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Healthcare CPHQ : Certified Professional in Healthcare Quality (CPHQ) Exam

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Exam Number : CPHQ
Exam Name : Certified Professional in Healthcare Quality (CPHQ)
Vendor Name : Healthcare
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CPHQ test Format | CPHQ Course Contents | CPHQ Course Outline | CPHQ test Syllabus | CPHQ test Objectives


The content validity of the CPHQ examination is based on a practice analysis which surveys healthcare quality professionals on the tasks they perform as a part of their job. Each question on the test links directly to one of the tasks listed in the content outline. Each question is designed to test if the candidate possesses the knowledge necessary to perform the task and/or has the ability to apply it to a job situation.

1. Organizational Leadership (35 items)
A. Structure and Integration
1. Support organizational commitment to quality
2. Participate in organization-wide strategic planning related to quality
3. Align quality and safety activities with strategic goals
4. Engage stakeholders to promote quality and safety (e.g., emergency preparedness, corporate compliance, infection prevention, case management, patient experience, provider network, vendors)
5. Provide consultative support to the governing body and clinical staff regarding their roles and responsibilities (e.g., credentialing, privileging, quality oversight, risk management)
6. Facilitate development of the quality structure (e.g., councils and committees)
7. Assist in evaluating or developing data management systems (e.g., data bases, registries)
8. Evaluate and integrate external best practices (e.g., resources from AHRQ, IHI, NQF, WHO, HEDIS, outcome measures)
9. Participate in activities to identify and evaluate innovative solutions and practices
10. Lead and facilitate change (e.g., change theories, diffusion, spread)
11. Participate in population health promotion and continuum of care activities (e.g., handoffs, transitions of care, episode of care, outcomes, healthcare utilization)
12. Communicate resource needs to leadership to Boost quality (e.g., staffing, equipment, technology)
13. Recognize quality initiatives impacting reimbursement (e.g., pay for performance, value-based contracts)
B. Regulatory, Accreditation, and External Recognition
1. Assist the organization in maintaining awareness of statutory and regulatory requirements (e.g., CMS, HIPAA, OSHA, PPACA)
2. Identify appropriate accreditation, certification, and recognition options (e.g., AAAHC, CARF, DNV GL, ISO, NCQA, TJC, Baldrige, Magnet)
3. Assist with survey or accreditation readiness
4. Participate in the process for evaluating compliance with internal and external requirements for:
a. clinical practice guidelines and pathways (e.g., medication use, infection prevention)
b. service quality
c. documentation
d. practitioner performance evaluation (e.g., peer review, credentialing, privileging)
e. gaps in patient experience outcomes (e.g., surveys, focus groups, teams, grievance, complaints)
f. identification of reportable events for accreditation and regulatory bodies
5. Facilitate communication with accrediting and regulatory bodies Certified Professional in Healthcare Quality Detailed Content Outline1
C. Education, Training, and Communication
1. Design performance, process, and quality improvement training
2. Provide education and training on performance, process, and quality improvement (e.g., including improvement methods, culture change, project and meeting management)
3. Evaluate effectiveness of performance/quality improvement training
4. Develop/provide survey preparation training (e.g., accreditation, licensure, or equivalent)
5. Disseminate performance, process, and quality improvement information within the organization
2. Health Data Analytics (30 items)
A. Design and Data Management
1. Maintain confidentiality of performance/quality improvement records and reports
2. Design data collection plans:
a. measure development (e.g., definitions, goals, and thresholds)
b. tools and techniques
c. sampling methodology
3. Participate in identifying or selecting measures (e.g., structure, process, outcome)
4. Assist in developing scorecards and dashboards
5. Identify external data sources for comparison (e.g., benchmarking)
6. Collect and validate data
B. Measurement and Analysis
1. Use data management systems (e.g., organize data for analysis and reporting)
2. Use tools to display data or evaluate a process (e.g., Pareto chart, run chart, scattergram, control chart)
3. Use statistics to describe data (e.g., mean, standard deviation, correlation, t-test)
4. Use statistical process control (e.g., common and special cause variation, random variation, trend analysis)
5. Interpret data to support decision-making
6. Compare data sources to establish benchmarks
7. Participate in external reporting (e.g., core measures, patient safety indicators, HEDIS bundled payments)
3. Performance and Process Improvement (40 items)
A. Identifying Opportunities for Improvement
1. Facilitate discussion about quality improvement opportunities
2. Assist with establishing priorities
3. Facilitate development of action plans or projects
4. Facilitate implementation of performance improvement methods (e.g., Lean, PDCA, Six Sigma)
5. Identify process champions
Certified Professional in Healthcare Quality
Detailed Content Outline1
B. Implementation and Evaluation
1. Establish teams, roles, responsibilities, and scope
2. Use a range of quality tools and techniques (e.g., fishbone diagram, FMEA, process map)
3. Participate in monitoring of project timelines and deliverables
4. Evaluate team effectiveness (e.g., dynamics, outcomes)
5. Evaluate the success of performance improvement projects
6. Document performance and process improvement results
4. Patient Safety (20 items)
A. Assessment and Planning
1. Assess the organization's culture of safety
2. Determine how technology can enhance the patient safety program (e.g., electronic health record (EHR), abduction/elopement security systems, smart pumps, alerts)
3. Participate in risk management assessment activities (e.g., identification and analysis)
B. Implementation and Evaluation
1. Facilitate the ongoing evaluation of safety activities
2. Integrate safety concepts throughout the organization
3. Use safety principles:
a. human factors engineering
b. high reliability
c. systems thinking
4. Participate in safety and risk management activities related to:
a. incident report review (e.g., near miss and genuine events)
b. sentinel/unexpected event review (e.g., never events)
c. root cause analysis
d. failure mode and effects analysis



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Healthcare (CPHQ) PDF Questions

magnificent increase of Healthcare Claims administration Market 2021 : develop with an excellent CAGR | CPHQ Free test PDF and test Questions

The MarketWatch news branch become no longer thinking in the advent of this content material.

Jun 04, 2021 (Market perception reviews) -- New evaluation Of Healthcare Claims management Market overview, spend evaluation, imports, segmentation, key gamers and chance evaluation 2021-2028.

.It also gives a picture of the country's economy and industry outlook. It gives particulars on the latest condition for Healthcare Claims administration manufacturing in u.s., Europe, Asia Pacific together with - policy initiatives, joint ventures, current necessities and locational beauty.

The desirable Key Market gamers for Healthcare Claims administration Market Listed are :- , Mckesson organization, Oracle company, Athenahealth Inc., IBM service provider, Gebbs healthcare options, Genpact limited, Cerner employer, fitness options plus, Optum, Inc., Accenture

Get a trial PDF reproduction of the record @ https://reportsinsights.com/pattern/415031

The Healthcare Claims management Market report also covers existing competitive state of affairs and the expected trend; and profiles key carriers together with market leaders and critical rising avid gamers.

apart from this, the advantageous doc weighs upon the performance of the industry on the groundwork of a product service, end-use, geography and end client.

The market research includes historic and forecast market data, demand, utility particulars, cost developments, and enterprise shares of the leading Healthcare Claims management via geography. The document splits the market measurement, by extent and cost, on the groundwork of software type and geography.

COVID-19 affect

report covers influence of Coronavirus COVID-19: on the grounds that the COVID-19 virus outbreak in December 2019, the disorder has spread to almost each nation all over with the area health organization declaring it a public health emergency. The global impacts of the coronavirus ailment 2019 (COVID-19) are already turning out to be felt, and may greatly have an effect on the Healthcare Claims management market in 2020.

Healthcare Claims administration Market phase by way of class, covers are:

IntegratedStandalone

Healthcare Claims administration Market segment through software can be divided into:

Healthcare PayersProviders

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Regional Healthcare Claims management Market (Regional Output, Demand & Forecast by using countries):-North the usa (u.s., Canada, Mexico)South the united states ( Brazil, Argentina, Ecuador, Chile)Asia Pacific (China, Japan, India, Korea)Europe (Germany, UK, France, Italy)center East Africa (Egypt, Turkey, Saudi Arabia, Iran) And more.

The Healthcare Claims administration Market record is aimed at

  • the important thing drivers, restraints, and challenges that are anticipated to form the international Healthcare Claims management Market are coated in element within the document.
  • the important thing applied sciences which may have an have an impact on on the world Healthcare Claims administration Market were coated in element.
  • the important thing developments which are anticipated to force the higher use of Healthcare Claims administration are mentioned in certain.
  • The Porter's five Forces and the PEST evaluation of the world Healthcare Claims administration Market were covered in the file.
  • The excessive boom markets had been identified in the possibility evaluation Chapter.
  • The market has been forecasted from 2021- 2028 seeing that all the elements, which might be expected to influence the market.
  • The state of affairs analysis Chapter covers the key situations and their impacts on the forecast chapter.
  • access full document Description, TOC, desk of determine, Chart, and so forth. @ https://www.reportsinsights.com/industry-forecast/us-healthcare-claims-administration-trade-market-415031

    The record is beneficial in offering solutions to a few important questions which are crucial for the business stakeholders comparable to producers and partners, conclusion clients, and so on., besides permitting them in strategizing investments and capitalizing on market opportunities.

    explanations to buy This document

  • the new players in the world Healthcare Claims management Market and the skills entrants into this market can use this report to consider the important thing market developments which are expected to shape the market within the following couple of years.
  • The Market evaluation Chapter covers the key Drivers, Restraints, and Challenges of the Healthcare Claims management Market. The PEST and Porter's 5 forces are covered in element in this report.
  • the key applied sciences that could influence the world Healthcare Claims administration Market were coated in element.
  • The record can be used by way of the sales and marketing team to formulate their medium- and lengthy-term concepts and to reconfirm their brief-term plans.
  • The document would assist the income and the marketing team to consider the key segments throughout the properly fifteen countries which were analyzed in the file.
  • The opportunity analysis chapter identifies the important thing sizzling spots within the international Healthcare Claims administration Market.
  • The enterprise profiles include financials, latest information, and SWOT analysis for ten agencies.
  • anyway, the market look at affirms the leading players global within the world Healthcare Claims management market. Their key advertising concepts and advertising innovations had been highlighted to offer a transparent realizing of the international Healthcare Claims management market.

    About US:

    studies Insights is the leading analysis industry that offers contextual and statistics-centric analysis features to its purchasers throughout the globe. The enterprise assists its valued clientele to strategize company policies and accomplish sustainable boom of their respective market area. The trade provides consulting services, syndicated analysis experiences, and customised analysis reports.

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    COMTEX_387835071/2599/2021-06-04T08:01:forty five

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