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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Legal and Regulatory | 20% | - Accreditation standards and compliance - Privacy and security requirements - Patient rights and informed consent - Federal and state healthcare laws and regulations |
| Topic 2: Risk Financing | 15% | - Alternative risk transfer mechanisms - Insurance structures and coverage types - Reserve analysis and actuarial concepts - Total cost of risk analysis |
| Topic 3: Claims and Litigations | 20% | - Litigation process and defense strategies - Documentation and evidence management - Claims management and investigation - Settlement and resolution processes |
| Topic 4: Health Care Operations | 20% | - Organizational risk policies and procedures - Operational risk identification and control - Technology and information management risks - Workforce and facility safety |
| Topic 5: Clinical/Patient Safety | 25% | - Risk assessment and mitigation in patient care - Error prevention and disclosure protocols - Patient safety culture and reporting systems |
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NEW QUESTION # 44
If there is no OSHA standard for a given potential health hazard, OSHA may:
Answer: C
Explanation:
OSHA can cite employers under theGeneral Duty Clausewhen a recognized serious hazard exists and no specific standard applies. Risk management objectives require proactive hazard identification and controls even when regulations are not prescriptive: risk assessments, engineering controls where feasible, administrative controls (policies, training), and PPE as a final layer. In healthcare, this is relevant for emerging hazards (novel chemical exposures, workplace violence risks, certain ergonomic hazards) where specific standards may be limited. Maintaining documentation of hazard recognition and mitigation is essential for defensibility during inspections and for staff safety outcomes.
NEW QUESTION # 45
Ultimately, the accountability for the risk management program belongs to:
Answer: D
Explanation:
Boards are ultimately accountable for oversight of organizational risk, including patient safety, quality, compliance, and financial sustainability. While executives and risk leaders manage day-to-day operations, board governance sets expectations, ensures resources, monitors performance, and holds leadership accountable for corrective action. Risk management objectives at the governance level include approving risk appetite, reviewing top enterprise risks, ensuring systems exist for event reporting and learning, and verifying that mitigation plans are implemented and effective. In litigation and regulatory scrutiny, board oversight can be a critical factor: a board that demands transparency, tracks harm signals, and supports safety investment strengthens the organization's defensibility and reduces preventable harm.
NEW QUESTION # 46
A root cause analysis of inpatient suicides would be most likely to discover problems with:
Answer: A
Explanation:
Inpatient suicide prevention is a high-stakes patient safety domain where RCAs frequently identify environmental hazards-particularly ligature risks, blind spots, and unit design that limits observation. Joint Commission-style reviews and published analyses note that thephysical environmentis commonly
"incriminated" in inpatient suicides, emphasizing design/engineering controls alongside clinical monitoring.
Risk management objectives prioritize layered defenses: ligature-resistant fixtures, environmental rounding, safe room standards, removal control for risky items, and observation policies matched to patient risk.
Environmental mitigation is especially powerful because it reduces reliance on perfect human vigilance (which is not realistic). By treating suicide prevention as a systems problem-not an individual failure- organizations improve reliability and reduce recurrence. Environmental corrections also strengthen regulatory readiness and demonstrate that the facility addressed known hazards with sustainable controls.
NEW QUESTION # 47
Which of the following can be considered evidence in a malpractice claim?
* photographs of injuries
* thank you note from the patient to the physician
* patient journal of the hospital stay
* gift from the patient to a volunteer
Answer: B
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, evidence in a malpractice claim includes any relevant material that may help establish facts related to duty, breach, causation, or damages. Photographs of injuries are routinely admissible as demonstrative or documentary evidence to illustrate the nature and extent of harm. A thank you note from a patient to a physician may be introduced to reflect the patient's contemporaneous perception of care, credibility, or satisfaction at a particular time, depending on context. A patient's personal journal documenting experiences during hospitalization may also be considered evidence, particularly if it describes symptoms, interactions, or emotional distress relevant to damages.
A gift from a patient to a volunteer, however, is generally not probative of negligence or injury unless directly tied to issues of undue influence or misconduct. In typical malpractice litigation, such a gift does not establish standard of care, breach, or damages and would not ordinarily be considered relevant evidence.
Claims and litigation objectives emphasize careful documentation, preservation of relevant materials, and coordination with counsel regarding evidentiary matters. Therefore, photographs, written communications, and patient journals may be considered evidence in a malpractice claim.
NEW QUESTION # 48
Which of the following is a program of the Food and Drug Administration FDA post market surveillance system for medical devices that requires healthcare facilities to report patient deaths or injuries related to a medical device?
Answer: A
Explanation:
Under Health Care Risk Management standards recognized by ASHRM and the American Hospital Association Certification Center, the Safe Medical Devices Act SMDA is part of the FDA's post market surveillance system for medical devices. The SMDA requires healthcare facilities to report to the FDA and, in some cases, to the manufacturer when a medical device has or may have caused or contributed to a patient death or serious injury. This mandatory reporting system enhances device safety monitoring and supports regulatory oversight after products enter the market.
EMTALA governs emergency medical screening and stabilization obligations, not device reporting. The Occupational Safety and Health Act focuses on workplace safety for employees rather than patient device- related injuries. Patient Safety Organizations operate under the Patient Safety and Quality Improvement Act and facilitate voluntary reporting of patient safety events, but they do not replace FDA-mandated device reporting requirements.
Legal and regulatory objectives in healthcare risk management emphasize compliance with federal reporting statutes, timely submission of required reports, and maintenance of documentation to mitigate regulatory exposure. Therefore, the Safe Medical Devices Act is the correct answer regarding mandatory FDA post market surveillance reporting for device-related deaths or injuries.
NEW QUESTION # 49
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The ASHRM CPHRM Certification is a valuable certificate that is designed to advance the professional career. With the Certified Professional in Health Care Risk Management (CPHRM) (CPHRM) certification exam seasonal professionals and beginners get an opportunity to demonstrate their expertise. The Certified Professional in Health Care Risk Management (CPHRM) certification exam recognizes successful candidates in the market and provides solid proof of their expertise.
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