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ASHRM CPHRM Exam Overview:

Certification Vendor:ASHRM (American Society for Healthcare Risk Management)
Exam Name:Certified Professional in Health Care Risk Management Exam
Exam Number:CPHRM
Real Exam Qty:110 (100 scored, 10 unscored pre-test items)
Available Languages:English
Exam Format:Computer-based, Multiple-choice questions
Exam Duration:120 minutes
Exam Price:$275 (ASHRM members), $425 (non-members)
Passing Score:Criterion-referenced, no fixed numerical score published
Certificate Validity Period:3 years
Recommended Training:CPHRM Exam Prep Course
Exam Registration:ASHRM Official CPHRM Page
PSI Testing Registration
Sample Questions:ASHRM CPHRM Sample Questions
Exam Way:Onsite at PSI testing centers or live remote proctored online
Pre Condition:One of: Bachelor's degree + 5 years healthcare experience; Associate degree + 7 years; High school diploma + 9 years; plus 3,000 hours or 50% of job duties in healthcare risk management within last 3 years
Official Syllabus URL:https://www.ashrm.org/education/cphrm

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ASHRM CPHRM Exam Syllabus Topics:

TopicDetails
Topic 1
  • 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 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
  • 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 4
  • 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.
Topic 5
  • Risk Financing: This domain covers managing financial risks through insurance programs, claims coordination, loss analysis, and developing strategies to reduce financial exposure.

ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q98-Q103):

NEW QUESTION # 98
An intervention between parties to promote reconciliation, settlement, or compromise is

Answer: C

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, mediation is a form of alternative dispute resolution designed to facilitate voluntary settlement between parties. In mediation, a neutral third party assists disputing parties in communicating, clarifying issues, and exploring mutually acceptable resolutions. The mediator does not impose a binding decision but guides negotiation toward compromise and reconciliation.
Arbitration differs in that the neutral arbitrator typically renders a decision that may be binding, depending on the agreement between parties. Jury trials and bench trials involve formal court proceedings where a judge or jury determines liability and damages based on legal standards and evidence. These processes are adversarial and result in judicial determinations rather than negotiated compromise.
Claims and litigation objectives emphasize cost containment, early resolution, and reduction of adversarial conflict when appropriate. Mediation can reduce defense expenses, shorten case duration, and preserve professional relationships. It also provides greater confidentiality and flexibility than courtroom litigation.
Therefore, the intervention specifically intended to promote reconciliation, settlement, or compromise between parties is mediation.


NEW QUESTION # 99
Supervisors who conduct job interviews may ask which of the following questions?

Answer: C

Explanation:
Under Health Care Risk Management standards aligned with ASHRM and the American Hospital Association Certification Center, employment interview questions must comply with federal and state anti-discrimination laws, including the Americans with Disabilities Act ADA, Title VII of the Civil Rights Act, the Pregnancy Discrimination Act, and the Immigration Reform and Control Act.
Questions about prescription medications may violate ADA provisions by eliciting information about potential disabilities prior to a conditional offer of employment. Asking whether a candidate plans to have children may constitute unlawful discrimination based on sex or family status. Inquiring directly about citizenship may violate federal employment eligibility standards; employers may instead ask whether the applicant is legally authorized to work in the United States.
In contrast, asking whether a candidate can meet the organization's attendance requirements is permissible because it relates directly to essential job functions and business necessity. Employers may inquire about the ability to perform job-related duties, provided questions are applied consistently to all applicants and are not designed to screen out protected classes.
Legal and regulatory objectives emphasize nondiscriminatory hiring practices and adherence to equal employment laws. Therefore, questions regarding attendance requirements are appropriate in a job interview setting.


NEW QUESTION # 100
According to The Joint Commission, which of the following should be done to patient-owned electrical devices entering the facility?

Answer: C

Explanation:
According to Health Care Risk Management standards supported by ASHRM and accreditation guidance from The Joint Commission, patient-owned electrical devices brought into healthcare facilities must be evaluated to ensure they do not pose safety risks. The Joint Commission's Environment of Care standards emphasize electrical safety, fire prevention, and reduction of hazards within patient care areas.
Before a patient-owned electrical device is used within the facility, an electrical safety inspection should be conducted to assess the integrity of cords, plugs, grounding, and overall condition. The purpose is to identify potential risks such as frayed wiring, overheating hazards, or improper voltage compatibility that could endanger patients, staff, or equipment.
Simply inventorying the device with personal belongings does not address safety concerns. Sequestering the device may be appropriate if it fails inspection, but routine confiscation is not required. While biomedical engineering departments often assist with inspections, tagging by biomedical engineering is not itself the required action; the essential requirement is that a safety inspection be performed.
Clinical and patient safety objectives emphasize proactive hazard identification and compliance with accreditation standards. Therefore, conducting an electrical safety inspection is the appropriate action for patient-owned electrical devices entering the facility.


NEW QUESTION # 101
Which of the following should prompt a risk manager to give notice to a malpractice carrier?

Answer: C

Explanation:
Under Health Care Risk Management principles established by ASHRM and the American Hospital Association Certification Center, timely notice to a malpractice carrier is a critical obligation, particularly under claims-made policies. A demand letter from a patient constitutes a clear assertion of liability and a request for compensation, which typically meets the definition of a claim under most malpractice insurance policies. Failure to notify the carrier promptly may jeopardize coverage.
A written medical record request from an attorney may signal potential litigation, but it does not necessarily constitute a claim unless accompanied by an allegation of wrongdoing or a demand for damages. An internal incident report is a risk management tool used for quality and safety improvement and does not itself trigger insurance notification requirements. Similarly, disclosure to a patient regarding an adverse event aligns with transparency practices but does not automatically represent a formal claim.
Risk management objectives emphasize understanding policy language, particularly definitions of claim and reporting requirements. Because a demand letter explicitly alleges harm and seeks compensation, it most clearly triggers the duty to notify the malpractice carrier to preserve coverage and initiate appropriate claims handling procedures.


NEW QUESTION # 102
A root cause analysis of inpatient suicides would be most likely to discover problems with:

Answer: B

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 # 103
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