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ASHRM CPHRM Exam Syllabus Topics:

Topic
Details

Topic 1

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 2

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 3

Risk Financing: This domain covers managing financial risks through insurance programs, claims coordination, loss analysis, and developing strategies to reduce financial exposure.

Topic 4

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 5

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.

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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q77-Q82):

NEW QUESTION # 77
For a risk management program to be effective, it needs:

A. Organizational commitment, visibility/access, and physician engagement
B. Only incident reporting software
C. Only a policy manual
D. Only insurance coverage

Answer: A

Explanation:
Effective risk management requires more than tools-it needs organizational commitment (tone at the top), operational visibility (access to events, leaders, data), and physician engagement because many high-severity risks involve medical decision-making and clinical leadership. Risk management objectives include preventing harm (patient safety), reducing financial loss (claims and insurance costs), ensuring compliance, and building a learning culture. Without executive and board support, corrective actions stall; without visibility, emerging risks are missed; without physician buy-in, clinical process redesign fails. Successful programs integrate with quality, patient safety, compliance, legal, and operations, and they use structured methods (RCA/FMEA, audits, claims trend analysis) to drive measurable improvement. This also strengthens defensibility: it shows governance, action, and continuous improvement-key elements in regulatory review and litigation.

NEW QUESTION # 78
A hospital uses the same labels for all prescriptions, but they don't fit on small containers, so employees must cut/paste labels in a special way. This is an example of:

A. Extra processing (Lean waste)
B. Value-added work
C. Risk financing
D. Clinical decision support

Answer: A

Explanation:
In Lean terms,extra processingis work that does not add value from the patient's perspective and often introduces defect risk. Cutting and reformatting labels is a classic extra-processing waste: it consumes time, creates variability, and increases the likelihood of mislabeling-one of the most serious medication safety hazards. Risk management objectives prioritize eliminating rework and standardizing the labeling process through right-sized labels, standardized print templates by container type, barcode integration, and human factors design (font size, tall-man lettering where appropriate). Removing extra processing improves efficiency and reduces cognitive load and workaround culture-both strongly associated with error.
Operationally, this is a system design failure: staff are compensating for poor equipment/process fit. Fixing the system reduces the chance of a high-severity adverse event and strengthens defensibility by demonstrating proactive hazard elimination.

NEW QUESTION # 79
Protecting outdoor air intakes can mitigate the risk of terrorists introducing airborne agents. Steps include:

A. Put a "No trespassing" sign only
B. Relocate intakes higher; establish a security zone; add lighting and surveillance
C. Paint the intake vents a different color
D. Reduce HVAC maintenance

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 # 80
When an FDA inspector comes to a facility, the risk manager should:

A. Tell staff to hide documents
B. Send the inspector to public relations only
C. Accompany the inspector and verify credentials
D. Deny entry automatically

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 # 81
An organization's CEO has requested that the risk manager develop policies and procedures for the risk management department. The risk manager should consider developing policies for all of the following EXCEPT

A. responses to freedom of information requests.
B. risk management reporting process to the governing body.
C. departmental accountability for occurrence reporting.
D. coordination of responses to subpoenas.

Answer: A

Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, the risk management department should establish formal policies addressing core operational responsibilities. Coordination of responses to subpoenas is a critical function involving legal compliance, protection of privileged information, and collaboration with counsel. Departmental accountability for occurrence reporting is essential to ensure proper event identification, investigation, and trending.
Additionally, defining the risk management reporting process to the governing body supports board oversight and enterprise risk management responsibilities.
Responses to freedom of information requests, however, are generally governed by legal, compliance, or public information offices, particularly in public institutions subject to open records laws. While risk management may provide input if records involve claims or adverse events, primary responsibility for handling such requests typically resides outside the risk management department.
Health Care Operations objectives emphasize clearly defined departmental scope, structured reporting relationships, and alignment with governance responsibilities. Therefore, while subpoena coordination, occurrence reporting, and board reporting are appropriate policy areas for risk management, responses to freedom of information requests fall outside its primary policy development scope.

NEW QUESTION # 82
......

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