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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 |
| Certificate Validity Period: | 3 years |
| Real Exam Qty: | 110 (100 scored, 10 unscored pre-test items) |
| Passing Score: | Criterion-referenced, no fixed numerical score published |
| Exam Price: | $275 (ASHRM members), $425 (non-members) |
| Exam Duration: | 120 minutes |
| Exam Format: | Computer-based, Multiple-choice questions |
| Available Languages: | English |
| Recommended Training: | CPHRM Exam Prep Course |
| Exam Registration: | PSI Testing Registration ASHRM Official CPHRM Page |
| 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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問題 #36
The Joint Commission requires that after a healthcare organization becomes aware of a sentinel event, it must complete a root cause analysis and action plan within how many days?
答案：C
解題說明：
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, The Joint Commission's sentinel event policy requires organizations to complete a thorough root cause analysis and develop an action plan within 45 days of becoming aware of the sentinel event.
The root cause analysis must identify underlying system failures and contributing factors rather than focusing solely on individual performance. The resulting action plan must outline specific corrective measures, assign responsibility, establish implementation timelines, and include mechanisms to monitor effectiveness. The emphasis is on sustainable system improvement to reduce the likelihood of recurrence.
Failure to complete the analysis and action plan within the required timeframe may result in additional review, accreditation consequences, or other follow-up actions by The Joint Commission. Timely completion demonstrates organizational accountability, leadership oversight, and commitment to patient safety.
Clinical and patient safety objectives emphasize structured investigation processes, documentation of corrective actions, and alignment with accreditation standards. Therefore, the required timeframe for completion of the root cause analysis and action plan following awareness of a sentinel event is 45 days.
問題 #37
Which of the following has been proven to reduce costs of workers' compensation programs?
答案：A
解題說明：
Within Health Care Risk Management frameworks endorsed by ASHRM and the American Hospital Association Certification Center, early return-to-work programs are recognized as one of the most effective strategies for controlling workers' compensation costs. These programs facilitate the safe and timely return of injured employees to modified or transitional duty consistent with medical restrictions.
Workers' compensation costs are significantly influenced by wage replacement benefits and duration of disability. By reducing the length of time an employee remains off work, early return-to-work initiatives directly decrease indemnity payments, lower claim severity, and improve overall claim outcomes.
Additionally, such programs support employee morale, maintain productivity, and reduce the likelihood of prolonged disability or litigation.
While comprehensive safety analyses contribute to injury prevention and long-term risk reduction, their direct cost impact is preventive rather than immediately measurable in claim severity. Employee assistance programs focus primarily on behavioral health and personal support, not claim cost containment. Disciplinary actions do not constitute a structured risk financing strategy and may negatively affect organizational culture.
Therefore, from a risk financing perspective, early return-to-work programs have demonstrated measurable effectiveness in reducing workers' compensation program costs.
問題 #38
The due diligence process in acquisitions is undertaken to:
答案：C
解題說明：
Due diligence is a structured risk-identification and validation process used in mergers/acquisitions to understand clinical, legal, regulatory, operational, and financial exposures before closing. Objectives include discovering hidden liabilities (claims history, compliance gaps, credentialing issues, cybersecurity risks), validating revenue assumptions, assessing quality and safety maturity, and estimating integration costs. This informs valuation (including potential price adjustments), deal terms (representations/warranties, indemnities), and post-close priorities to improve performance and reduce adverse surprises. Risk management objectives include ensuring continuity of safe care during transition, aligning policies and governance, and preventing inherited regulatory violations or claims tail exposures.
問題 #39
What in particular is the process chain in a laboratory subject to?
答案：B
解題說明：
Laboratory testing is best understood as atotal testing process(from test ordering through specimen collection, analysis, and result reporting). Across this chain, error risk is heavily influenced byvariability- especially inpre-analytical steps(patient identification, tube labeling, specimen handling, transport conditions) andpost-analytical steps(timely reporting, critical value communication, interpretation). Risk management objectives emphasize controlling variation through standard work, barcoding, competency training, environmental controls, and quality indicators for each phase. Importantly, many lab failures arise outside the analyzer itself; focusing only on the analytical instrument misses major sources of harm. Reducing variability improves reliability, reduces redraws and diagnostic delay, and supports defensible performance in accreditation and event review. In short: the lab process chain is a high-volume, multi-step clinical production system-variation is inevitable, but unmanaged variation increases patient safety risk.
問題 #40
Which of the following are proactive elements of a workplace violence prevention program?
答案：D
解題說明：
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, proactive workplace violence prevention focuses on measures implemented before an incident occurs. These strategies aim to identify risks, strengthen preparedness, and reduce the likelihood or severity of violent events.
Pre-employment background screening helps identify applicants with histories that may pose safety concerns, consistent with legal hiring standards. Ongoing staff training enhances awareness of warning signs, communication skills, and reporting procedures. Leadership rounding increases visibility, supports early identification of environmental or behavioral risks, and reinforces safety culture. Active shooter drills and emergency preparedness exercises ensure that staff understand response protocols and can act effectively under stress.
Options B, C, and D primarily describe reactive or post-incident measures. Law enforcement notification, restraining orders, crisis intervention, DEA notification, documentation, and emergency command activation occur after an event has taken place or when an immediate threat is present.
Health Care Operations objectives emphasize prevention, preparedness, environmental assessment, and workforce education as foundational elements of a workplace violence program. Therefore, pre-employment screening, training, rounding, and drills represent proactive components of an effective prevention strategy.
問題 #41
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