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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Risk Financing | 15% | - Analyze risk transfer mechanisms - Identify and analyze risk financing options - Develop risk financing strategies - Manage self-insurance and captive programs - Evaluate insurance programs and coverage |
| Topic 2: Legal and Regulatory | 20% | - Analyze legal trends and precedents - Ensure compliance with regulatory requirements - Interpret healthcare laws and regulations - Manage legal risks and liabilities - Develop policies for legal compliance |
| Topic 3: Claims and Litigation | 20% | - Coordinate litigation support and defense - Manage claims processes and documentation - Evaluate litigation outcomes and lessons learned - Implement claims prevention strategies - Analyze claims data for risk patterns |
| Topic 4: Healthcare Operations | 20% | - Evaluate operational risk controls - Manage emergency preparedness and response - Address workplace violence and safety - Identify operational risks in healthcare settings - Implement risk management in clinical operations |
| Topic 5: Clinical/Patient Safety | 25% | - Collaborate on proactive safety initiatives (FMEA, RCA, Safety Culture/Just Culture) - Implement patient safety programs and interventions - Assess patient safety state and staff awareness - Analyze clinical data to identify risks and trends - Evaluate effectiveness of patient safety initiatives |
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NEW QUESTION # 64
Aside from clinical risk exposures, which of the following should be evaluated as part of a risk assessment concerning telemedicine?
Answer: B
Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, telemedicine risk assessment must extend beyond clinical quality of care to include operational risks. Operational considerations encompass technology infrastructure reliability, cybersecurity protections, credentialing and privileging of providers across state lines, licensing compliance, documentation workflows, data storage, and continuity planning for system outages.
Telemedicine platforms rely heavily on secure networks, interoperability with electronic health records, and protection of protected health information. Operational failures such as system downtime, inadequate bandwidth, or insufficient training can disrupt care delivery and increase liability exposure. Additionally, compliance with regulatory requirements regarding interstate practice and reimbursement policies falls within operational risk management.
Behavioral and public awareness considerations may influence patient engagement but are not primary risk assessment categories. Financial risks are relevant in enterprise risk management; however, the question specifically contrasts clinical risk exposures with other telemedicine-related risks, making operational risk the most directly applicable.
Health Care Operations objectives emphasize comprehensive evaluation of technological, regulatory, and workflow factors in emerging service models. Therefore, operational risks should be evaluated alongside clinical exposures when assessing telemedicine programs.
NEW QUESTION # 65
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?
Answer: C
Explanation:
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.
NEW QUESTION # 66
An emergency department physician has evaluated and stabilized a patient who needs a sign language interpreter. The on-call physician is consulted for admission. Which of the following regulatory laws are most relevant?
Answer: A
Explanation:
Under Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, two federal laws are most directly implicated in this scenario: the Americans with Disabilities Act ADA and the Emergency Medical Treatment and Labor Act EMTALA, formerly enacted under COBRA.
EMTALA requires hospitals with emergency departments to provide an appropriate medical screening examination, stabilization of emergency medical conditions, and appropriate transfer or admission regardless of ability to pay. Since the emergency physician has evaluated and stabilized the patient and the on-call physician is being consulted for admission, EMTALA obligations remain central to ensuring compliant continuation of care.
The ADA is also directly relevant because it mandates that health care organizations provide reasonable accommodations to individuals with disabilities, including effective communication. For a patient requiring a sign language interpreter, the hospital must provide appropriate auxiliary aids and services to ensure meaningful access to care.
HIPAA relates primarily to privacy and protected health information, while HCQIA addresses peer review immunity and credentialing matters. Therefore, ADA and EMTALA are the most relevant regulatory frameworks in this case.
NEW QUESTION # 67
A risk manager is reviewing the professional liability insurance policy for the limits of liability. Which of the following should the risk manager review FIRST?
Answer: C
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, the declarations page is the first section a risk manager should review when assessing limits of liability in a professional liability insurance policy. The declarations page summarizes key policy information, including named insureds, policy period, coverage types, limits of liability per occurrence and aggregate, deductibles or self-insured retentions, endorsements, and premium details.
Because the question focuses specifically on limits of liability, the declarations page provides the most direct and concise statement of coverage limits. It serves as the policy's summary and reference point for determining financial exposure and coverage structure.
The insuring agreement defines the scope of coverage and triggers for defense and indemnity obligations but does not list specific limit amounts. Exclusions outline what is not covered, and conditions specify policyholder responsibilities such as notice and cooperation requirements. While all sections are important for comprehensive review, the declarations page is the appropriate starting point when verifying coverage limits.
Risk financing objectives emphasize careful policy analysis to ensure alignment between coverage limits and organizational risk exposure. Therefore, the declarations page should be reviewed first when assessing limits of liability.
NEW QUESTION # 68
An organization's CEO has requested that the risk manager develop policies and procedures for the risk management department. The risk manager should consider developing policies for all of the following EXCEPT
Answer: D
Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, the risk management department should establish formal policies addressing core operational responsibilities. Coordination of responses to subpoenas is a critical function involving legal compliance, protection of privileged information, and collaboration with counsel. Departmental accountability for occurrence reporting is essential to ensure proper event identification, investigation, and trending.
Additionally, defining the risk management reporting process to the governing body supports board oversight and enterprise risk management responsibilities.
Responses to freedom of information requests, however, are generally governed by legal, compliance, or public information offices, particularly in public institutions subject to open records laws. While risk management may provide input if records involve claims or adverse events, primary responsibility for handling such requests typically resides outside the risk management department.
Health Care Operations objectives emphasize clearly defined departmental scope, structured reporting relationships, and alignment with governance responsibilities. Therefore, while subpoena coordination, occurrence reporting, and board reporting are appropriate policy areas for risk management, responses to freedom of information requests fall outside its primary policy development scope.
NEW QUESTION # 69
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P.S. Free 2026 ASHRM CPHRM dumps are available on Google Drive shared by PrepPDF: https://drive.google.com/open?id=1cwkWoWK4xhwaos9z8-bMSbDLs5gTXkrz