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| Certification Vendor: | ASHRM (American Society for Health Care Risk Management) |
|---|---|
| Exam Name: | Certified Professional in Health Care Risk Management |
| Exam Number: | CPHRM |
| Exam Duration: | 120 minutes |
| Related Certifications: | CPHRM |
| Real Exam Qty: | 110 |
| Exam Format: | Multiple-choice |
| Available Languages: | English |
| Certificate Validity Period: | 3 years |
| Exam Price: | USD 275 (ASHRM/AHA members) / USD 425 (non-members) |
| Passing Score: | Not publicly disclosed |
| Sample Questions: | ASHRM CPHRM Sample Questions |
| Exam Way: | Computer-based testing at PSI test centers (250+ locations in US) |
| Pre Condition: | Minimum 3,000 hours full-time healthcare risk management experience; plus education requirements: High school diploma + 9 years healthcare experience, OR Associate degree + 7 years healthcare experience, OR Bachelor's degree or higher + 5 years healthcare experience. |
| Official Syllabus URL: | https://www.ashrm.org/topics/certified-professional-healthcare-risk-management-cphrm |
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NEW QUESTION # 76
What are the four elements of the SBAR situational briefing model?
Answer: A
Explanation:
SBAR is a standardized communication framework used to reduce preventable harm caused by incomplete, unclear, or delayed clinical communication-especially during handoffs, escalations, and urgent updates. The four elements areSituation(what is happening now),Background(clinical context and relevant history), Assessment(what you think the problem is based on data), andRecommendation(what you need/request as the next step). By forcing concise structure, SBAR improves shared situational awareness, supports early recognition of deterioration, and reduces ambiguity ("hinting and hoping"). From a risk management standpoint, SBAR strengthens frontline reliability, decreases communication-related sentinel events, and supports defensible care by demonstrating a consistent escalation process. It also aligns with patient safety objectives: clearer teamwork, faster response to clinical changes, and fewer omissions during transitions of care.
NEW QUESTION # 77
A risk manager is investigating a claim that has been submitted to the malpractice carrier. There is some question as to whether or not there is coverage under the current malpractice policy. What might the risk manager expect to receive from the malpractice carrier?
Answer: A
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, when an insurer identifies potential issues regarding coverage under a liability policy, it commonly issues a reservation of rights letter. This letter informs the insured that the carrier will proceed with investigation or defense of the claim while reserving its right to later deny coverage if policy exclusions, conditions, or other limitations apply.
A reservation of rights protects the insurer from waiving its ability to contest coverage while fulfilling its duty to defend, depending on policy language. It also alerts the insured to potential conflicts of interest and may permit the insured to seek independent counsel in certain jurisdictions.
A contingent acknowledgment of coverage is not a standard legal instrument. A notice of right to deny coverage would typically follow a full coverage determination rather than precede it. A notice of right to rescind involves voiding a policy, usually due to material misrepresentation during underwriting, which is distinct from a routine coverage question.
Claims and litigation objectives emphasize careful review of policy terms and timely communication with insurers. Therefore, when coverage is uncertain, the risk manager should expect to receive a reservation of rights letter from the malpractice carrier.
NEW QUESTION # 78
Which condition must be met for a patient to no longer be protected by EMTALA obligations of the hospital?
Answer: A
Explanation:
EMTALA creates federal obligations for emergency screening and stabilization/appropriate transfer when an individual presents for emergency care. CMS interpretive guidance states a hospital's EMTALA obligation ends when the individual is admitted in good faith for inpatient services(even if not stabilized), shifting responsibility to inpatient Conditions of Participation and standard malpractice frameworks. EMTALA obligations also end followingstabilizationor anappropriate transfer(with required documentation
/acceptance). Risk management objectives include tight ED documentation, clear decision points (screening complete, EMC identified, stabilization initiated, transfer accepted), and policy training to prevent EMTALA violations (which can carry major regulatory and financial consequences). The incorrect notion that EMTALA ends when contact information is provided is not supported; discharge planning is important, but it does not terminate EMTALA duties.
NEW QUESTION # 79
Which of the following documents will an insurance underwriter use to provide an insurance quote?
Answer: D
Explanation:
Under Health Care Risk Management principles supported by ASHRM and the American Hospital Association Certification Center, the insurance application is the primary document used by an underwriter to evaluate risk and generate a premium quote. The application provides detailed information about the organization's operations, services, patient volume, claims history, risk control measures, governance structure, and prior insurance coverage. This information enables the underwriter to assess exposure, determine eligibility, and calculate appropriate pricing and coverage terms.
A certificate of insurance is issued after a policy is in force to verify coverage to third parties and does not serve as a quoting document. The declaration page is part of an existing insurance policy and summarizes coverage limits, deductibles, and endorsements; it reflects finalized terms rather than information used to generate a quote. A certificate of need is a regulatory document related to state approval of healthcare facilities or services and is unrelated to underwriting.
Risk financing objectives emphasize accurate disclosure and thorough completion of insurance applications, as misrepresentation or omission may affect coverage validity. Therefore, the application is the document used by an underwriter to provide an insurance quote.
NEW QUESTION # 80
When conducting a safety audit in an Emergency Department, what does an administrator need to obtain first?
Answer: B
Explanation:
A safety audit must be anchored to explicitstandards-policies, regulatory requirements, evidence-based guidelines, and internal procedures-so observations can be evaluated objectively. Without defined criteria, the audit becomes subjective and inconsistent, limiting its usefulness and defensibility. Risk management objectives for ED audits include verifying compliance with high-risk workflows (triage, medication storage, high-alert meds, behavioral health safety, EMTALA processes, handoff communication, alarm management), identifying hazards (environmental risks, crowding, staffing mismatch), and ensuring corrective actions are tracked to closure. A written standard also supports repeatability-audits can be compared over time, and improvements can be measured. This approach aligns with quality management principles: define the requirement, assess the gap, implement controls, and monitor effectiveness.
NEW QUESTION # 81
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