CPHRM Course: Healthcare Operation

Which of the following best describes the role of a risk manager in healthcare operations?

Which element is most indicative of enterprise risk management?

Why is organizational commitment and support essential for a Risk Management Program (RMP)?

Why is regularly updating a risk management plan important for healthcare organizations?

What is the primary reason for having accurate and comprehensive job descriptions for risk management staff?

Which activity is essential when managing risk within a healthcare organization?

Which of the following can evaluate RM program effectiveness?

What is the purpose of risk reduction strategies in a Risk Management Program?

Which of the following is a key attribute of a successful Risk Management Program?

Which element falls under the scope of a Risk Management Program?

Which risk is an example of patient care-related risk?

Which of the following exemplifies a risk associated with medical staff?

What is the primary focus of managing employee-related risks in healthcare?

What is the main goal of including 'essential functions' in business continuity risks?

What is the legal duty for healthcare trustees?

What is the meaning of 'duty of care'?

What signifies the liability concern for board members as it relates to 'corporate' actions?

How does the Risk Manager aid the board?

What is the first step in a Risk Management Program, regarding risk exposure?

Which factor helps an organization select an appropriate Risk Management Program?

A healthcare system experiences frequent data breaches that expose patient information. Which type of ERM risk is most directly highlighted by this situation?

What characterizes 'high-volume' events when identifying and analyzing loss exposure?

What is the purpose of incident reporting?

How does 'occurrence reporting' differ from 'occurrence screening'?

When prioritizing assessed risks, what should an initial risk analysis provide?

A hospital decides to close its pediatric unit due to financial constraints, transferring all pediatric patients to a nearby hospital. Which risk management technique is being applied?

What is the objective when a hospital implements & monitors?

What is the purpose of well-written guidelines for managing risks in Policies & Procedures (P&Ps)?

What is the purpose of education action plans?

Of the healthcare safety programs, with which is 'HAZMAT' associated?

What is the HCQIA established to protect regarding peer review?

Which statement is correct?

What should a hospital-informed consent policy and procedure indicate?

What are the common strategies for dealing with identified risks?

Why is 'maintain confidentiality and ethical issues' relevant?

Why should you develop outcome measures to assess effectiveness of RM activities?

How can a Risk Assessment Matrix determine levels of risk?

What are the important elements for Risk Identification Systems -- in Formal style?

What is the primary objective of a Risk Management Program (RMP) in relation to Values, Perils, and Consequence of Loss?

What is the key focus of Risk Management Operations?

Which statement best describes how a hospital maintains compliance with established policies and procedures?

In the context of risk management, what is the goal of 'separation' as a risk treatment technique?

How can healthcare facilities leverage education action plans to improve their Risk Management program?

What is a primary function of an 'occurrence reporting' system?

What is one of the most important functions of a hospital board, in relation to providing quality of patient care?

What is one of the key considerations when facilities choose an appropriate Risk Management Program?

Which of the following best characterizes the 'Due Process' element in addressing risks related to credentialing and privileging?

What is the duty of loyalty for healthcare trustees?

In healthcare risk management, what is the primary aim of 'loss prevention and reduction'?

A series of minor issues or inconsistencies in a healthcare setting, which individually may seem insignificant, would be categorized how?

Which of the following is true regarding incident reports?

What is the role of a risk manager in educating the board?

You are creating a Risk Assessment Matrix. You determine an event is Likely to occur, and the Consequence would be Moderate. Using the matrix shown, what is the risk score?

Which of these risks is typically addressed by HAZMAT programs?

How does the Healthcare Quality Improvement Act (HCQIA) protect certain peer review actions?

What is the primary purpose of 'Focused Occurrence Reporting'?

What is the significance of 'Essential functions' in business continuity risks?

Which scenario represents a 'very high risk' according to the Risk Assessment Matrix?

When evaluating the scope of a Risk Management Program (RMP), what consideration reflects the highest level of strategic alignment with patient safety and organizational goals?

Within the framework of Enterprise Risk Management (ERM), what is the most strategic approach for a healthcare organization to address risks associated with emerging technologies, such as artificial intelligence in diagnostics?

When defining the authority and role of the Risk Management Department within a healthcare organization, which approach most effectively balances autonomy with accountability?

Considering the evolving landscape of healthcare regulations and accreditation standards, what methodology would best enable a Risk Management Department to maintain an up-to-date and effective risk management plan?

In addressing risk exposure related to Values, Perils, and Consequence of Loss, how can a Risk Management Department most effectively integrate ethical considerations into its program?

When structuring a Risk Management Operations program, what is the most effective strategy for balancing loss prevention, claims management, and risk financing to optimize resource allocation?

How should healthcare facilities use performance activity measures, outcome measures, and financial measures to evaluate the effectiveness of a Risk Management Program?

What is the most effective approach for implementing risk reduction strategies to address technical and managerial decisions within a healthcare organization?

How can healthcare organizations most effectively foster a culture of accountability within their Risk Management Program?

When distinguishing between 'occurrence reporting' and 'occurrence screening', what is the most critical factor that determines which method to use for a specific situation?

Given increasing concerns about data breaches and cybersecurity threats, what is the most strategic approach for integrating HAZMAT (Hazardous Materials) programs with broader healthcare safety programs?

In the process of implementing and monitoring risk management policies and procedures, which strategy is most likely to foster a proactive and adaptive approach to risk mitigation?

Considering the dual goals of protecting peer review actions and promoting quality improvement, what strategy best balances confidentiality with transparency?

How should a hospital-informed consent policy and procedure address the management of patients who refuse recommended treatment due to religious beliefs or cultural practices?

In managing risks related to credentialing and privileging, how can healthcare organizations best address potential conflicts of interest among members of the credentialing committee?

Which is the most effective way to improve patient safety culture and reduce medical errors in the long term?

How is duty of care balanced alongside medical staff's responsibility to provide competent and safe medical practices?

Which statement outlines the appropriate way to evaluate and mitigate risk?

What is the most difficult consideration about including flexibility into P&Ps and policies?

Which situation would be considered the highest risk for an organization?

In the context of risk financing within healthcare operations, which strategy exemplifies the most sophisticated approach to optimizing capital allocation while mitigating potential losses?

When evaluating strategies for integrating risk management with healthcare organization governance, which approach most effectively ensures alignment with strategic objectives and accountability at all levels?

Considering the complexities of healthcare regulatory compliance, which methodology would provide the most robust and adaptive framework for proactively identifying and mitigating emerging regulatory risks?

In the context of incident reporting systems, what enhancement would most significantly improve the ability to discern systemic vulnerabilities and prevent future adverse events?

Within a healthcare organization, what strategy represents the most advanced approach to integrating ethical considerations into the risk management program?

How can healthcare facilities leverage actuarial science to improve their Risk Management program?

What is the role of Bayesian networks in advancing decision-making processes related to risk management within a healthcare setting?

Considering the increasing interconnectedness of healthcare systems, which strategy would best address the systemic risks associated with supply chain disruptions and ensure continuity of critical services?

When implementing risk reduction strategies related to technical and managerial decisions, which approach most effectively balances the need for standardization with the flexibility required to adapt to evolving clinical practices and technological advancements?

Considering the complexities inherent in healthcare settings, what advanced analytical technique enables the most comprehensive evaluation of the interactions and dependencies among multiple risk factors, facilitating a deeper understanding of potential cascading failures?

Which of the following reflects the highest level of sophistication in applying Failure Mode and Effects Analysis (FMEA) within a complex hospital setting?

What considerations are most critical when developing outcome measures to assess the effectiveness of risk management activities related to patient safety in a large, integrated healthcare system?

In the context of developing a robust patient safety culture, what advanced strategy most effectively fosters accountability at all levels of a healthcare organization?

Healthcare risk management uses performance activity measures, outcome measures, and financial measures to assess the effectiveness of a Risk Management Program. Which measure below reflects financial measure?

Within the risk assessment matrix which would be considered the most dangerous outcome and require the most intervention?

How can Risk Management improve patient safety and reduce medical errors over time?

What action is most appropriate for Risk Management in response to an increase of malpractice claims?

A Risk Manager wants to improve the risk management program. Which of the following practices and processes creates the most sustainable program?

What is the greatest value of a culture of transparency with reporting outcomes and process measures?

If leadership wants to improve the patient safety culture within the organization what action can be achieved most effectively?

The primary purpose of an RM program is to safeguard the HCO's assets against loss and reduce the impact of losses when they occur.

A risk management plan is not required to be updated regularly once established.

A risk register is used for identifying and treating risks.

The Governing Board carries ultimate legal responsibility for all aspects of the healthcare entity.

Loss prevention focuses on decreasing the severity of potential losses.

An incident report is consistent with the routine care of a particular patient.

Focused occurrence reporting' provides specific guidelines and examples of reportable incidents.

Peer review is mandated by federal law to oversee quality of patient care and is not protected from discovery.

In the context of risk management, 'perils' refer to the values and ethics that guide an organization's decisions.

A hospital must provide staff education and training on risk management topics only upon initial hire.

The EMTALA regulation is specifically designed to outline rules and procedures for patient discharge.

Healthcare organizations are required to report all medical errors to the Joint Commission, regardless of severity.

Healthcare organizations are able to deny patient access to care based on their socioeconomic status.

The assessment of 'values, perils and consequences of loss' is not applicable in risk management.

Risk financing involves determining the creditworthiness of patients.

Risk assessment in health care is solely based on the volume of patient complaints received.

Business continuity plans prioritize essential functions and recovery strategies.

The element of 'communication' as an attribute of RM programs refers only to communication with external regulatory bodies.

A hospital’s Risk Management Department does need training and supervising staff.

Risk mitigation and risk transferring is the same thing.

The Joint Commission does not provide standards related to patients’ safety.

The Risk Management Department should not be reviewing federal regulations.

Risk categories include patient care, financial and regulatory categories.

A risk assessment does not need to be performed in the event of a flood.

Control activities are part of Enterprise Risk Management, as well as assessing risk.

Healthcare organizations must follow legislative regulatory mandates.

An efficient Risk Management team avoids collaborating with other departments to promote a strong safety culture.

Risk can not be quantified.

There is no reason to follow the policy if it disrupts the routine workflow.

Risk control implementations do not require collaboration.

Employee-related risks encompass elements like OSHA regulatory compliance.

Medical staff credentialing is governed only by federal mandates and is not variable across different states.

The hospital's credentialing policy should indicate whether medical staff individuals are required to secure malpractice insurance.

A 'Physician Credentialing Policy' should not be developed amongst the Medical Staff and hospital administration.

A professional liability insurance policy with an exclusion for telemedicine necessarily requires the addition of a specific endorsement.

If ransomware enters a system, a critical data finding involves the absence of a firewall between the network and hosted digital backup storage.

It is required that the healthcare organization check physician sanctions.

In the event of a catastrophic medical incident, the Risk Management Department are not responsible for liaising with the media.

If the Board is under the impression that the organisation is running under compliance and security protocols it is unnecessary to request confirmation.

When discussing business impact, the Board does not have a legal obligation to understand financial risks.

A risk management program's (RMP) primary purpose is to safeguard a Healthcare Organization's (HCO) assets against loss.

A risk management plan does not need to be updated regularly.

According to risk management principles, it is acceptable to enrich yourself personally at the company's expense.

Risk management operations include claims processing, but not the development of a RM plan.

A risk management plan is required to be updated tri-annually to maintain compliance.

One of the key attributes of a Risk Management Program (RMP) is visibility.

A risk assessment matrix solely considers the frequency of an event, not the potential impact.

Business continuity risks only pertain to financial losses and not to essential functions.

The terms 'incident reporting' and 'occurence reporting' are interchangable.

A hospital should not take all responsible steps to comply with laws and regulations.

A duty of care means you must not compete with the entity.

A consultant prosthodontic is a degree that Dr. Sahar Khalil Alhajrassi doesn't have.

The scope of a risk management program always excludes employee-related risks like OSHA compliance.

Effective implementation of a Risk Management (RM) program is possible without cooperation between RM professionals and managers.

A 'sentinel event' refers to a minor near-miss incident that poses no real threat to patient safety.

The primary scope of a peer review is to increase profitability, not for providing quality of care.

Legal and regulatory risks is managing the public image and reputation.

In assessing the impact of IT systems during a ransomware attack, monthly software updates are the highest priority.

A hospital-informed consent policy and procedure should provide clinical staff with methods for explaining the risks and benefits of specific Procedures.

Medical staff credentialing is primarily governed by CMS conditions of participation.

A risk management plan needs updating only when significant organizational changes occur.

A risk manager's role includes identifying and applying risk-increasing techniques to an organization.

A health care organization's risk management program should focus solely on financial risks.

The governing board's legal duty of loyalty requires the board to eliminate opportunities for personal financial gain using the entity's resources.

According to HIPPA Law, health trustees are obligated to ensure all reasonable and necessary steps are implemented to take compliance with all applicable laws and regulations.

Information & communication, risk assessment, and monitoring are all components of enterprise risk management.

An organization needs visibility and training on risk management, particularly in an orientation setting, to aid in organizational comittment.

Maintain confidentiality and ethical issues as it relates to healthcare policy, procedures, and best practices, is not an important role of risk managers.

Risk identification solely relies on traditional accident reports; employee interviews are not necessary.

It is unnecessary to quantify risk as long as you are able to identify the costs associated to it.

The implementation of risk management policies and procedures removes the need to maintain confidentiality of ethical breaches.

In enterprise risk management, 'Risk Assessment' is the final phase where all potential risks are quantified economically using Monte Carlo simulations.

In the context of risk management, an organization's 'values' are typically defined by the potential financial exposure in a worst-case scenario.

A healthcare trustee's duty of loyalty permits them to leverage inside information for personal financial advantage, provided it does not directly harm the healthcare entity.

The assessment of organizational risk demands that all stakeholders are given equitable prospects for feedback, though their input need not be explicitly integrated.

In Occurrence Reporting, the 'treatment' is a specific example of a reportable incident.

During risk analysis, if a risk is deemed to have 'rare' likelihood and 'catastrophic' consequences, it invariably warrants the highest level of immediate mitigation, irrespective of cost considerations.

The implementation of a formal risk identification system obviates the necessity for informal risk identification methods due to its structured and comprehensive approach.

When evaluating options in RM techniques, Separation is a means to increase the likelihood of potential losses.

For policies and procedures (P&Ps) related to risk management, including cross-references to similar policies on related subjects should be omitted due to regulatory constraints.

Match the following elements of a Risk Management Program (RMP) with their descriptions:

Match the risk exposure with the appropriate risk exposure categories:

Match the following risk management activities with the appropriate phase in the risk management process based on commonly accepted ERM framworks:

Match the following statements of Risk Management and Risk Governance with the correct Board Responsibility:

Match the ERM Risk Domain to it's core concepts:

Match the stages of Risk Management with the common method/practices within that stage:

Associate each of the following techniques with its Risk Type.

Associate each of the following to its main process:

Match the Credentialing and the Privileging with the correct action

Match the concepts with their core ideas:

Match each element with the related element of a Risk Management Program (RMP):

Connect the risk exposure to its corresponding element:

Associate the major functional areas of risk management with their focus:

Associate the risk types with their definition relating to a healthcare organization's Enterprise Risk Management:

Indicate the type of risk related to an organization, and the factor that impacts that type of risk:

Connect the definitions to the phases of Risk Management:

Associate each risk treatment with the most applicable technique:

Associate Duty of Care with its corresponding duty of loyalty:

Match Types include with Professionals Credentialing:

Match the Term with the correct definition in risk management: