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ASHRM CPHRM Exam Overview:

Certification Vendor:American Hospital Association Certification Center (AHA-CC) / ASHRM
Exam Name:CPHRM Certification Examination
Exam Number:CPHRM
Real Exam Qty:175 multiple-choice (150 scored + 25 unscored pretest)
Exam Format:Multiple-choice, Computer-based testing
Available Languages:English
Exam Price:$275โ€“$400 USD (varies by membership status and region)
Passing Score:Scaled score 500 (scale 200โ€“800)
Certificate Validity Period:3 years
Exam Duration:180 minutes
Recommended Training:AHA Certification Preparation Resources
ASHRM CPHRM Exam Preparation Course
Exam Registration:PSI Online Exam Scheduling
AHA Certification Center CPHRM Registration
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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ASHRM CPHRM Exam Syllabus Topics:

TopicDetails
Topic 1
  • Clinical
  • Patient Safety: This domain focuses on improving patient safety by promoting a safety culture, managing incident reporting, educating staff and patients, addressing ethical concerns, and implementing corrective actions to reduce risks and prevent harm.
Topic 2
  • Healthcare Operations: This domain involves managing operational risk activities such as conducting risk assessments, developing policies, coordinating risk programs, supervising staff, and supporting patient safety initiatives.
Topic 3
  • Claims and Litigation: This domain focuses on handling potential claims and legal cases, including claim reporting, litigation support, legal documentation management, and analyzing claims data to understand risk exposure.
Topic 4
  • Risk Financing: This domain covers managing financial risks through insurance programs, claims coordination, loss analysis, and developing strategies to reduce financial exposure.
Topic 5
  • Legal and Regulatory: This domain focuses on ensuring compliance with healthcare laws and regulations, protecting patient information, managing reporting requirements, and supporting accreditation and regulatory responses.

ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q21-Q26):

NEW QUESTION # 21
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: C

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 # 22
An interrogatory requests insurance policy information. A risk manager should

Answer: A

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, insurance policy information is generally discoverable in litigation. Most jurisdictions require disclosure of applicable liability coverage, including policy limits, pursuant to civil procedure rules governing discovery. Therefore, when an interrogatory properly requests insurance policy information, the organization should provide the specifically requested information in coordination with defense counsel.
Providing more information than requested, such as automatically including excess limits if not asked, may exceed the scope of the interrogatory and should be guided by legal counsel. A certificate of insurance is not a substitute for responding to formal discovery requests, as it may not contain all required details regarding coverage, limits, and applicable policy periods.
Objecting to the interrogatory without valid legal grounds is generally inappropriate, as insurance coverage information is typically relevant to potential satisfaction of judgment.
Claims and litigation objectives emphasize cooperation with counsel, compliance with discovery rules, and accurate disclosure of coverage information. Therefore, the appropriate response is to provide the specifically requested insurance policy information in accordance with legal guidance.


NEW QUESTION # 23
Which of the following are essential elements of a standard loss run?

Answer: C

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 # 24
An original contract could contain:

Answer: A

Explanation:
Healthcare contracting is a risk control tool. Core terms include effective date, scope, responsibilities, performance standards, indemnification, andinsurance requirements(limits, additional insured, notice of cancellation). Clear terms reduce disputes, clarify liability allocation, and strengthen compliance (HIPAA BAAs, data security, subcontractor controls). Risk management objectives focus on preventing uninsured exposures and ensuring vendors meet safety, credentialing, and regulatory requirements-especially for clinical services, technology, and facility operations.


NEW QUESTION # 25
What are risk treatment strategies?

Answer: A

Explanation:
Core risk treatment strategies includeavoidance(stop the activity),reduction/mitigation(controls that reduce likelihood/severity),retention(accept risk within appetite and fund losses via reserves/self-insurance), and transfer(contracts/insurance shifting financial consequences). In healthcare, the highest priority is often mitigation for patient safety risks (standardization, technology, training), with financing mechanisms ensuring the organization can absorb residual loss without destabilizing operations. ERM aligns these strategies to enterprise objectives so leadership invests in the best mix of prevention and financing.


NEW QUESTION # 26
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