Don't Get Stress About Exam Changes - VCETorrent Offers Free NAHQ CPHQ Exam Questions Updates
Don't Get Stress About Exam Changes - VCETorrent Offers Free NAHQ CPHQ Exam Questions Updates
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NAHQ CPHQ exam is a computer-based exam that is administered at Pearson VUE testing centers. CPHQ exam consists of 115 multiple-choice questions, and candidates have three hours to complete the exam. Upon passing the exam, candidates will receive the CPHQ certification and will be recognized as a healthcare quality professional.
The CPHQ certification exam is open to healthcare professionals who are involved in quality management, including nurses, physicians, administrators, and consultants. CPHQ Exam covers four domains of healthcare quality management: healthcare quality and performance measurement, healthcare data analytics, patient safety, and healthcare delivery systems. CPHQ exam consists of 150 multiple-choice questions, which are divided into two sections: 100 scored questions and 50 unscored pilot questions.
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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q458-Q463):
NEW QUESTION # 458
Which of the following payment systems carries the most financial risk for a provider?
- A. upside-only bundles
- B. capitation
- C. pay for performance
- D. fee for service
Answer: B
Explanation:
* A payment system is a method of reimbursing providers for the services they deliver to patients.
* Different payment systems have different implications for the financial risk that providers face, which is the possibility of losing money or not making a profit from their activities.
* Financial risk can be influenced by factors such as the volume and mix of services, the cost and quality of care, the patient population, and the market conditions.
* Fee for service (FFS) is a payment system whereproviders are paid for each service they perform, regardless of the outcome or value of the service. This payment system carries the least financial risk for providers, as they can increase their revenue by increasing the quantity of services. However, this payment system may also create incentives for overutilization, inefficiency, and low quality of care.
* Capitation is a payment system where providers are paid a fixed amount per patient or per member per month, regardless of the number or type of services they provide. This payment system carries the most financial risk for providers, as they have to cover all the costs of care for their patients within the fixed budget. However, this payment system may also create incentives for efficiency, coordination, and prevention of care.
* Pay for performance (P4P) is a payment system where providers are paid based on the quality and outcomes of the care they provide, rather than the quantity or type of services. This payment system carries a moderate financial risk for providers, as they have to meet certain performance measures or benchmarks to receive the full payment or bonus. However, this payment system may also create incentives for quality improvement, patient satisfaction, and value of care.
* Upside-only bundles are a payment system where providers are paid a fixed amount for a bundle of services related to a specific condition or episode of care, such as a hip replacement or a hospitalization.
This payment system carries a low financial risk for providers, as they can only share in the savings if they deliver the bundle of services at a lower cost than the fixed amount, but they do not have to bear any losses if they exceed the fixed amount. However, this payment system may also create incentives for coordination, standardization, and efficiency of care.
References:
Benefits of Risk-Based Payments: How Healthcare Data Improves Profits
The future of the payments industry: How managing risk can drive growth Financial crime risk management in digitalpayments
NEW QUESTION # 459
A hospital's leadership team has asked the quality professional to review alternative accreditation options for the organization. The quality professional recommends the:
- A. National Committee on Quality Assurance (NCQA)
- B. American Hospital Association
- C. National Healthcare Safety Network (NHSN)
- D. DNV GL Healthcare
Answer: D
Explanation:
DNV GL Healthcare offers the National Integrated Accreditation for Healthcare Organizations (NIAHO) program, which integrates ISO 9001 quality management standards with the Medicare Conditions of Participation. This accreditation focuses on continuous quality improvement and patient safety, providing an alternative to traditional accreditation bodies like The Joint Commission.
References:
DNV Healthcare - NIAHO Hospital Accreditation
NEW QUESTION # 460
A number of attributes can characterize the quality of healthcare services. As, there are different groups involved in
healthcare, such as physicians, patients and health insurers, tend to attach different levels of importance to particular
attributes and as a result define quality care differently. Which of the following is/are NOT out of those attributes?
- A. Responsiveness to patient preferences
- B. Technical performance
- C. Excess staff
- D. Amenities
Answer: C
NEW QUESTION # 461
The data below shows 30-day readmission rates for heart failure patients by the primary language spoken and by gender with 95% confidence intervals in parentheses. Which group should be the priority target for reducing disparities in readmission rates?
- A. All Russian speakers
- B. All Arabic speakers
- C. Russian-speaking females
- D. Arabic-speaking females
Answer: B
Explanation:
Comprehensive and Detailed Explanation From Exact Extract:
The goal is to identify the group with the greatest disparity in 30-day readmission rates for heart failure patients, focusing on primary language and gender, to prioritize interventions for reducing disparities. NAHQ CPHQ study materials emphasize that addressing disparities in population health involves targeting groups with the highest rates of adverse outcomes, such as readmissions, to achieve health equity. Disparities are often influenced by social determinants of health, including language barriers, which can affect communication, understanding of discharge instructions, and access to follow-up care.
The data shows readmission rates by language and gender, with 95% confidence intervals indicating the range of uncertainty around the point estimates. Let's analyze the rates:
* English: Males 15% (14-16%), Females 16% (13-19%)
* Spanish: Males 18% (15-21%), Females 19% (15-23%)
* Russian: Males 20% (15-25%), Females 21% (20-22%)
* Arabic: Males 22% (15-29%), Females 23% (15-31%)
First, compare the point estimates across groups. Arabic-speaking patients have the highest readmission rates:
22% for males and 23% for females, followed by Russian-speaking patients at 20% for males and 21% for females. English-speaking patients have the lowest rates at 15% for males and 16% for females. The confidence intervals show overlap between groups (e.g., Arabic males 15-29% overlaps with Russian males
15-25%), but the point estimates provide a clear ranking, with Arabic speakers consistently highest.
To assess disparities, calculate the overall rates for language groups by averaging male and female rates (since the options include "All Arabic speakers" and "All Russian speakers"):
* Arabic speakers: (22% + 23%) / 2 = 22.5%
* Russian speakers: (20% + 21%) / 2 = 20.5%
* Spanish speakers: (18% + 19%) / 2 = 18.5%
* English speakers: (15% + 16%) / 2 = 15.5%
Arabic speakers have the highest average readmission rate (22.5%), indicating the greatest disparity compared to English speakers (15.5%), a difference of 7 percentage points. Russian speakers have a 20.5% average rate, a 5-point difference from English speakers.
Now, compare the gender-specific options: Arabic-speaking females (A) have a rate of 23%, and Russian- speaking females (B) have a rate of 21%. While Arabic-speaking females have the highest single rate, the question asks for the priority group to reduce disparities, which often involves targeting the broadest group with the largest overall disparity. Option C, "All Arabic speakers," encompasses both males (22%) and females (23%), with an average of 22.5%, making it the group with the most significant disparity across both genders. Option D, "All Russian speakers," has a lower average rate (20.5%).
The confidence intervals, while wide for smaller groups like Arabic and Russian speakers, do not change the prioritization, as the point estimates consistently show Arabic speakers with the highest rates. NAHQ emphasizes targeting the group with the greatest disparity in outcomes to address health equity, particularly when language barriers (e.g., Arabic speakers) may contribute to higher readmissions due to communication challenges. Therefore, "All Arabic speakers" (C) should be the priority target for interventions, such as language-specific education or interpreter services, to reduce disparities in readmission rates.
Reference: NAHQ CPHQ Study Guide, Population Health and Care Transitions Section, "Addressing Health Disparities in Readmissions"; NAHQ CPHQ Practice Exam, Population Health Data Analysis for Equity.
NEW QUESTION # 462
The focus for performance Improvement should be
- A. systems.
- B. policies and procedures.
- C. employees.
- D. standards and regulations.
Answer: A
Explanation:
The focus of performance improvement in healthcare is often on the systems rather than the individual1.
This approach is part of continuous quality improvement (CQI), which emphasizes the organization and its systems1. It promotes the need for objective data to analyze and improve processes1. The ultimate aim of performance improvement in healthcare is to optimize healthcare delivery by focusing on patient care outcomes, client safety, efficiency, cost reduction, and minimizing risks and liability2. Therefore, the answer is B. systems. This is because improving systems can lead to better outcomes, increased safety, and more efficient and cost-effective healthcare delivery2.
NEW QUESTION # 463
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