Newly Released NAHQ CPHQ Exam PDF

Before implementing a new patient service, the healthcare quality professional should recommend conducting a Failure Modes and Effects Analysis (FMEA). FMEA is a proactive tool used to identify potential failure points in a new process or service before they occur. This analysis helps to prioritize risks based on their severity, occurrence, and detectability, and to implement corrective actions to mitigate these risks. By using FMEA, the organization can enhance patient safety by addressing potential problems before they affect patients.

Developing a safety monitoring checklist (A): While useful, this step comes after identifying potential risks and failure modes through FMEA.

Conducting a root cause analysis (RCA) (B): RCA is a reactive tool used after anadverse event occurs, making it unsuitable for proactive risk assessment before implementing a new service.

Performing just-in-time staff safety training (D): While important, this should follow the identification of risks and implementation of safety measures based on the FMEA findings.

References

NAHQ Body of Knowledge: Risk Management and Patient Safety

NAHQ CPHQ Exam Preparation Materials: FMEA Process and Application

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HEDIS (Healthcare Effectiveness Data and Information Set) measures, such as breast cancer screening, have specific technical specifications defining compliance criteria, including lookback periods.

Option A (American Medical Association (AMA) Guidelines for Preventive Care): AMA guidelines provide general recommendations, not HEDIS-specific criteria like lookback periods.

Option B (Organization’s policy on preventive care guidelines): Organizational policies may align with HEDIS but are not the authoritative source for measure specifications.

Option C (A chart note from the physician stating the patient was compliant): Physician notes document care but do not define HEDIS compliance criteria.

Option D (The technical specifications for the measure): This is the correct answer. The NAHQ CPHQ study guide states, “HEDIS technical specifications provide detailed criteria, including lookback periods, for compliance with measures like breast cancer screening” (Domain 2). These specifications, published by NCQA, define eligible populations and timeframes.

CPHQ Objective Reference: Domain 2: Health Data Analytics, Objective 2.4, “Apply standardized measure specifications,” emphasizes using technical specifications for HEDIS compliance. The NAHQ study guide notes, “Technical specifications are the definitive source for HEDIS measure criteria” (Domain 2).

Rationale: HEDIS technical specifications ensure accurate compliance assessment, aligning with CPHQ’s data analytics principles.

A Focused Professional Practice Evaluation (FPPE) is a process used to assess a practitioner’s competence in performing specific privileges, including new ones1234. This process is initiated when a practitioner is granted new privileges1234. The FPPE process is designed to ensure that practitioners can competently perform the privileges requested at the organization1. It is also used when there is a question about a currently privileged practitioner’s ability to provide safe, high-quality patient care1. TheFPPE process must be predefined and consistently implemented for all newly requested privileges1. The period of FPPE begins at the time privileges are granted1.

Systematic sampling is a probability sampling method where researchers select members of thepopulation at a regular interval (or k) determined in advance12.

In this case, the healthcare quality professional is selecting every other patient admitted to the emergency room, which means the interval k is 2.

This sampling technique is simpler and more straightforward than random sampling, and can cover a wide study area13.

However, it also introduces some potential biases, such as over- or under-representation of certain patterns, depending on the order of the population13.

Therefore, systematic sampling should only be used when the population order is random or random-like, such as alphabetical or numerical12.

If the population order is cyclic or periodic, such as alternating between genders or age groups, systematic sampling may result in a non-representative sample12. References: 1: Dimensions of service quality in healthcare: a systematic review of literature 2: Systematic Sampling | A Step-by-Step Guide with Examples 4: What is systematic sampling? 3: Systematic Sampling: Advantages and Disadvantages