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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Health Care Operations | 20% | - Organizational risk policies and procedures - Technology and information management risks - Workforce and facility safety - Operational risk identification and control |
| Topic 2: Claims and Litigations | 20% | - Claims management and investigation - Settlement and resolution processes - Litigation process and defense strategies - Documentation and evidence management |
| Topic 3: Clinical/Patient Safety | 25% | - Error prevention and disclosure protocols - Risk assessment and mitigation in patient care - Patient safety culture and reporting systems |
| Topic 4: Risk Financing | 15% | - Reserve analysis and actuarial concepts - Total cost of risk analysis - Alternative risk transfer mechanisms - Insurance structures and coverage types |
| Topic 5: Legal and Regulatory | 20% | - Federal and state healthcare laws and regulations - Patient rights and informed consent - Accreditation standards and compliance - Privacy and security requirements |
>> Valid CPHRM Exam Question <<
The TestKingFree CPHRM exam practice test questions will provide you with everything that you need to learn, prepare and pass the Certified Professional in Health Care Risk Management (CPHRM) CPHRM exam. The TestKingFree CPHRM exam questions are the real PSE questions that will help you to understand the real Certified Professional in Health Care Risk Management (CPHRM) CPHRM Exam Pattern and answers and you can easily pass the final Certified Professional in Health Care Risk Management (CPHRM) CPHRM exam.
NEW QUESTION # 86
A hospital uses the same labels for all prescriptions, but they don't fit on small containers, so employees must cut/paste labels in a special way. This is an example of:
Answer: D
Explanation:
In Lean terms,extra processingis work that does not add value from the patient's perspective and often introduces defect risk. Cutting and reformatting labels is a classic extra-processing waste: it consumes time, creates variability, and increases the likelihood of mislabeling-one of the most serious medication safety hazards. Risk management objectives prioritize eliminating rework and standardizing the labeling process through right-sized labels, standardized print templates by container type, barcode integration, and human factors design (font size, tall-man lettering where appropriate). Removing extra processing improves efficiency and reduces cognitive load and workaround culture-both strongly associated with error.
Operationally, this is a system design failure: staff are compensating for poor equipment/process fit. Fixing the system reduces the chance of a high-severity adverse event and strengthens defensibility by demonstrating proactive hazard elimination.
NEW QUESTION # 87
An intervention between parties to promote reconciliation, settlement, or compromise is
Answer: B
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 # 88
The due diligence process in acquisitions is undertaken to:
Answer: B
Explanation:
Due diligence is a structured risk-identification and validation process used in mergers/acquisitions to understand clinical, legal, regulatory, operational, and financial exposures before closing. Objectives include discovering hidden liabilities (claims history, compliance gaps, credentialing issues, cybersecurity risks), validating revenue assumptions, assessing quality and safety maturity, and estimating integration costs. This informs valuation (including potential price adjustments), deal terms (representations/warranties, indemnities), and post-close priorities to improve performance and reduce adverse surprises. Risk management objectives include ensuring continuity of safe care during transition, aligning policies and governance, and preventing inherited regulatory violations or claims tail exposures.
NEW QUESTION # 89
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: A
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 # 90
Information from the Data Bank (NPDB; includes former HIPDB content) can be requested by:
Answer: B
Explanation:
Access to NPDB information is restricted to authorized entities for credentialing, privileging, and oversight- not public browsing. HRSA's NPDB rules identify who can query and report;professional societies with formal peer revieware listed among entities that may query under certain circumstances. This limited-access model supports patient safety objectives by enabling credentialing bodies to identify adverse licensure actions, certain negative clinical privilege actions, and other reportable events, while protecting due process and confidentiality. From a risk management perspective, proper querying supports defensible credentialing and reduces negligent credentialing exposure. Equally important: organizations must maintain secure handling of NPDB responses and follow permitted-use rules to avoid compliance violations.
NEW QUESTION # 91
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