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Format | CPHQ Course Contents | CPHQ Course Outline | CPHQ test
Syllabus | CPHQ test
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
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 real events)
b. sentinel/unexpected event review (e.g., never events)
c. root cause analysis
d. failure mode and effects analysis
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evidence shows that prescription drug monitoring classes are among the many most recommended risk-mitigation equipment for prescribing controlled materials. Their extensive use has to be standardized.
Like different training ache management clinicians, the querying and review of my state’s prescription drug monitoring program (PDMP) is a conventional motion. As an early adopter of PDMPs, I recollect when they had to ship a written request to their state and wait weeks for the outcomes to reach. Now, with actual-time online entry, the facts has not ever been less demanding to retrieve.
whereas possibility-reduction equipment have varying assist, all stakeholders have embraced PDMPs as an important element of mitigating harms associated with controlled components (iStock).
PDMP as a preferred risk-Mitigation tool
As a key part of patient defense, conducting a radical assessment of possibility is standard, and the records contained within the PDMP can support prescribers in making a choice on areas of huge concern. even if the PDMP file suggests “medical professional looking,” exhibits non-disclosed prescriptions carrying gigantic drug-drug interactions, or reaffirms the patient’s stated medicine record, having access to this advice should still result in a extra counseled and considerate surgeon. it is for these causes that the widespread implementation and expectation that PDMPs may still be a part of hobbies scientific practice have turn into commonplace.
while different chance-discount equipment have varying support, it appears that truly all stakeholders – including medical, regulatory, legislative, and legislation enforcement businesses – have universally embraced PDMPs as a vital part of mitigating the harms associated with controlled components.
From a scientific perspective, I have regarded the records from the PDMP in a similar way as approaching different clinically important diagnostic outcomes, akin to a patient’s answers to a screening risk questionnaire or findings from a urine drug verify. whereas all of those tools help to ebook scientific decision-making, it's important to remember the context of the particular person affected person. There is no single pre-determined strategy with a view to apply to all patients in all settings. When ordering diagnostic tests, generally, the medical necessity helping the examine is regarding the connection between the consequences and a subsequent clinically valuable motion.
The Challenges of Monitoring controlled resources
the trouble to monitor controlled substances in the US can traced back to the Harrison Narcotics Tax Act of 1914, which regulated opium and coca products.1 despite the fact big apple began to video display prescription-managed components that year, the application led to 1917. contemporary monitoring all started in earnest in 1939 with the California Triplicate Prescription program, run by means of the Bureau of Narcotic Enforcement beneath the California branch of Justice. The California software grew to become the mannequin for a lot of states, and at present, all 50 states, the District of Columbia, Guam, and Puerto Rico have PDMPs. although California’s software is still under legislation enforcement, most regional PDMPs are managed by means of the state’s administrative scientific or pharmacy departments.
One certain problem with PDMP use is a lack of evidence-primarily based figuring out – it really is, what assistance in the PDMP requires motion, and what movements are anticipated to be within the health pastime of the patient while additionally protecting a clinician’s skilled specifications?
The interpretation of every clinical examine has a sensitivity and specificity, highlighting the reality of capabilities false positives and false negatives. in comparison to different possibility-assessment options for managed resources, PDMPs are diverse in two key techniques:
it's unclear for a person patient what the sensitivity and specificity of querying a PDMP may well be.
in many settings, the decision-making related to which sufferers should have their PDMP consulted has transitioned out of resolution with the aid of healthcare gurus and changed by means of legal mandates.
hence, when reviewing PDMP results, it remains unknown what constitutes a clinically significant “fantastic” or “poor.” Screening instruments such because the Opioid risk tool have been validated with sensitivity and specificity statistics supported by clinical studies.2 other possibility mitigation processes, such as urine drug monitoring, have clinical follow guidelines to assist clinicians in their use.3
Many regions across the country have made the scientific use of PDMPs legally required and, because of this, facts has stated subsequent diminished prescribing.4 What is still doubtful is the precise influence of increased PDMP use on affected person care or how its guidance reduces managed substance-linked harms.
deciphering PDMP information
For an individual patient, it is intricate to interpret the raw facts received from a PDMP without an realizing of the scientific context, although, the vast medical influences of PDMPs have been suggested in plenty of approaches. In Florida, prescribers pronounced greater consolation in prescribing, and in Ohio, emergency branch providers indicated that the PDMP consequences modified their scientific management in 41% of situations, with sixty one% prescribing fewer opioids and 39% prescribing more.5,6
Kentucky and Florida, as well as other states, witnessed decreases in opioid prescribing with the implementation of PDMPs.7 Of brilliant interest is the have an effect on PDMP implementation has on critical opioid-related harms, especially opioid-connected overdose deaths. In a systematic assessment, Puac-Polanco et al, mentioned that PDMPs “were associated with reductions in prescribing behaviors, diversion consequences, medical institution admissions, substance-use issues, and mortality quotes.”8 In an extra systematic assessment, Fink et al, the conclusions had been that the “[e]vidence that PDMP implementation both increases or decreases nonfatal or fatal overdoses is largely insufficient.”9 They additional mention that there became some facts in their overview that using PDMP can also be linked to unintended penalties.
on the time of this writing, besides the fact that children, there are no clinical follow instructions that help the healthcare professionals in PDMP interpretation.
See also, the emergence of low abuse legal responsibility opioids.
one of the important aims of healthcare authorities is primum non nocere, or “first, do no damage.” With the colossal-scale aid of PDMPs and indicators suggesting that implementation of PDMPs does affect patient care, it's indispensable that the benefits and harms of this medical device be both more advantageous understood and highest quality practices developed. With most excellent practices, PDMPs will also be extra optimally utilized on the appropriate time, for the correct affected person, and yield the right effect.
remaining up to date on: January 5, 2022
superior apply matters with Theresa & Jeremy: COVID, ache, and vigour
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