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ASHRM CPHRM Exam Syllabus Topics:

TopicDetails
Topic 1
  • Legal and Regulatory: This domain focuses on ensuring compliance with healthcare laws and regulations, protecting patient information, managing reporting requirements, and supporting accreditation and regulatory responses.
Topic 2
  • Claims and Litigation: This domain focuses on handling potential claims and legal cases, including claim reporting, litigation support, legal documentation management, and analyzing claims data to understand risk exposure.
Topic 3
  • Clinical
  • Patient Safety: This domain focuses on improving patient safety by promoting a safety culture, managing incident reporting, educating staff and patients, addressing ethical concerns, and implementing corrective actions to reduce risks and prevent harm.
Topic 4
  • Healthcare Operations: This domain involves managing operational risk activities such as conducting risk assessments, developing policies, coordinating risk programs, supervising staff, and supporting patient safety initiatives.
Topic 5
  • Risk Financing: This domain covers managing financial risks through insurance programs, claims coordination, loss analysis, and developing strategies to reduce financial exposure.

ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q63-Q68):

NEW QUESTION # 63
What are risk treatment strategies?

Answer: C

Explanation:
Core risk treatment strategies includeavoidance(stop the activity),reduction/mitigation(controls that reduce likelihood/severity),retention(accept risk within appetite and fund losses via reserves/self-insurance), and transfer(contracts/insurance shifting financial consequences). In healthcare, the highest priority is often mitigation for patient safety risks (standardization, technology, training), with financing mechanisms ensuring the organization can absorb residual loss without destabilizing operations. ERM aligns these strategies to enterprise objectives so leadership invests in the best mix of prevention and financing.


NEW QUESTION # 64
Ultimately, the accountability for the risk management program belongs to:

Answer: A

Explanation:
Boards are ultimately accountable for oversight of organizational risk, including patient safety, quality, compliance, and financial sustainability. While executives and risk leaders manage day-to-day operations, board governance sets expectations, ensures resources, monitors performance, and holds leadership accountable for corrective action. Risk management objectives at the governance level include approving risk appetite, reviewing top enterprise risks, ensuring systems exist for event reporting and learning, and verifying that mitigation plans are implemented and effective. In litigation and regulatory scrutiny, board oversight can be a critical factor: a board that demands transparency, tracks harm signals, and supports safety investment strengthens the organization's defensibility and reduces preventable harm.


NEW QUESTION # 65
According to Joint Commission findings, what is a primary cause of wrong-site surgery?

Answer: A

Explanation:
Wrong-site surgery is a high-severity, preventable event. Joint Commission analyses repeatedly identify communication failuresas a leading root cause-breakdowns in scheduling, consent/site verification, handoffs, and intraoperative confirmation. Risk management objectives therefore emphasize standardized verification systems: correct patient/procedure/site documentation, pre-op verification, surgical site marking, and a robust time-out performed with full team engagement. Communication failures can include ambiguous documentation, incorrect or incomplete handoff information, and hierarchy barriers that prevent speaking up.
Improving communication reduces reliance on memory and individual vigilance and increases system reliability. In addition, organizations must audit compliance, address workarounds, and strengthen team empowerment so any member can stop the line if a mismatch is detected.


NEW QUESTION # 66
When considering the proper insurance to purchase for an organization and its practitioners, a risk manager should understand which of the following about specific types of coverage?

Answer: A

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, occurrence coverage provides protection for incidents that occur during the policy period, regardless of when the claim is reported. The triggering event is the date of the occurrence. As long as the alleged act or omission took place while the policy was in force, coverage applies even if the claim is filed years later.
Option A is incorrect because occurrence coverage does not extend to incidents that occur prior to the policy's effective date. Coverage is strictly tied to the policy period.
Option C is incorrect because in claims-made coverage, the retroactive date is critical. Coverage applies only to claims made during the policy period for incidents that occurred on or after the retroactive date.
Option D is incorrect because the "nose" period, also known as prior acts coverage, is highly significant in claims-made policies. It determines whether earlier acts are covered when switching carriers.
Risk financing objectives emphasize understanding policy triggers, retroactive dates, and reporting requirements. Therefore, occurrence coverage applies to incidents that occur while the policy is in effect.


NEW QUESTION # 67
Which of the following are essential elements of a standard loss run?

Answer: D

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, a standard loss run is a report generated by an insurer or third-party administrator summarizing claims activity for a specific period. Loss runs are critical tools in risk financing, underwriting review, actuarial analysis, and budgeting for self-insured retentions.
Essential elements of a standard loss run include the date of loss, indemnity payments, and expense payments.
Indemnity reflects amounts paid or reserved for compensation to claimants, while expense represents allocated loss adjustment expenses such as defense costs, expert witness fees, and investigation costs. These data elements allow the organization to evaluate financial exposure, trends in claim development, and adequacy of reserves.
While frequency and severity are important analytical concepts derived from loss data, they are not typically listed as standalone fields within the basic loss run report. Legal analysis, case law references, and root cause analyses are not standard components of loss run documentation.
Risk financing objectives emphasize accurate tracking of financial exposure and informed forecasting.
Therefore, date, expense, and indemnity are essential elements of a standard loss run report.


NEW QUESTION # 68
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