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CPHQ Exam Study guide with Complete
Solutions
H Appointment - Answer✔✔-Selection for membership in a medical professional staff or to a
practitioner panel.
H Appraisal - Answer✔✔-Initial evaluation by peers of a practitioner's competency to provide care and
services to patients in or for a healthcare origination. Appraisal may include credentialing, privileging,
proctoring and appointment.
H Benchmark - Answer✔✔-A comparative "best" as baseline for improvement.
H Clinical Path - Answer✔✔-A prospective, detailed, strategic treatment regimen, or daily/intermittent
protocol for patient care, designed to identify and integrate key activities, interventions, and services for
certain patient conditions. Clinical paths are applicable across the continuum of care, e.g., in acute care
form pre-admission and pre-operative treatment through the hospital stay to discharge and post-
discharge phases of care, including home care. Clinical/critical paths are designed to include clinical
performance criteria for specified time periods of intervals, organized by categories of care needs, e.g.,
diagnostics, treatments, activity, medications, psychosocial, etc. They are useful tools for measuring
actual performance.
H Crisis Management - Answer✔✔-1) Forecasting potential crisis and planning how to deal with them
(proactive) and 2) When a crisis occurs, identifying its full nature, intervening to minimize damage, and
recovering (reactive).
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H Dephi Technique - Answer✔✔-A structured communication technique, a systematic, interactive
forecasting method which relies on a panel of experts. The experts answer questionnaires in two or
more rounds. After each round, a facilitator provides an anonymous summary of the experts' forecasts
from the previous round as well as the reasons they provided for their judgments. Thus, experts are
encouraged to revise their earlier answers in light of the replies of other members of their panel. It is
believed that during this process the range of the answers will decrease and the group will converge
towards the "correct" answer. Finally, the process is stopped after a pre-defined stop criterion (e.g.
number of rounds, achievement of consensus, stability of results) and the mean or median scores of the
final rounds determine the results.
H Demand Management - Answer✔✔-Term from economics; in project management it refers to meeting
customer expectations; in managed care it refers to influencing access to medical care.
H Disease Management - Answer✔✔-Disease management is a system of coordinated healthcare
interventions and communications for populations with conditions in which patient self-care efforts are
significant.
H Ethic - Answer✔✔-A set of principles of right conduct.
H Ethics - Answer✔✔-Rules or standards governing conduct.
H Event - Answer✔✔-An occurrence that is either deemed to be, or results in a significant problem. e.g.,
sentinel event, adverse event, near miss event.
H E&CF Chart - Answer✔✔-Events and Causal Factors: Used to find root causes. Combines a flowchart
and affinity diagram to identify both the sequence of events and relevant conditions affecting each
event.
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H Failure Mode - Answer✔✔-The way a process can fail to function or fail to provide the desired result;
an undesirable variation in a process.
H FMEA - Answer✔✔-Failure Mode and Effects Analysis: A team-based quality improvement tool hat
prospectively assesses, identifies, and improves steps in a process to reasonably ensure a safe and
clinically desirable outcome [NCPS]: A systematic mechanism to identify and prevent product and
process failures before they occur.
H Flowchart - Answer✔✔-A pictorial representation displaying the actual-sequence of steps and their
inter-relationships in a specific process in order to identify hand-offs, inefficiencies, redundancies,
inspections, and waiting steps and/or the ideal-sequence of steps, once the actual process is known.
H Force Field Analysis - Answer✔✔-A change management tool. Looks at forces for and against a change;
1) to decide if the change should be attempted or 2) used to create strategies to increase support and
decrease opposition.
H Gantt Chart - Answer✔✔-Project planning tool for developing schedules; a graphic display of individual
parts of a quality improvement process as bars on a horizontal time scale.
H HAI - Answer✔✔-Healthcare-Associated Infection: Replaces "nosocomial infection" (hospital-acquired)
because it implies all health care and is not limited to hospitals. {More general Healthcare-Acquired
Conditions {HAC}}
H Iatrogenic - Answer✔✔-An infection or other complication of treatment induced in a patient by a
physician's or other licensed independent practitioner's activity, manner, or therapy.
H Indicator - Answer✔✔-"Performance Measure": Includes data definitions, as well as numerator and
denominator statements, to accurately specify what is being measured.
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H Integrated Delivery System - Horizontal - Answer✔✔-Multi-institutional entity with coordinated
functions, activities, or operating units that are at the same stage or segment of the continuum of care,
e.g., hospital system.
H Integrated Delivery System - Vertical - Answer✔✔-A network of entities that provide and coordinate
healthcare to a defined population across the entire continuum of care: prevention, ambulatory,
subacute, acute, and long term.
H Interrelationship Diagram - Answer✔✔-A tool that allows a team to analyze all the interrelated cause-
and-effect relationships and factors involved in a complex problem; distinguish between issues that serve
as drivers and those that are outcomes; and describe desired outcomes.
H Leadership Group - Answer✔✔-"Individuals in senior positions with clearly defined, unique
responsibilities." Possible groups include governance, management, medical staff, nursing, other clinical
staff. An individual may be a member of more than one group.
H LIP - Answer✔✔-Licensed Independent Practitioner: Any individual who is professionally licensed by
the state (US) and permitted by the organization to provide patient care services without direction or
supervision, within the scope of that license.
H Management - Answer✔✔-The sum of the activities of: planning, organizing, staffing, directing,
coordinating, and working to improve human and material resources toward the achievement of stated
goals.
H Medicare - Answer✔✔-Age 65+, permanent kidney failure, and disabled. Managed by CMS.
H Medicaid - Answer✔✔-Low-income, managed by each state.
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