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| Certification Vendor: | American Hospital Association Certification Center (AHA-CC) / ASHRM |
|---|---|
| Exam Name: | CPHRM Certification Examination |
| Exam Number: | CPHRM |
| Exam Format: | Multiple-choice, Computer-based testing |
| Real Exam Qty: | 175 multiple-choice (150 scored + 25 unscored pretest) |
| Exam Price: | $275–$400 USD (varies by membership status and region) |
| Available Languages: | English |
| Certificate Validity Period: | 3 years |
| Exam Duration: | 180 minutes |
| Passing Score: | Scaled score 500 (scale 200–800) |
| Recommended Training: | AHA Certification Preparation Resources ASHRM CPHRM Exam Preparation Course |
| Exam Registration: | AHA Certification Center CPHRM Registration PSI Online Exam Scheduling |
| Sample Questions: | ASHRM CPHRM Sample Questions |
| Exam Way: | Computer-based testing delivered at PSI testing centers or online proctored format (depending on region) |
| Pre Condition: | Recommended: at least 3 years of experience in healthcare risk management or related healthcare field |
| Official Syllabus URL: | https://www.aha.org/certification-center/cphrm |
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NEW QUESTION # 54
A patient has been declared brain dead as a result of injuries sustained during a criminal act. His driver's license states that he is an organ donor. The attending physician is planning to remove the life-support equipment. A risk manager should recommend
Answer: A
Explanation:
According to Health Care Risk Management standards established by ASHRM and the American Hospital Association Certification Center, deaths resulting from criminal acts fall under medico-legal jurisdiction and are typically subject to coroner or medical examiner review. Even when a patient is a documented organ donor, as indicated on a driver's license under the Uniform Anatomical Gift Act framework, the circumstances of death may require legal investigation.
When a death is associated with trauma from a criminal act, it is generally considered a reportable death. The medical examiner or coroner has statutory authority to determine whether an autopsy is required and to ensure preservation of forensic evidence. Organ procurement activities must not interfere with legal investigation obligations. Therefore, prior to organ retrieval or withdrawal of life support, the appropriate legal authorities must be notified.
While honoring the patient's documented donation wishes is important, compliance with state statutes governing reportable deaths and forensic investigations takes precedence. The family's wishes do not override a valid donor designation, but coordination must occur within the legal framework.
Thus, the most appropriate action for the risk manager is to ensure that authorities are notified to determine autopsy requirements before proceeding.
NEW QUESTION # 55
Which of the following should a risk manager consider when evaluating the effectiveness of a claims management program?
* indemnity-to-expense ratios
* total number of cases reported
* percentage of cases resolved within reserves
* percentage of cases identified prior to claim
Answer: C
Explanation:
According to Health Care Risk Management principles outlined by ASHRM and the American Hospital Association Certification Center, evaluation of a claims management program focuses on efficiency, financial accuracy, and proactive identification of risk exposures.
Indemnity-to-expense ratios are important performance indicators that measure the proportion of funds spent on compensation versus defense costs. A balanced ratio reflects efficient claim handling and appropriate litigation management. The percentage of cases resolved within reserves evaluates the accuracy of initial reserve setting and ongoing claims assessment, demonstrating financial forecasting effectiveness.
Additionally, the percentage of cases identified prior to formal claim filing reflects proactive risk identification and early intervention practices, which may reduce litigation costs and improve resolution outcomes.
In contrast, the total number of cases reported alone does not measure program effectiveness, as volume may be influenced by patient population, service lines, or reporting culture rather than management quality.
Claims and litigation objectives emphasize accurate reserving, early case identification, and cost-effective resolution strategies. Therefore, indemnity-to-expense ratios, resolution within reserves, and early case identification are appropriate metrics for evaluating the effectiveness of a claims management program.
NEW QUESTION # 56
According to Joint Commission findings, what is a primary cause of wrong-site surgery?
Answer: A
Explanation:
Wrong-site surgery is a high-severity, preventable event. Joint Commission analyses repeatedly identify communication failuresas a leading root cause-breakdowns in scheduling, consent/site verification, handoffs, and intraoperative confirmation. Risk management objectives therefore emphasize standardized verification systems: correct patient/procedure/site documentation, pre-op verification, surgical site marking, and a robust time-out performed with full team engagement. Communication failures can include ambiguous documentation, incorrect or incomplete handoff information, and hierarchy barriers that prevent speaking up.
Improving communication reduces reliance on memory and individual vigilance and increases system reliability. In addition, organizations must audit compliance, address workarounds, and strengthen team empowerment so any member can stop the line if a mismatch is detected.
NEW QUESTION # 57
An organization's chief of orthopedics has scheduled an implant of a new artificial hip for the next day. The chief developed the artificial hip while working as a consultant for a medical device company. The device has not yet been approved by the FDA or the Institutional Review Board. The risk manager's best immediate course of action is to
Answer: A
Explanation:
Under Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, the implantation of a medical device that lacks FDA approval and Institutional Review Board oversight presents significant legal and regulatory violations. Use of an unapproved device outside of an approved investigational protocol may violate federal regulations governing human subject research and medical device approval processes.
The risk manager's primary responsibility is to immediately mitigate regulatory and liability exposure.
Because the procedure is scheduled for the next day, urgent intervention is required. Contacting the FDA would not resolve the immediate risk. Verifying informed consent is insufficient, as patient consent cannot legitimize use of an unapproved device outside regulatory pathways. Calling a special IRB meeting would not retroactively authorize an unapproved device without appropriate investigational device exemption processes.
Escalating the issue to the chief of surgery to halt or cancel the procedure is the most appropriate immediate step. This ensures that organizational leadership addresses the compliance violation before patient harm occurs. Risk management objectives emphasize proactive prevention of regulatory breaches, protection of patient safety, and preservation of institutional integrity. Therefore, stopping the procedure is the correct and immediate action.
NEW QUESTION # 58
A healthcare entity has a large fleet of vehicles driven by employees. What is the minimum required documentation the entity should obtain for each driver on an annual basis?
Answer: B
Explanation:
According to Health Care Risk Management principles supported by ASHRM and the American Hospital Association Certification Center, organizations operating vehicle fleets must implement structured fleet risk management controls to reduce liability exposure. One of the most fundamental annual requirements is verification of each driver's driving record, typically obtained through a motor vehicle record MVR review.
An annual driving record review allows the organization to confirm that drivers maintain valid licensure, identify traffic violations, detect patterns of unsafe driving behavior, and assess risk exposure. This proactive screening supports loss prevention, reduces the likelihood of negligent entrustment claims, and ensures compliance with organizational driving policies.
Mileage logs are operational tools used for tracking usage and reimbursement but do not assess driver eligibility or risk. Driver training is important for safety programs but is not the minimum required documentation to confirm driver qualification status. Proof of insurance may be required when employees use personal vehicles for business purposes, but it does not replace the need to review the driver's official record.
Health Care Operations objectives emphasize credential verification, regulatory compliance, and proactive liability mitigation. Therefore, obtaining and reviewing each driver's driving record annually is the minimum required documentation.
NEW QUESTION # 59
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