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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q103-Q108):
NEW QUESTION # 103
Which of the following concerns meets the CMS Hospital Conditions of Participation 42 CFR §482.12 classification as a grievance?
- A. a verbal complaint that cannot be solved by current staff, and the resolution of which is postponed for later
- B. a patient calling regarding a billing issue requesting for adjustment to the charges
- C. post-hospital verbal communication regarding a care issue that could have been handled by the staff during visit but was not reported
- D. information obtained with a patient satisfaction survey
Answer: A
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, the CMS Hospital Conditions of Participation define a grievance as a formal or informal written or verbal complaint made by a patient or representative regarding care, abuse, neglect, compliance with regulations, or patient rights that is not resolved at the time of the complaint by staff present.
A verbal complaint that cannot be resolved immediately by current staff and whose resolution is postponed qualifies as a grievance under 42 CFR §482.12. Such grievances require formal investigation, documentation, and written response within established timeframes.
Billing issues generally fall outside the grievance definition unless they involve quality of care or patient rights concerns. Information from patient satisfaction surveys is not automatically classified as a grievance unless the patient specifically requests investigation or follow-up. Post-discharge verbal concerns may constitute grievances depending on context, but the key CMS criterion is whether the complaint could not be resolved at the time it was expressed.
Legal and regulatory objectives emphasize proper classification, timely response, documentation, and board oversight of grievance processes. Therefore, a verbal complaint that cannot be resolved immediately and is deferred meets CMS grievance criteria.
NEW QUESTION # 104
According to The Joint Commission, which of the following should be done to patient-owned electrical devices entering the facility?
- A. conduct an electrical safety inspection
- B. inventory with patient belongings
- C. sequester the electrical device
- D. tag by biomedical engineering
Answer: A
NEW QUESTION # 105
Protecting outdoor air intakes can mitigate the risk of terrorists introducing airborne agents. Steps include:
- A. Reduce HVAC maintenance
- B. Relocate intakes higher; establish a security zone; add lighting and surveillance
- C. Put a "No trespassing" sign only
- D. Paint the intake vents a different color
Answer: B
Explanation:
Air intake protection is a facility security and safety engineering control to reduce vulnerability to intentional contamination. Elevating intakes reduces easy access; security zones create stand-off distance; lighting and surveillance deter and improve detection. Risk management objectives emphasize layered physical security:
access control, environmental design, monitoring, and emergency response planning. In healthcare operations, these measures support resilience and continuity of care, reducing risk of mass exposure events that can overwhelm clinical capacity and cause severe harm.
NEW QUESTION # 106
Root Cause Analyses most often reveal that mistakes are a result of:
- A. Random chance with no patterns
- B. A series of small events and system flaws aligning
- C. A single reckless person in most cases
- D. Only equipment malfunction
Answer: B
Explanation:
RCA and systems safety models (e.g., Swiss Cheese) emphasize that adverse events typically requiremultiple contributing factors-small process breakdowns, latent conditions, and active failures-to align. This is why focusing only on the last person who touched the patient ("sharp end blame") rarely prevents recurrence. Risk management objectives are to identify and strengthen defenses: policies, training, equipment design, staffing models, communication standards, and redundancy where needed. A series-of-events understanding enables targeted corrective actions (forcing functions, standardization, automation with safeguards, independent double checks for high-alert processes). It also supports just culture: accountability is preserved for reckless behavior, but most improvement comes from redesigning systems that make errors more likely. This approach improves reliability, reduces repeat harm, and provides defensible evidence of organizational learning and corrective action.
NEW QUESTION # 107
Aside from clinical risk exposures, which of the following should be evaluated as part of a risk assessment concerning telemedicine?
- A. operational
- B. financial
- C. behavioral
- D. public awareness
Answer: A
Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, telemedicine risk assessment must extend beyond clinical quality of care to include operational risks. Operational considerations encompass technology infrastructure reliability, cybersecurity protections, credentialing and privileging of providers across state lines, licensing compliance, documentation workflows, data storage, and continuity planning for system outages.
Telemedicine platforms rely heavily on secure networks, interoperability with electronic health records, and protection of protected health information. Operational failures such as system downtime, inadequate bandwidth, or insufficient training can disrupt care delivery and increase liability exposure. Additionally, compliance with regulatory requirements regarding interstate practice and reimbursement policies falls within operational risk management.
Behavioral and public awareness considerations may influence patient engagement but are not primary risk assessment categories. Financial risks are relevant in enterprise risk management; however, the question specifically contrasts clinical risk exposures with other telemedicine-related risks, making operational risk the most directly applicable.
Health Care Operations objectives emphasize comprehensive evaluation of technological, regulatory, and workflow factors in emerging service models. Therefore, operational risks should be evaluated alongside clinical exposures when assessing telemedicine programs.
NEW QUESTION # 108
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