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| Certification Vendor: | ASHRM (American Society for Healthcare Risk Management) |
|---|---|
| Exam Name: | Certified Professional in Health Care Risk Management Exam |
| Exam Number: | CPHRM |
| Exam Duration: | 120 minutes |
| Passing Score: | Criterion-referenced, no fixed numerical score published |
| Certificate Validity Period: | 3 years |
| Exam Price: | $275 (ASHRM members), $425 (non-members) |
| Available Languages: | English |
| Exam Format: | Multiple-choice questions, Computer-based |
| Real Exam Qty: | 110 (100 scored, 10 unscored pre-test items) |
| Recommended Training: | CPHRM Exam Prep Course |
| Exam Registration: | ASHRM Official CPHRM Page PSI Testing Registration |
| Sample Questions: | ASHRM CPHRM Sample Questions |
| Exam Way: | Onsite at PSI testing centers or live remote proctored online |
| Pre Condition: | One of: Bachelor's degree + 5 years healthcare experience; Associate degree + 7 years; High school diploma + 9 years; plus 3,000 hours or 50% of job duties in healthcare risk management within last 3 years |
| Official Syllabus URL: | https://www.ashrm.org/education/cphrm |
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NEW QUESTION # 76
What is the voluntary relinquishment by the insurer or self-insurer of the right to recover from a third party?
Answer: A
Explanation:
Subrogation is the insurer's right to seek recovery from a responsible third party after paying a loss. Awaiver of subrogationclause means the insurer (or self-insured entity) gives up that recovery right, usually to support business relationships and reduce litigation between contracting parties. Risk financing objectives include understanding when waivers are acceptable (balanced against increased retained loss), ensuring the waiver aligns with insurance policy endorsements, and preventing unintended coverage gaps. Poorly managed waivers can shift costs back onto the organization and complicate recovery efforts. Contracts should be reviewed to ensure the waiver is mutual when appropriate and consistent with the organization's risk appetite and insurance program.
NEW QUESTION # 77
Which of the following wouldnotbe considered an emergency condition for EMTALA purposes (as a general example set)?
Answer: C
Explanation:
EMTALA applies when an individual comes to the ED and requires a medical screening exam to determine whether anemergency medical condition (EMC)exists. Conditions like myocardial infarction, ruptured appendix, and unstable labor can constitute EMCs because absence of immediate medical attention could reasonably be expected to place health in serious jeopardy. By contrast,stable chronic kidney failurewithout acute destabilization may not meet the EMC threshold-though the screening exam must be performed before that determination is made. Risk management objectives emphasize: never "triage out" without an appropriate screening exam, document findings and decision-making, and apply consistent policies to avoid discriminatory practice. EMTALA failures often stem from process breakdowns (delays, refusal, inadequate screening, improper transfer), so standardized ED workflows and training are critical.
NEW QUESTION # 78
Generally, an incident is defined as:
Answer: B
Explanation:
Broad incident definitions (including near-misses and unsafe conditions) support proactive risk management.
If reporting is limited only to severe harm, the organization loses learning opportunities from early warning signals. Risk management objectives favor capturing deviations from expected process-falls without injury, specimen labeling near-misses, medication dispensing discrepancies-because these events reveal system vulnerabilities that can later cause major harm. Strong incident management includes classification, timely review, escalation thresholds, root cause analysis for significant events, and feedback to frontline staff. This approach aligns with systems-based safety: identify hazards, implement controls, and monitor effectiveness.
NEW QUESTION # 79
Which of the following risk management documents in a policy and procedure manual should be approved by an organization's board of directors?
Answer: A
Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, the governing board has ultimate responsibility for organizational oversight, quality of care, and patient safety. As part of its fiduciary and governance duties, the board approves high- level policies that establish the organization's philosophy, strategic direction, and commitment to safety and risk management.
A philosophy regarding medical error management reflects the organization's approach to disclosure, reporting, just culture principles, accountability, and system improvement. Because this philosophy sets the tone for organizational culture and impacts patient safety, legal exposure, and regulatory compliance, it requires board-level approval to ensure alignment with governance expectations and accreditation standards.
In contrast, the risk management department's annual budget is typically approved through financial governance processes rather than as a policy document. Risk analyses are operational tools conducted by management and do not require board approval. Departmental personnel job descriptions are administrative documents managed at the executive or human resources level.
Health Care Operations objectives emphasize board engagement in safety culture and oversight of enterprise risk management. Therefore, the philosophy regarding medical error management should be approved by the organization's board of directors.
NEW QUESTION # 80
What is a best-practice early objective in a disclosure-and-resolution conversation after an adverse event?
Answer: D
Explanation:
Modern communication-and-resolution programs emphasize early, honest communication with patients
/families after harm, including a timely explanation of what is known, an authentic expression of empathy and apology, and a commitment to investigate and prevent recurrence. This approach supports core risk management objectives: preserve trust, reduce emotional harm, strengthen transparency, and improve learning. Evidence-based disclosure models link timely communication and apology with improved patient experience and, in some programs, fewer claims and lower litigation costs-especially when paired with strong investigation and corrective action. Importantly, organizations should coordinate disclosure through trained coaches and follow local policy and state apology protections. The purpose is not to "admit fault prematurely," but to communicate responsibly, support patients, and demonstrate accountability and improvement.
NEW QUESTION # 81
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