Cert CPHRM Exam - CPHRM Latest Exam Cram
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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q106-Q111):
NEW QUESTION # 106
What is the voluntary relinquishment by the insurer or self-insurer of the right to recover from a third party?
- A. Coinsurance
- B. Waiver of subrogation
- C. Experience rating
- D. Underwriting
Answer: B
Explanation:
Subrogation is the insurer's right to seek recovery from a responsible third party after paying a loss. Awaiver of subrogationclause means the insurer (or self-insured entity) gives up that recovery right, usually to support business relationships and reduce litigation between contracting parties. Risk financing objectives include understanding when waivers are acceptable (balanced against increased retained loss), ensuring the waiver aligns with insurance policy endorsements, and preventing unintended coverage gaps. Poorly managed waivers can shift costs back onto the organization and complicate recovery efforts. Contracts should be reviewed to ensure the waiver is mutual when appropriate and consistent with the organization's risk appetite and insurance program.
NEW QUESTION # 107
A risk manager is reviewing the hospital's incident reporting system and notices that very few medication errors are being reported despite known high volumes of medication administration. Which of the following is the MOST appropriate action?
- A. Assess the organizational culture and barriers to reporting.
- B. Notify the liability insurer immediately.
- C. Conduct a root cause analysis on the reporting system.
- D. Discipline staff members for failure to report errors.
Answer: A
Explanation:
Within Health Care Risk Management frameworks supported by ASHRM and the American Hospital Association Certification Center, effective incident reporting systems depend heavily on organizational culture. When underreporting is identified, the most appropriate first step is to evaluate whether a just culture exists and whether staff perceive reporting as safe, nonpunitive, and constructive. Fear of retaliation, lack of feedback, time constraints, and unclear reporting procedures are common barriers that suppress reporting rates.
A punitive response such as disciplining staff may further discourage transparency and undermine patient safety initiatives. Conducting a root cause analysis may be appropriate if a specific adverse event occurred, but in this scenario the systemic issue is underreporting itself, which is primarily cultural and operational in nature. Immediate notification of the liability insurer would not address the underlying safety system weakness.
Health care operations objectives emphasize creating a culture of safety that encourages voluntary reporting, learning, and system improvement. By assessing and strengthening reporting culture, leadership can improve data accuracy, enhance early risk identification, and support proactive patient safety management.
NEW QUESTION # 108
When an FDA inspector comes to a facility, the risk manager should:
- A. Deny entry automatically
- B. Tell staff to hide documents
- C. Accompany the inspector and verify credentials
- D. Send the inspector to public relations only
Answer: C
Explanation:
Regulatory inspections must be handled professionally with controlled communication and documentation practices. Verifying credentials ensures the inspection is legitimate. Accompanying the inspector supports accurate information exchange, maintains chain-of-custody for requested materials, and helps ensure staff do not speculate or provide inconsistent answers. Risk management objectives include ensuring compliance, protecting patient safety, reducing regulatory penalties, and documenting interactions for follow-up. Facilities should have an inspection readiness plan: designated escorts, document control, subject matter expert availability, and a process to log requests and responses. This approach reduces operational disruption, supports transparency, and demonstrates a mature compliance culture.
NEW QUESTION # 109
An interrogatory requests insurance policy information. A risk manager should
- A. provide excess limits as well as primary limits.
- B. object to the interrogatory.
- C. provide the specifically requested information.
- D. attach a certificate of insurance.
Answer: C
Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, insurance policy information is generally discoverable in litigation. Most jurisdictions require disclosure of applicable liability coverage, including policy limits, pursuant to civil procedure rules governing discovery. Therefore, when an interrogatory properly requests insurance policy information, the organization should provide the specifically requested information in coordination with defense counsel.
Providing more information than requested, such as automatically including excess limits if not asked, may exceed the scope of the interrogatory and should be guided by legal counsel. A certificate of insurance is not a substitute for responding to formal discovery requests, as it may not contain all required details regarding coverage, limits, and applicable policy periods.
Objecting to the interrogatory without valid legal grounds is generally inappropriate, as insurance coverage information is typically relevant to potential satisfaction of judgment.
Claims and litigation objectives emphasize cooperation with counsel, compliance with discovery rules, and accurate disclosure of coverage information. Therefore, the appropriate response is to provide the specifically requested insurance policy information in accordance with legal guidance.
NEW QUESTION # 110
Which sentinel event type has been reported among the most frequent categories in Joint Commission-related analyses (noting year-to-year variation)?
- A. Falls (recent years show high frequency)
- B. Gift shop inventory loss
- C. Parking disputes
- D. Cafeteria food complaints
Answer: A
Explanation:
Sentinel event "most common" can change by reporting year and classification approach. Recent summaries of 2023 sentinel event reporting indicatefallswere the most frequently reported category in that dataset, with wrong surgery and unintended retention also high-ranking. Risk management objectives treat this as a dynamic signal: the organization should use current event data, internal trends, and unit-specific hazards to prioritize controls. Falls prevention requires layered interventions-risk stratification, mobility support, medication review, environmental controls, and post-fall huddles to learn and redesign. Leaders should avoid over-fixating on one historical "most common" event type and instead use current surveillance to target the biggest preventable harm burdens.
NEW QUESTION # 111
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