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Test Number : CPHQ
Test Name : Certified Professional in Healthcare Quality (CPHQ)
Vendor Name : Healthcare
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CPHQ exam Format | CPHQ Course Contents | CPHQ Course Outline | CPHQ exam Syllabus | CPHQ exam Objectives


The content validity of the CPHQ examination is based on a practice analysis which surveys healthcare quality professionals on the tasks they perform as a part of their job. Each question on the exam links directly to one of the tasks listed in the content outline. Each question is designed to test if the candidate possesses the knowledge necessary to perform the task and/or has the ability to apply it to a job situation.

1. Organizational Leadership (35 items)
A. Structure and Integration
1. Support organizational commitment to quality
2. Participate in organization-wide strategic planning related to quality
3. Align quality and safety activities with strategic goals
4. Engage stakeholders to promote quality and safety (e.g., emergency preparedness, corporate compliance, infection prevention, case management, patient experience, provider network, vendors)
5. Provide consultative support to the governing body and clinical staff regarding their roles and responsibilities (e.g., credentialing, privileging, quality oversight, risk management)
6. Facilitate development of the quality structure (e.g., councils and committees)
7. Assist in evaluating or developing data management systems (e.g., data bases, registries)
8. Evaluate and integrate external best practices (e.g., resources from AHRQ, IHI, NQF, WHO, HEDIS, outcome measures)
9. Participate in activities to identify and evaluate innovative solutions and practices
10. Lead and facilitate change (e.g., change theories, diffusion, spread)
11. Participate in population health promotion and continuum of care activities (e.g., handoffs, transitions of care, episode of care, outcomes, healthcare utilization)
12. Communicate resource needs to leadership to Excellerate quality (e.g., staffing, equipment, technology)
13. Recognize quality initiatives impacting reimbursement (e.g., pay for performance, value-based contracts)
B. Regulatory, Accreditation, and External Recognition
1. Assist the organization in maintaining awareness of statutory and regulatory requirements (e.g., CMS, HIPAA, OSHA, PPACA)
2. Identify appropriate accreditation, certification, and recognition options (e.g., AAAHC, CARF, DNV GL, ISO, NCQA, TJC, Baldrige, Magnet)
3. Assist with survey or accreditation readiness
4. Participate in the process for evaluating compliance with internal and external requirements for:
a. clinical practice guidelines and pathways (e.g., medication use, infection prevention)
b. service quality
c. documentation
d. practitioner performance evaluation (e.g., peer review, credentialing, privileging)
e. gaps in patient experience outcomes (e.g., surveys, focus groups, teams, grievance, complaints)
f. identification of reportable events for accreditation and regulatory bodies
5. Facilitate communication with accrediting and regulatory bodies Certified Professional in Healthcare Quality Detailed Content Outline1
C. Education, Training, and Communication
1. Design performance, process, and quality improvement training
2. Provide education and training on performance, process, and quality improvement (e.g., including improvement methods, culture change, project and meeting management)
3. Evaluate effectiveness of performance/quality improvement training
4. Develop/provide survey preparation training (e.g., accreditation, licensure, or equivalent)
5. Disseminate performance, process, and quality improvement information within the organization
2. Health Data Analytics (30 items)
A. Design and Data Management
1. Maintain confidentiality of performance/quality improvement records and reports
2. Design data collection plans:
a. measure development (e.g., definitions, goals, and thresholds)
b. tools and techniques
c. sampling methodology
3. Participate in identifying or selecting measures (e.g., structure, process, outcome)
4. Assist in developing scorecards and dashboards
5. Identify external data sources for comparison (e.g., benchmarking)
6. Collect and validate data
B. Measurement and Analysis
1. Use data management systems (e.g., organize data for analysis and reporting)
2. Use tools to display data or evaluate a process (e.g., Pareto chart, run chart, scattergram, control chart)
3. Use statistics to describe data (e.g., mean, standard deviation, correlation, t-test)
4. Use statistical process control (e.g., common and special cause variation, random variation, trend analysis)
5. Interpret data to support decision-making
6. Compare data sources to establish benchmarks
7. Participate in external reporting (e.g., core measures, patient safety indicators, HEDIS bundled payments)
3. Performance and Process Improvement (40 items)
A. Identifying Opportunities for Improvement
1. Facilitate discussion about quality improvement opportunities
2. Assist with establishing priorities
3. Facilitate development of action plans or projects
4. Facilitate implementation of performance improvement methods (e.g., Lean, PDCA, Six Sigma)
5. Identify process champions
Certified Professional in Healthcare Quality
Detailed Content Outline1
B. Implementation and Evaluation
1. Establish teams, roles, responsibilities, and scope
2. Use a range of quality tools and techniques (e.g., fishbone diagram, FMEA, process map)
3. Participate in monitoring of project timelines and deliverables
4. Evaluate team effectiveness (e.g., dynamics, outcomes)
5. Evaluate the success of performance improvement projects
6. Document performance and process improvement results
4. Patient Safety (20 items)
A. Assessment and Planning
1. Assess the organization's culture of safety
2. Determine how technology can enhance the patient safety program (e.g., electronic health record (EHR), abduction/elopement security systems, smart pumps, alerts)
3. Participate in risk management assessment activities (e.g., identification and analysis)
B. Implementation and Evaluation
1. Facilitate the ongoing evaluation of safety activities
2. Integrate safety concepts throughout the organization
3. Use safety principles:
a. human factors engineering
b. high reliability
c. systems thinking
4. Participate in safety and risk management activities related to:
a. incident report review (e.g., near miss and genuine events)
b. sentinel/unexpected event review (e.g., never events)
c. root cause analysis
d. failure mode and effects analysis



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the important thing To Unlocking The next era Of Healthcare: The adult-centered health Platform | CPHQ exam Questions and Practice Questions

Abhinav Shashank is the CEO and Co-founding father of Innovaccer, a San Francisco primarily based healthcare expertise company. 

getty

Healthcare providers, payers and employers are missing opportunities to innovate and enrich operational efficiencies, clinical effects and the affected person healthcare journey. moreover, they're unable to hold tempo with the fashion toward consumerism in healthcare.

youngsters coordination and transition of care challenges are well well-known within the business, they continue to be a source of colossal payer, issuer and patient frustration. really, the American public and their broader healthcare system have acknowledged the ever present fragmentation of healthcare start and statistics sources, and regrettably, also the resultant broken patient adventure.

Over the ultimate 50-plus years, electronic list techniques slowly developed, first in academic and governmental healthcare businesses and later with the introduction of the fitness suggestions know-how for economic and clinical fitness Act (HITECH) that created incentives involving healthcare guidance know-how. blanketed during this had been incentives for using digital fitness record (EHR) systems among providers. EHRs are a digital edition of a affected person’s paper chart, however they don't seem to be structures; somewhat, they are high-quality purposes. They have been built for the health care provider and the company company. EHRs work in real time, proposing rapid, at ease entry to patient-established statistics for approved clients. it truly is, except you wish to share that assistance backyard your community.

Then got here networks and records warehousing. Interoperability has been a concern in healthcare for a very long time, and suppliers realized that communication between systems changed into indispensable for coordinated care. The proliferation of put in EHRs exacerbated the want for interoperability throughout a sea of EHR silos. by using linking these silos and warehoused records, networks improved the aid sharing and interplay between suppliers and patients and each different through distributing tips, taking part and operating in a linked and cell ambiance. This also highlighted challenges builders, conclusion users and community directors face as they regularly alternate healthcare provision and community administration. These business networks and facts warehouses are high priced, problematic and sophisticated to keep. These solutions are additionally constructed for and round clinicians and their company organizations.

As they look toward the long run, healthcare needs a fitness platform based on the person, their fitness information and their ecosystem. The information may still function an organizing precept, framing the adult’s fitness assistance over time. How the information is aggregated and made helpful to care groups is what is pleasing and powerful. important and timely tips should still be served as much as each and every group member with which means when they want it. This category of model would permit for timely, correct and meaningful statistics to force recommended decisions of clinicians and aid to provide more desirable results throughout the entire continuum of care. This naturally would encourage collaboration in affected person care.

this could outcomes in a new care crew collaboration ecosystem to conquer the persistent care coordination challenges, transitions of care and extra traumatic affected person journey expectations. Rigorous transitions of care measures are contributing to the want for an ecosystem of suppliers and payers that collaborate, are situationally conscious and have actual-time factor-of-care solutions that foster care group collaboration throughout the continuum of care, together with digital care. 

abilities early adopters of a health statistics platform could be practitioners who engage in value-primarily based care and population health administration the use of data analytics. they will use this technology to ensure that the right information is accessible to them at the right time and within the context they should Excellerate care birth and price-effectivity. 

This type of health platform advances the theory of healthcare interoperability, which includes strategies equivalent to interfacing a number of techniques to a bunch of applications and data sources so that they can work collectively as one in spite of the a variety of product architectures and technologies they have got been developed upon. 

modern healthcare structures will should be extensible, and health techniques will should be capable of extend them to solve complications. It will be vital for agencies to be sure compliance with evolving regulatory necessities that promote and incent the adoption of utility programming interfaces (APIs) and believe frameworks. groups have to additionally deal with an expanding set of accurate information facets from both traditional and community-based sources (e.g., social determinants of health, patient-generated information and unstructured information) while also addressing the apply of “counsel blocking off“ with the aid of existing purposes.

Digital transformation efforts will nearly always fail without an underlying platform that connects them. in this abruptly changing atmosphere with accelerated progress toward true digitalization of care, a health platform should “future-proof” a company. A fitness platform will enable the corporation to deal with new information sources, partnerships, collaborations, developments towards consumerism and care delivery models as they evolve. most importantly, even if the person is a company’s affected person, a fitness plan’s member or a consumer in the hunt for a complete health journey, inserting the adult on the center of the records model could be a enormous shift in perspective for the brokers of the healthcare gadget. it is going to also be an enormous start ahead for all and sundry. 

Forbes technology Council is an invitation-most effective neighborhood for world-category CIOs, CTOs and know-how executives. Do I qualify?


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