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| Topic | Details |
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| Topic 1 | - 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.
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| Topic 2 | - Risk Financing: This domain covers managing financial risks through insurance programs, claims coordination, loss analysis, and developing strategies to reduce financial exposure.
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| 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.
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| Topic 4 | - 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.
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| Topic 5 | - 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.
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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q83-Q88):
NEW QUESTION # 83
For a liability claim to succeed, the claimant must establish duty owed, duty breached, proximate cause, and
- A. injury sustained.
- B. punitive damages.
- C. gross negligence.
- D. contributory negligence.
Answer: A
Explanation:
Under Health Care Risk Management principles outlined by ASHRM and the American Hospital Association Certification Center, a successful negligence claim requires proof of four essential legal elements: duty, breach of duty, causation, and damages. Duty refers to the legal obligation owed by the healthcare provider to the patient. Breach occurs when the provider fails to meet the applicable standard of care. Proximate cause establishes the direct link between the breach and the harm suffered.
The final required element is actual injury or damages sustained by the claimant. Without demonstrable harm, a negligence claim cannot succeed, even if duty and breach are proven. The injury may include physical harm, emotional distress, or financial loss, but it must be measurable and attributable to the breach.
Contributory negligence is a defense that may reduce or bar recovery but is not an element the claimant must prove. Punitive damages are awarded in exceptional cases involving egregious misconduct and are not required to establish liability. Gross negligence represents a higher degree of negligence but is not a required element in standard malpractice claims.
Therefore, proof of injury sustained is essential for a liability claim to succeed.
NEW QUESTION # 84
In general, how many steps should an FMEA proceed in each direction (upstream/downstream) when mapping a process for failure analysis?
- A. Steps are not mapped in FMEA
- B. Only the current step; context is irrelevant
- C. Ten steps minimum regardless of complexity
- D. Two steps in each direction (a common practical rule-of-thumb)
Answer: D
Explanation:
A practical FMEA requires enough process context to capture upstream causes and downstream consequences without becoming unmanageably large. A common operational rule-of-thumb is to examine roughlytwo steps upstream and two steps downstreamfrom a target step to uncover handoffs, dependencies, and failure propagation. Risk management objectives focus on identifying failure modes that originate earlier (e.g., incorrect patient ID at registration leading to lab/specimen mismatch) and harms that emerge later (e.g., delayed result communication causing deterioration). The exact boundary depends on complexity and risk; high-hazard workflows (blood products, surgery, chemo) may require deeper mapping. The goal is usable granularity: map, identify failure modes, score (S-O-D), prioritize, implement controls, and reassess residual risk.
NEW QUESTION # 85
Which of the following best describes the appropriate scope of a risk manager's involvement in community disaster preparedness?
- A. Quantify risk exposures associated with implementing the disaster plan.
- B. Analyze liability risks arising from patient harm sustained due to strained or inadequate resources during a mass-casualty event.
- C. Calculate the value of human resources, equipment, and supplies consumed, with reimbursement to be obtained from FEMA.
- D. Incorporate emergency management into a comprehensive enterprise risk management plan designed to conserve and protect organizational assets.
Answer: D
Explanation:
According to Health Care Risk Management standards endorsed by ASHRM and the American Hospital Association Certification Center, a risk manager's role in community disaster preparedness extends beyond narrow liability analysis. The appropriate scope involves integration of emergency management into the organization's broader enterprise risk management framework.
Enterprise risk management ERM is a structured, organization-wide approach to identifying, assessing, and managing risks that may affect strategic objectives, operations, financial stability, and reputation. Disaster preparedness is a critical operational risk that must be aligned with governance, compliance, continuity planning, and asset protection strategies. By incorporating emergency management into ERM, the risk manager ensures coordination across clinical services, facilities, supply chain, communications, and leadership structures.
Option A focuses only on post-event liability. Option C limits involvement to quantification without strategic integration. Option D addresses reimbursement processes rather than preparedness strategy.
Health Care Operations objectives emphasize collaboration with emergency management teams, regulatory compliance with preparedness standards, and resilience planning to protect patients, staff, and assets.
Therefore, integrating emergency management into a comprehensive enterprise risk management plan best defines the risk manager's appropriate scope of involvement.
NEW QUESTION # 86
The enterprise risk management process extends beyond clinical risk management by
- A. ensuring its strategic priority at the senior leadership and governance levels.
- B. analyzing the organization's medication administration program.
- C. maintaining risks in silos as the best risk management approach.
- D. comparing the organization's internal and external environment for efficacy.
Answer: A
NEW QUESTION # 87
What are the four elements of the SBAR situational briefing model?
- A. Situation, Behavior, Action, Result
- B. Summary, Background, Action, Review
- C. Situation, Background, Assessment, Recommendation
- D. Scene, Background, Assessment, Response
Answer: C
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 # 88
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