CPHQ Exam Dumps : Certified Professional in Healthcare Quality Examination

To calculate the bonus, evaluate whether each provider met the performance targets for each HEDIS indicator and multiply by the corresponding percentage of the $20,000 bonus.

Provider A:

BCS: 75% ≥ 74% → 25% of $20,000 = $5,000

CBP: 71% < 72% → $0

CIS: 63% ≥ 63% → 50% of $20,000 = $10,000

Total = $15,000

Provider B:

BCS: 77% ≥ 74% → $5,000

CBP: 69% < 72% → $0

CIS: 65% ≥ 63% → $10,000

Total = $15,000

Provider C:

BCS: 79% ≥ 74% → $5,000

CBP: 73% ≥ 72% → $5,000

CIS: 64% ≥ 63% → $10,000

Total = $20,000

Provider D:

BCS: 73% < 74% → $0

CBP: 74% ≥ 72% → $5,000

CIS: 62% < 63% → $0

Total = $5,000

Provider C earned the highest bonus at $20,000, meeting or exceeding all three performance targets. Provider D earned the lowest bonus, $5,000, meeting only the CBP target.

The question is asking which patient population is at the highest risk for falling.

By analyzing the provided table, it can be observed that patients who had “falls prior to admission” have the highest number of falls after admission (30 patients) compared to other categories.

This data indicates that having a history of falls before being admitted increases the risk of falling again.

Although I don’t have direct access to external websites including NAHQ, it’s generally understood in healthcare quality and safety that ahistory of falls is a significant risk factor for future falls. This is likely supported by resources and documents on patient safety and fall prevention available on professional healthcare quality websites.

To ensure safe transitions of care, a quality professional should focus on evaluating the processes for discharges and transfers (Answer A). This approach involves examining theprotocols and procedures that are in place for discharging patients from one level of care to another, such as from a hospital to a skilled nursing facility or home. Evaluating these processes helps identify potential gaps, inconsistencies, or risks that could compromise patient safety during transitions. It also ensures that all necessary information, including medication lists, follow-up care instructions, and patient education, is communicated effectively between care providers.

The other options are important aspects but do not encompass the entire scope of ensuring safe transitions:

Auditing documentation of patient discharge summaries (B) focuses only on the documentation aspect, not the overall process.

Reviewing patient feedback abouttransfers to skilled nursing facilities (C) is valuable but limited to patient perceptions rather than assessing the entire transition process.

Assessing case management discharge and transfer records (D) looks at specific records but may miss broader process issues.