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ASHRM CPHRM Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Health Care Operations20%- Operational risk identification and control
- Workforce and facility safety
- Organizational risk policies and procedures
- Technology and information management risks
Topic 2: Risk Financing15%- Total cost of risk analysis
- Reserve analysis and actuarial concepts
- Alternative risk transfer mechanisms
- Insurance structures and coverage types
Topic 3: Claims and Litigations20%- Claims management and investigation
- Settlement and resolution processes
- Documentation and evidence management
- Litigation process and defense strategies
Topic 4: Clinical/Patient Safety25%- Risk assessment and mitigation in patient care
- Error prevention and disclosure protocols
- Patient safety culture and reporting systems
Topic 5: Legal and Regulatory20%- Patient rights and informed consent
- Accreditation standards and compliance
- Federal and state healthcare laws and regulations
- Privacy and security requirements

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Before starting the ASHRM CPHRM preparation, plan the amount of time you will allot to each topic, determine the topics that demand more effort and prioritize the components that possess more weightage in the ASHRM CPHRM Exam. This kind of polished approach is beneficial for a commendable grade in the ASHRM CPHRM Exam.

ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q19-Q24):

NEW QUESTION # 19
Which of the following are essential elements of a standard loss run?

Answer: B

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, a standard loss run is a report generated by an insurer or third-party administrator summarizing claims activity for a specific period. Loss runs are critical tools in risk financing, underwriting review, actuarial analysis, and budgeting for self-insured retentions.
Essential elements of a standard loss run include the date of loss, indemnity payments, and expense payments.
Indemnity reflects amounts paid or reserved for compensation to claimants, while expense represents allocated loss adjustment expenses such as defense costs, expert witness fees, and investigation costs. These data elements allow the organization to evaluate financial exposure, trends in claim development, and adequacy of reserves.
While frequency and severity are important analytical concepts derived from loss data, they are not typically listed as standalone fields within the basic loss run report. Legal analysis, case law references, and root cause analyses are not standard components of loss run documentation.
Risk financing objectives emphasize accurate tracking of financial exposure and informed forecasting.
Therefore, date, expense, and indemnity are essential elements of a standard loss run report.


NEW QUESTION # 20
In a failure mode and effects analysis, the risk priority number is calculated by

Answer: C

Explanation:
According to Health Care Risk Management standards endorsed by ASHRM and the American Hospital Association Certification Center, Failure Mode and Effects Analysis FMEA is a proactive patient safety tool used to identify and prioritize potential process failures before harm occurs. Within FMEA methodology, each potential failure mode is evaluated using three separate scoring components: severity, occurrence, and detection.
Severity measures the potential impact of the failure if it occurs. Occurrence assesses the likelihood that the failure will happen. Detection evaluates the probability that the failure will be identified before causing harm.
Each component is typically assigned a numerical value based on predefined criteria.
The Risk Priority Number RPN is calculated by multiplying the three scores: severity multiplied by occurrence multiplied by detection. This multiplication approach produces a composite score that reflects both the seriousness of potential harm and the likelihood that the event will occur and escape detection. Higher RPN values indicate higher-priority risks requiring mitigation.
Clinical and patient safety objectives emphasize systematic risk prioritization to allocate resources effectively and reduce preventable adverse events. Therefore, the RPN is calculated by multiplying severity, occurrence, and detection scores.


NEW QUESTION # 21
What significantly impacts whether incident reports are discoverable?

Answer: A

Explanation:
Discoverability of incident reports varies substantially by jurisdiction and depends on how state and federal laws define peer review privilege, quality improvement protections, and confidentiality-plus how courts interpret those protections. Risk management objectives include structuring reporting and investigation workflows to maximize protected quality review where legally available: routing analyses through designated committees, labeling and handling documents per policy, limiting distribution, and avoiding mixing risk/peer review materials with ordinary business records. However, privilege is not automatic; mishandling (broad email distribution, using reports for disciplinary actions outside protected structures, inconsistent committee practices) can weaken protections. A defensible program uses legal counsel guidance, staff training, and clear documentation rules so the organization learns from events while reducing unnecessary legal exposure.


NEW QUESTION # 22
Which type of information was associated with the former HIPDB (now within NPDB) but not the original NPDB focus?

Answer: D

Explanation:
The HIPDB was established to help combathealthcare fraud and abuse, while the NPDB historically focused on practitioner competence and professional conduct (including items like malpractice payments and certain adverse actions). HRSA explains that HIPDB is no longer separate and that its information is now collected and disclosed through the NPDB following the 2013 merger. For risk managers, the objective is to ensure credentialing, contracting, and compliance teams understand the expanded scope and proper use:
querying supports safer hiring/privileging decisions and reduces negligent credentialing risk, while reporting supports system integrity. Organizations must also ensure due process and correct categorization of reportable events to avoid wrongful reporting exposure.


NEW QUESTION # 23
For a liability claim to succeed, the claimant must establish duty owed, duty breached, proximate cause, and

Answer: C

Explanation:
Under Health Care Risk Management principles outlined by ASHRM and the American Hospital Association Certification Center, a successful negligence claim requires proof of four essential legal elements: duty, breach of duty, causation, and damages. Duty refers to the legal obligation owed by the healthcare provider to the patient. Breach occurs when the provider fails to meet the applicable standard of care. Proximate cause establishes the direct link between the breach and the harm suffered.
The final required element is actual injury or damages sustained by the claimant. Without demonstrable harm, a negligence claim cannot succeed, even if duty and breach are proven. The injury may include physical harm, emotional distress, or financial loss, but it must be measurable and attributable to the breach.
Contributory negligence is a defense that may reduce or bar recovery but is not an element the claimant must prove. Punitive damages are awarded in exceptional cases involving egregious misconduct and are not required to establish liability. Gross negligence represents a higher degree of negligence but is not a required element in standard malpractice claims.
Therefore, proof of injury sustained is essential for a liability claim to succeed.


NEW QUESTION # 24
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