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Exam Code:	CPHQ
Exam Name:	Certified Professional in Healthcare Quality Examination
Certification Provider:	NAHQ
Free Question Number:	327
Version:	v2025-10-24
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# of views:	209
# of Questions views:	12380
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Recent Comments (The most recent comments are at the top.)

Juan Carlos - Nov 09, 2025

No.# The primary regulatory agency responsible for the development and oversight of electronic clinical quality measures (eCQMs) is the Centers for Medicare & Medicaid Services (CMS)

Juan Carlos - Nov 09, 2025

No.# The correct answer is C where both x and y go up.That's a positive correlation.

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Exam Question List: Question 1: A root cause analysis (RCA) was conducted for an event relat...; Question 2: A patient sustained a skull fracture as a result of an attac...; Question 3: A quality professional is leading a team that was recently f...; Question 4: A performance improvement team is looking at data from simil...; Question 5: Which of the following is a social determinant of health?...; Question 6: When developing objectives for an educational program, the q...; Question 7: In reviewing information offered by the Agency for Healthcar...; Question 8: Which of the following actions demonstrate an organization w...; Question 9: A hospital installed a new patient safety event reportingsys...; Question 10: A key concept in patient safety planning is to design proced...; Question 11: The quality director would like to prepare the team for the ...; Question 12: Which of the following is true regarding critical values?...; Question 13: The most important determinant of quality improvement succes...; Question 14: A hospital Is anticipating an accreditation survey In the ne...; Question 15: An effective meeting requires which of the following?...; Question 16: A quality professional is creating a training session for cl...; Question 17: After a sentinel event, a root cause analysis (RCA) is perfo...; Question 18: Population health care management programs are designed to...; Question 19: An organization that demonstrates a culture of safety...; Question 20: Based on the chart below, which of the following should bead...; Question 21: Data for an organization's annual Influenza vaccine administ...; Question 22: Care that does not vary in quality because of gender, ethnic...; Question 23: An orthopedic surgery practice has been working on Improving...; Question 24: Benchmark is a term used to describe...; Question 25: What tool displays performance outside of expected values to...; Question 26: To maintain continuity, let's assume a question aligned with...; Question 27: Which of the following interventions has the greatest potent...; Question 28: A quality improvement professional believes that their MRSA ...; Question 29: An organization has implemented a quality improvement projec...; Question 30: A healthcare quality professional has been asked to evaluate...; Question 31: A healthcare organization had three medication incidents ass...; Question 32: The purpose of patient safety goals is to...; Question 33: Organizations with a positive safety culture are best charac...; Question 34: In an aging population, one of the challenges associated wit...; Question 35: To gauge community perceptions regarding a hospital's respon...; Question 36: Which performance improvement tool best evaluates care proce...; Question 37: The primary reason to use a critical path is to...; Question 38: A quality professional within a seven-hospital system is ask...; Question 39: Which initiative should a quality professional promote in an...; Question 40: After much planning and preparation, a healthcare quality pr...; Question 41: An ambulatory care practice has reviewed data to identify pa...; Question 42: The following data are known: Which ofthe following accurate...; Question 43: An organization has Implemented a quality improvement projec...; Question 44: An organization with a focus on population health may use da...; Question 45: Which of the following is the best way to evaluate the succe...; Question 46: Anemergency department's quality improvement report for the ...; Question 47: Which of the following is most important to include in a pro...; Question 48: During analysis of patient falls, a quality professional not...; Question 49: Complaint analysis is most useful in identifying which of th...; Question 50: Which of the following is the most effective way to promote ...; Question 51: Leadership at an outpatient multi-specialty clinic is workin...; Question 52: An organization has a goal to increase profitability of serv...; Question 53: Which of the following is a healthcare quality professional'...; Question 54: When reviewing the outcome measures of five regional psychia...; Question 55: Annual evaluation of a quality Improvement process must...; Question 56: Data from an incident reporting system compares incident rat...; Question 57: A healthcare quality professional led a process improvement ...; Question 58: The data below shows 30-day readmission rates for heart fail...; Question 59: A focused professional practice evaluation (FPPE) Is Initiat...; Question 60: A study was performed to compare quality outcomes between ca...; Question 61: Physician and nursing director compensation for a busy emerg...; Question 62: During the course of a root cause analysis, the team found t...; Question 63: A multi-disciplinary team meets with the goal of reducing In...; Question 64: A quality Improvement team has Identified specific changes t...; Question 65: During a risk assessment, It Is noted that a unit manager an...; Question 66: Which of the following is most effective to sustain knowledg...; Question 67: Secondary prevention Is Primarily Intended to...; Question 68: Medication reconciliation Is described as...; Question 69: The ultimate responsibility for ensuring and maintaining pat...; Question 70: Several leaders in a healthcare facility have differing opin...; Question 71: A department analyzed Its process for distributing paychecks...; Question 72: A physician's profile shows a 4% readmission rate following ...; Question 73: An initial step to address health disparities within a popul...; Question 74: An organization should establish a cross-functional quality ...; Question 75: In aligning an organization's performance Improvement plan w...; Question 76: While auditing a medical chart for breast cancer screening c...; Question 77: Which of the following technology enhancements will help the...; Question 78: A health system is designing a new wellness program and want...; Question 79: Which of the following is the best example of mistake-proofi...; Question 80: During a recent code blue situation at an organization, ther...; Question 81: Which of the following best represents an "unsafe condition"...; Question 82: Which of the following tools would be used to outline factor...; Question 83: An electronic medical records system was implemented in a de...; Question 84: An outbreak of measles in a school district resulted in 58 c...; Question 85: The median is defined as the; Question 86: An increased number of outpatient surgery patients present t...; Question 87: An organization's nursing units report the following needles...; Question 88: A local health center is launching a community health assess...; Question 89: A healthcare quality professional Is facilitating the establ...; Question 90: Using clinical guidelines based on scientific evidence will ...; Question 91: Which of the following Is the best example of effective lear...; Question 92: Which of the following is the best tool to report process im...; Question 93: Practice guidelines should be based on...; Question 94: A consistent and effective communication plan for a process ...; Question 95: A surgeon has a surgical site infection rate of 6.7% for a p...; Question 96: Which of the following demonstrates interrater reliability a...; Question 97: Which of the following is one purpose of clinical pathways?...; Question 98: A Pharmacy and Therapeutics Committee has reviewed the follo...; Question 99: Which of the following Is an essential step in the strategic...; Question 100: Senior leaders of a managed care organization have consulted...; Question 101: Over the past 2 months, a trend has been detected in medicat...; Question 102: When analyzing nominal data, the quality professional uses a...; Question 103: The quality improvement program is effective when the organi...; Question 104: Which of the following is the best example of a non-value ad...; Question 105: An organization decides to transition from a departmental qu...; Question 106: A provider's Ongoing Professional Practice Evaluation (OPPE)...; Question 107: What is the primary purpose of a balanced scorecard?...; Question 108: In a regression analysis, which of the following is the best...; 1 commentQuestion 109: A positive correlation is seen in a scatter diagram when...; Question 110: Key stakeholders for process improvement are selected during...; Question 111: A hospital's quality professional notices a high 30-day read...; Question 112: An organization has compiled the scatter plots below: (Exhib...; Question 113: Using the data below, which issue would be identified as a p...; Question 114: The primary objective of the project charter is to...; Question 115: Ahospital has been experiencing a significant Increase in th...; Question 116: The main goal of a clinical pathway/guideline Is lo...; Question 117: A customer complains to the health care quality professional...; Question 118: Which of the following actions target social determinants of...; Question 119: An interdisciplinary learn met to review readmission rates a...; Question 120: X quality professional is reviewing medication adherence dat...; Question 121: A quality professional needs to select a new project from a ...; Question 122: Which of the following identifies project deliverables as we...; Question 123: Priorities must be established for selecting processes for q...; Question 124: The consensus-building group of diverse stakeholders who rev...; Question 125: Patient complaints have been received regarding appointment ...; Question 126: The initial step in clinical pathway development is review o...; Question 127: Which of the following payment systems carries the most fina...; Question 128: An organization recently lost its deemed status due to non-c...; Question 129: A healthcare system has multiple medical clinics across a la...; Question 130: Which initiative should a quality professional promote in an...; Question 131: A risk manager comes to thequality improvement (QI) professi...; Question 132: Which of the following elements of an audit for a primary ca...; Question 133: Based on the data below, which unit should the quality Impro...; Question 134: Members of a performance improvement team voice complaints a...; Question 135: To best achieve a low rate of harm in spite of inherent risk...; Question 136: Which of the following statements most accurately describes ...; Question 137: The quality Improvement (Ql) specialist recognizes that any ...; Question 138: Which of the following approaches to training for a new qual...; Question 139: Which of the following is most important for healthcare orga...; Question 140: A quality professional Is the leader of a team in the stormi...; Question 141: Which of the following best describes the goal of the Health...; Question 142: A facility Is reviewing their quality program for compliance...; Question 143: A home healthcare organization is looking to identify third-...; Question 144: When recommending a quality improvement project, the quality...; Question 145: Identification of quality Improvement opportunities can best...; Question 146: Which of the following is an example of collaboration for op...; Question 147: A long-term care facility Is Interested in analyzing data to...; Question 148: Which of the following is the key responsibility of a health...; Question 149: A hospital received 50 Incident reports describing falls tha...; Question 150: A physician, who is not a member of the peer review committe...; Question 151: A healthcare organization has recently launched a diabetes c...; Question 152: A healthcare quality professional can conclude that clinical...; Question 153: Which of the following actions will most effectively promote...; Question 154: An organization notices an Increase In medication errors In ...; Question 155: Which of the following actions best illustrates an organizat...; Question 156: The chart below reflects the 12-week period following implem...; Question 157: Which of the following is essential for effective functionin...; Question 158: The following hospital Medicare readmission findings are ava...; Question 159: A hospital wants to place increased emphasis on risk adjustm...; Question 160: A surgeon left a sponge in one patient, resulting in a multi...; Question 161: During development of a clinical pathway, a quality professi...; Question 162: After in-depth data analysis, there is evidence of overutili...; Question 163: A provider's Ongoing Professional Practice Evaluation (OPPE)...; Question 164: In recent months, the amount of time It takes for Insurance ...; Question 165: Which of the following tools depicts a sequence of events in...; Question 166: An organization is implementing a palliative care unit. As p...; 1 commentQuestion 167: Which of the following regulatory agencies overseedevelopmen...; Question 168: Choosing a small number of items to represent characteristic...; Question 169: A director at a large health system is tasked with building ...; Question 170: During which phase of DMAIC does the quality manager decide ...; Question 171: The preferred culture in promoting patient safety...; Question 172: A team wants to select a group of patients to measure satisf...; Question 173: The benefits of performing a community health assessment inc...; Question 174: A continuous survey readiness program requires which of the ...; Question 175: A nursing director for a unit in a cancer hospital Is review...; Question 176: The office manager of a primary careoffice reviewed the perf...; Question 177: An internal customer of the admission process in a skilled n...; Question 178: A team has been working together for six months to improve a...; Question 179: A pulmonologist is gathering social determinants of health d...; Question 180: To determine the success of a transfusion quality improvemen...; Question 181: Before patient outcome data can be used for benchmarking, th...; Question 182: A strategy to address social determinants of health would be...; Question 183: Education sessions were held to improve bar code medication ...; Question 184: Based on the chart below, implementing which of the followin...; Question 185: A Rapid Process Improvement Team began a new process on Janu...; Question 186: The purpose of considering social determinants of health dur...; Question 187: Recognition of the formal and informal structure of an organ...; Question 188: Which of the following is a social determinant of health?...; Question 189: Which of the following best describes how a quality professi...; Question 190: Leadership is trying to set SMART goals as part of the annua...; Question 191: The health quality professional recognizes that which of the...; Question 192: Which of the following strategies promotes timely completion...; Question 193: To assist a primary care physician to improve their performa...; Question 194: A 300-bed healthcare organization has decided to apply for a...; Question 195: The most important component of a successful performance imp...; Question 196: Which of the following is an example of a social determinant...; Question 197: The collection, analysis, and Interpretation of data for pla...; Question 198: Over the past 2 months, a trend has been detected in medicat...; Question 199: A pulmonologist is gathering social determinants of health d...; Question 200: Prior to the implementation of a new electronic health recor...; Question 201: A performance improvement coordinator is having difficulty k...; Question 202: Reviewing organizational priorities, addressing regulatory r...; Question 203: A chart used to display the expected range of variation in a...; Question 204: Which of the following is the best disease management approa...; Question 205: Which of the following tools aids decision-making through or...; Question 206: Which of the following is the quality professional's first s...; Question 207: A recent Journal article has Identified three new patient sa...; Question 208: A nurse working a second overtime shift accidentally adminis...; Question 209: A provider requests to see the peer review file on another p...; Question 210: Analysis of the following wound infection rate control chart...; Question 211: Which of the following leads to better population health man...; Question 212: Ongoing practitioner practice evaluation (OPPE) Is used for ...; Question 213: A Lean improvement concept that represents rapid improvement...; Question 214: Following evaluation of the compounding process used by a ph...; Question 215: Which of the following characteristics are most appropriate ...; Question 216: The quality improvement (QI) specialist recognizes that any ...; Question 217: A quality professional was asked to assist with strategic pl...; Question 218: The design of a piece of equipment contributes to an error. ...; Question 219: Which of the following recommendations best supports effecti...; Question 220: Which of the following is an example of active surveillance?...; Question 221: Which of the following technology enhancements will help the...; Question 222: The quality manager needs to identify a set of process measu...; Question 223: When allocating limited resources to meet strategic objectiv...; Question 224: An example of a clinical care process measure is:...; Question 225: Which of the following should the team do next?...; Question 226: A health system successfully recruited patients to participa...; Question 227: Which of the following Is the best approach to prepare care ...; Question 228: An organization IsImplementing a new electronic medical reco...; Question 229: Team effectiveness can best be evaluated by...; Question 230: A quality improvement team has been trained on writing SMART...; Question 231: Which of the following is the best example of applying cultu...; Question 232: A newpediatric psychiatric unit will open in one year. The u...; Question 233: Which of the following is the best example of population hea...; Question 234: A performance improvement team has been examining delays in ...; Question 235: A hospital's leadership team has asked the quality professio...; Question 236: Which of the following Is an example of active surveillance?...; Question 237: An organization wants to promote Six Sigma across its enterp...; Question 238: Which tool is used to identify, explore, and display the pos...; Question 239: Which of the following is an example of a structural measure...; Question 240: An ambulatory pulmonary division is in the final phase of a ...; Question 241: When reporting infection control indicators to a governing b...; Question 242: A physician challenges the number of healthcare-acquired inf...; Question 243: Cold-spotting involves identifying populations that...; Question 244: Leadership at a facility reviewed andrevised business proces...; Question 245: Which of the following is the most proactive approach to qua...; Question 246: Which of the following organizations is a deemed status prov...; Question 247: A home health agency's Performance Improvement Committee has...; Question 248: A patient safety manager provided training on hand hygiene g...; Question 249: Which of the following is an example of addressing a social ...; Question 250: A performance Improvement team has been meeting to examine d...; Question 251: The performance improvement team developed a prioritization ...; Question 252: A healthcare quality professional identifies a statistically...; Question 253: A department manager wants to improve customer service. In o...; Question 254: Which of the following actions will best promote organizatio...; Question 255: Which of the following is true of a clinical pathway?...; Question 256: A hospital has just implemented a physician order entry syst...; Question 257: When working with a new qualityImprovement team, the quality...; Question 258: Which of the following is a key component in establishing a ...; Question 259: In an improvement project to improve clinic flow, a spaghett...; Question 260: A Pareto chart can be used to; Question 261: A hospital quality team notices there is an increased number...; Question 262: A team using the PDSA process is at the Study phase of the p...; Question 263: A healthcare quality professional Is assisting an organizati...; Question 264: When compared to the scientific method, which of the followi...; Question 265: Which of the following is the strongest intervention for pre...; Question 266: An organization Is tracking Infection rates to determine the...; Question 267: When prioritizing quality improvement initiatives, which of ...; Question 268: A quality professional's key role in a performance improveme...; Question 269: A national health plan has recently acquired a local health ...; Question 270: An organization has established an ambulatory diabetic manag...; Question 271: When implementing a new process or procedure, which of the f...; Question 272: The degree to which an instrument measures what it is intend...; Question 273: The staff in the outpatient department complete the morning ...; Question 274: A Quality Council has received the following requests for es...; Question 275: Who is responsible for aligning resources and ensuring accou...; Question 276: A researcher decides to look at every fourth patient admitte...; Question 277: A goal of measurement is to collect valid and reliable data ...; Question 278: An employee health program includes a pre-employment health ...; Question 279: A skilled nursing facility has implemented a process to addr...; Question 280: Four surgical centers formed a collaboration to reduce post-...; Question 281: Which of the following approaches best allows an agency to a...; Question 282: In addition to being a good communicator, an essentialcharac...; Question 283: Which of the following is a primary intervention for type 2 ...; Question 284: A root cause analysts (RCA) was conducted tor an event relat...; Question 285: A CEO and chief nursing officer have requested a new quality...; Question 286: Which of the following is a privacy breach according to HIPA...; Question 287: A healthcare quality professional is looking at a control ch...; Question 288: An interdisciplinary team met to review readmission rates at...; Question 289: Leadership at an outpatient multi-specialty clinic Is workin...; Question 290: A rapid cycle model for improvement derived from the Deming ...; Question 291: Accountability for quality ultimately rests with the...; Question 292: Which of the following would be the best methodology to redu...; Question 293: The most important determinant of quality improvement succes...; Question 294: The upper and lower limits on a control chart are:...; Question 295: Risk management identified claims for events that were not r...; Question 296: A healthcare organization has two years of data on infection...; Question 297: Which of the following measures would best evaluate the heal...; Question 298: A healthcare quality analyst compiles and analyzes data to f...; Question 299: An improvement team is presented with the following informat...; Question 300: The control chart above indicates which of the following? (E...; Question 301: A quality professional is leading a rapid process improvemen...; Question 302: Multi-voting Is frequently used in which of the following st...; Question 303: Which of the following is most relevant to addressing social...; Question 304: Which of the following best describes the purpose of the nom...; Question 305: Which of the following data sources can be used to assess a ...; Question 306: A quality improvement coordinator is asked to develop a trai...; Question 307: An organization Is looking for a creative approach at Improv...; Question 308: The strategic plan for an organization calls for expansion o...; Question 309: A patient safety program can best be enhanced by which of th...; Question 310: Which of the following is an important characteristic of a p...; Question 311: A CEO has directed a quality improvement council to develop ...; Question 312: Establishing a culture of safety begins with having the righ...; Question 313: Where in the process of ensuring correct surgery does a "tim...; Question 314: Infection control risk assessments are performed to...; Question 315: Which of the following represents a medicallyunderserved pop...; Question 316: Survey preparation is initiated by a quality professional fo...; Question 317: A healthcare quality Improvement team is working on an actio...; Question 318: A clinic is implementing a new medication dispensing system....; Question 319: Which tool would be best suited to sequence interventions wi...; Question 320: Even when appropriate processes are in place, errors can occ...; Question 321: Refer to the below medication administration audit: Patient ...; Question 322: An organization is shifting paradigms from top-down leadersh...; Question 323: Prior to discharge, which of the following provides patient ...; Question 324: Which of the following tools is most useful for an organizat...; Question 325: Which of the following is the best strategy to increase a co...; Question 326: A healthcare quality professional receives complaints from n...; Question 327: Six months after implementing a new cardiac rehabilitation p...

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