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NAHQ CPHQ (Certified Professional in Healthcare Quality) exam is a globally recognized certification for healthcare quality professionals. It is designed to test the knowledge, skills, and abilities of individuals in the field of healthcare quality management. CPHQ Exam is offered by the National Association for Healthcare Quality (NAHQ) and is considered the gold standard in healthcare quality certification.

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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q730-Q735):

NEW QUESTION # 730
A health plan wants to improve the quality of care delivered to its members. Which organization should be referenced for quality measurement benchmarks?

Answer: A

Explanation:
According to the NAHQ CPHQ exam blueprint, the National Committee for Quality Assurance (NCQA) is the primary organization responsible for quality measurement and benchmarking for health plans.
Option D is correct because NCQA develops and maintains performance measures (e.g., HEDIS) and provides national benchmarks used to evaluate health plan performance.
AHRQ focuses on research and tools, TJC accredits healthcare organizations, and AMA represents physicians.
The CPHQ framework clearly identifies NCQA as the benchmark authority for health plan quality measurement.


NEW QUESTION # 731
Which of the following is the role of a quality specialist in developing clinical pathways?

Answer: B

Explanation:
Per the NAHQ CPHQ exam blueprint, clinical pathways are clinician-driven tools based on evidence-based practice. The role of the quality specialist is to support, not direct, clinical decision-making.
Option A is correct because quality specialists contribute data analysis, evidence synthesis, and performance information to inform pathway development. Clinicians use this information to design pathways aligned with best practice.
Option B is typically a clinical leadership role. Option C is inappropriate because pathway development requires clinical expertise. Option D occurs after implementation.
The CPHQ framework stresses collaboration, with quality professionals acting as facilitators and data experts, making Option A correct.


NEW QUESTION # 732
An external audit of medical records was just completed. In order for the results to be shared with leadership, which of the following must be done?

Answer: B

Explanation:
Sharing external audit results with leadership involves ensuring compliance with privacy regulations, particularly the Health Insurance Portability and Accountability Act (HIPAA), which protects patient health information (PHI).
Option A (Acquire authorization from external auditors to share): Auditors may have confidentiality agreements, but sharing results internally with leadership typically does not require their authorization, as leadership is part of the covered entity.
Option B (Remove patient identifiers): This is the correct answer. The NAHQ CPHQ study guide states, "To share medical record audit results internally, patient identifiers must be removed to comply with HIPAA and protect PHI" (Domain 1). De-identification ensures privacy while allowing leadership to review aggregate findings.
Option C (Classify sections with protected health information as confidential): Classifying PHI as confidential is standard, but it does not address sharing results, which requires de-identification for broader dissemination.
Option D (Obtain specific patient consent): Consent is not required for internal quality improvement activities, as they fall under HIPAA's healthcare operations exemption, provided PHI is protected.
CPHQ Objective Reference: Domain 1: Patient Safety, Objective 1.8, "Ensure compliance with privacy regulations in quality activities," emphasizes de-identification for sharing audit results. The NAHQ study guide notes, "Removing patient identifiers allows safe sharing of audit data for quality improvement" (Domain 1).
Rationale: De-identifying audit results ensures HIPAA compliance, enabling safe sharing with leadership, aligning with CPHQ's patient safety and privacy principles.
Reference: NAHQ CPHQ Study Guide, Domain 1: Patient Safety, Objective 1.8.


NEW QUESTION # 733
Generally, effective performance measurement benefits organizations in the following way/s EXCEPT:

Answer: D


NEW QUESTION # 734
A quality improvement professional believes that their MRSA facility rates are high.
What should the quality improvement professional do first?

Answer: B

Explanation:
When a quality improvement professional identifies a potential issue with high MRSA facility rates, the initial step should be to verify the accuracy and consistency of the data collected, as this forms the foundation for any further analysis or action.
Option D, which involves repeating the data collection process to justify the new rate, is the most prudent first step. This ensures that the concern is based on accurate and reliable data before escalating the issue or dedicating resources to form a quality improvement team.


NEW QUESTION # 735
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