess the quality
improvement program. Before starting the assessment, the quality professional should first
A. set up a project plan.
B. develop potential action plans.
C. define expectations and outcomes.
D. design a dashboard. - ✔✔✔-C. define expectations and outcomes.
All answers could be done, however, expectations and outcomes should be established
FIRST.
A critical difference between quality assurance (QA) and quality improvement is a shift in focus
from
A. retrospective review to concurrent screening.
B. nonclinical aspects to customer satisfaction.
C. identifying poor performers to improving group performance.
D. QA coordinators to teams. - ✔✔✔-C. identifying poor performers to improving group
performance.
Quality improvement is focused on systems, processes, and groups to improve. Quality
assurance is focused on monitoring problem areas or individuals.
A culture of patient safety in an organization will have been successfully created when
A. personal accountability is removed from the organization.
,CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
B. near miss reporting of safety issues declines.
C. staff members serve as safety advocates.
D. a root cause analysis is performed regularly. - ✔✔✔-C. staff members serve as safety
advocates.
A facility is becoming part of a healthcare network. Which of the following employee education
programs is most important?
A. quality teams
B. organizational change
C. consumer expectations
D. conflict resolution - ✔✔✔-B. organizational change
During times of significant change, it is critical to facilitate training on organizational change to
set overarching organizational expectations and address culture changes before addressing
quality teams, consumer expectations, or conflict resolution.
A failure mode and effects analysis (FMEA) provides which of the following types of review?
A. proactive
B. retrospective
C. concurrent
D. retroactive - ✔✔✔-A. proactive
A federally certified electronic health record (EHR) with the capacity for e-prescribing, electronic
exchange of health information, and submission of healthcare quality measures meets:
, CPHQ Practice Test 2020 Exam with Questions and Answers (2025-2026
Updated) – 100% Solved
A. bar-code technology specifications.
B. computer-based monitoring specifications.
C. meaningful use requirements.
D. health privacy requirements - ✔✔✔-C. meaningful use requirements.
A group of pediatric patients diagnosed with cystic fibrosis is being studied. Their attitudes
toward the disease have been measured each year for the past 4 years. The methodology used
is an example of a:
A. cohort study.
B. regression analysis.
C. case-mix study.
D. cross-sectional analysis - ✔✔✔-ANSWER
A. cohort study
(analyzes a group with a specific characteristic, such as cystic fibrosis.)
A health plan is required to have a mechanism for members to submit complaints. Which of the
following
actions must be included in the complaint analysis to ensure the plan makes full use of this type
of information?
A. Total each complaint category at least on an annual basis.
B. Calculate the average number of complaints per office site.
C. Review complaints to find system problems that can be improved.
D. Determine the date/time the complaint occurred and the person responsible. - ✔✔✔-C.
Review complaints to find system problems that can be improved.
