NAHQ-CPHQ Exam Details

  • Exam Code
    :NAHQ-CPHQ
  • Exam Name
    :Certified Professional in Healthcare Qualityination
  • Certification
    :NAHQ Certifications
  • Vendor
    :NAHQ
  • Total Questions
    :825 Q&As
  • Last Updated
    :May 24, 2026

NAHQ NAHQ-CPHQ Online Questions & Answers

  • Question 511:

    A provider's Ongoing Professional Practice Evaluation (OPPE) profile is shown below. In this organization, if a provider partially meets or does not meet performance expectations, they are referred to peer review for a Focused Professional Practice Evaluation (FPPE). Fully Meets: >80% of measures at threshold Meets: 65% to 80% of measures at threshold Partially Meets: 40% to 64% of measures threshold Does Not Meet: <40% of measures at thresholdAfter reviewing this provider's overall profile, what should the healthcare quality professional suggest? Measure Performance Threshold Direction Timely Medical Record Documentation 95% 90% Higher Readmission Rate 13% 10% Lower Surgical Site Infection Rate 9% 5% Lower Use of Pre-procedure timeouts 100% 100% Higher Patient Experience Score (Top Box) 94% 80% Higher Clinical Pathway Adherence 81% 70% Higher

    A. The provider does not meet expectations; refer to peer review
    B. The provider partially meets expectations; retain privileges
    C. The provider meets expectations; retain privileges
    D. The provider fully meets expectations; do nothing

  • Question 512:

    A surgeon left a sponge in one patient, resulting in a multi-million dollar lawsuit. The organization immediately changed the operating room procedure so that after every surgery, patients receive an x-ray before leaving the operating room. Which of the following should the organization have done prior to changing the procedure?

    A. Enforce "time-outs"
    B. Identify the root cause of the error
    C. Evaluate radiation exposure levels
    D. Conduct a cost benefit analysis

  • Question 513:

    An extended carefacility measures the percent of time a comprehensive exam is completed within 96 hours of admission. This is an example of which of the following types of measure?

    A. structure
    B. outcome
    C. process
    D. system

  • Question 514:

    A recent analysis reveals that reimbursement projection is being negatively impacted by post-surgical respiratory failure rates. What is the first step to address this issue?

    A. Conduct a focus group with the anesthesiologists and nurse anesthetists.
    B. Conduct focused professional practice evaluation (FPPE) on the surgeons in the organization.
    C. Obtain a list of the patients identified by this code and conduct a retrospective review.
    D. Identify a team leader and facilitator to implement a quality improvement project.

  • Question 515:

    A healthcare system has multiple medical clinics across a large geographic area. What is the best way to deliver education to assure continuous survey readiness?

    A. train the trainer sessions with clinic managers
    B. mandatory modules on accreditation standards
    C. one-on-one sessions with noncompliant employees
    D. just-in-time training to the highest risk clinics

  • Question 516:

    A pulmonologist is gathering social determinants of health data from their patients. Which of the following best explains the purpose of collecting this data?

    A. This information facilitates the patient's application for state resources.
    B. This is a result of an update to the electronic medical record system.
    C. This evaluates connections between the disease and the living conditions.
    D. This information is needed to meet a new quality metric.

  • Question 517:

    Establishing a culture of safety begins with having the right

    A. recruitment strategies.
    B. plan.
    C. leadership.
    D. educational programs.

  • Question 518:

    A recent Journal article has Identified three new patient safety Initiatives. When reviewing these Initiatives, the first action of a healthcare quality professional Is to

    A. collect data on the three Initiatives.
    B. Incorporate the initiatives into the organization's patient safety plan.
    C. assign owners to the identified initiatives.
    D. determine the applicability of the Initiatives to an organization.

  • Question 519:

    Which of the following would be the best methodology to reduce referral wait time?

    A. Lean
    B. Six Sigma
    C. Rapid cycle improvement
    D. Plan-Do-Study-Act

  • Question 520:

    Risk management identified claims for events that were not reported through the incident reporting system. Which of the following actions should be leadership's initial priority?

    A. Conduct retrospective medical record reviews to identify elements of risk
    B. Implement a back-up paper process to the electronic reporting system
    C. Identify options for a new electronic reporting system
    D. Create an organization-wide program that promotes reporting

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