NAHQ CPHQ Questions - Get Verified CPHQ Dumps (2026)

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NAHQ Certified Professional in Healthcare Quality Examination Sample Questions (Q436-Q441):

NEW QUESTION # 436
Criteria to evaluate a team's performance generally include productivity, individual growth, and:

Answer: A

Explanation:
In the Organizational Leadership domain, NAHQ identifies team satisfaction as a key indicator of team effectiveness alongside productivity and individual development. High-performing teams demonstrate engagement, morale, and shared ownership.
Attendance and acquiescence are compliance measures, not performance indicators. Leadership is a role, not a team outcome. Therefore, satisfaction is the correct criterion, making Option A correct.


NEW QUESTION # 437
A hospice patient received a lethal dose of an IV narcotic medication. The nurse used IV tubing that was delivered to the home with the IV pump and medication; however, it was the incorrect tubing for the pump.
The nurse reported that she used only the equipment provided and did not think to question the tubing, which fit easily into the pump. This sentinel event should be categorized as being caused by:

Answer: D

Explanation:
According to the NAHQ CPHQ exam blueprint and official competency framework, human factors refer to how system design, equipment usability, environmental conditions, and human limitations interact to influence performance and safety. Human factors analysis focuses on system design flaws rather than individual blame.
In this scenario, the IV tubing fit easily into the pump despite being incorrect, and the nurse reasonably relied on the assumption that supplied equipment was appropriate. This represents a human factors issue, specifically poor equipment design and lack of incompatibility safeguards. The system failed to prevent incorrect connections, a well-recognized patient safety risk addressed in the CPHQ framework.
Option A is incorrect because the equipment functioned as designed-it was not broken. Option B is inappropriate because there is no evidence of inadequate training or skill. Option C does not apply because no missing or incorrect information caused the error.
The CPHQ exam stresses that sentinel events should be analyzed through a systems-based lens, identifying latent conditions and design weaknesses. Human factors analysis supports safer system redesign, making human factors the correct classification for this event.


NEW QUESTION # 438

The chart above is used by a team to document process improvement results following an intervention that was implemented during the 20th week. Based on this chart, the team can conclude:

Answer: C

Explanation:
Understanding the Control Chart ComponentsThis control chart shows the median delay over time (by week), with control limits (UCL - Upper Control Limit, LCL - Lower Control Limit) and a center line (CL) indicating the process average before the intervention. Control charts like this one are used to determine whether an intervention has led to a significant change in process performance.
Analyzing the Data Before and After the Intervention
From weeks 1 to 19, before theintervention, the process appears to fluctuate around the control limits, with several points near the upper control limit, indicating higher variation and a generally stable process around a higher median delay.
After week 20, following the intervention, the data points show a clear shift downward, consistently staying below the previous control line (CL). The process median delay has notably reduced, and all data points fall within a new, lower range.
Conclusion Based on the Control Chart
The consistent reduction in median delay and the clustering of data points below the previous center line indicate a shift in performance rather than mere random variation. This type of change, sustained over multiple weeks, strongly suggests that the intervention had a substantial impact on reducing the delay.
While there may also be a decrease in variation, the primary visible effect is a shift in performance toward lower median delay values.
Rationale for Selecting Answer BThe correct answer is B. The intervention resulted in a shift in performance, as the chart shows a distinct change in the process level post-intervention, indicating an improvement.
References:
NAHQ "Quality Improvement in Healthcare: Statistical Process Control"
"Interpreting Control Charts forProcess Improvement" (NAHQ, 2020)


NEW QUESTION # 439
Each provider in a primary care practice has the potential of earning a $20,000 bonus based on individual performance on select Healthcare Effectiveness Data and Information Set (HEDIS) indicators as outlined below:


Based on this information, which of the following conclusions is accurate?

Answer: A

Explanation:
To calculate the bonus, evaluate whether each provider met the performance targets for each HEDIS indicator and multiply by the corresponding percentage of the $20,000 bonus.
Provider A:
BCS: 75% # 74% # 25% of $20,000 = $5,000
CBP: 71% < 72% # $0
CIS: 63% # 63% # 50% of $20,000 = $10,000
Total = $15,000
Provider B:
BCS: 77% # 74% # $5,000
CBP: 69% < 72% # $0
CIS: 65% # 63% # $10,000
Total = $15,000
Provider C:
BCS: 79% # 74% # $5,000
CBP: 73% # 72% # $5,000
CIS: 64% # 63% # $10,000
Total = $20,000
Provider D:
BCS: 73% < 74% # $0
CBP: 74% # 72% # $5,000
CIS: 62% < 63% # $0
Total = $5,000
Provider C earned the highest bonus at $20,000, meeting or exceeding all three performance targets. Provider D earned the lowest bonus, $5,000, meeting only the CBP target.
References:
National Committee for Quality Assurance (NCQA), HEDIS Technical Specifications, 2024 The Joint Commission, Performance Improvement Standards, 2024


NEW QUESTION # 440
Data from an Incident reporting system compares Incident rates for one facility to similar facilities:

After reviewing the graph, which of the following should be done first?

Answer: D

Explanation:
* Incident reporting systems are tools to collect and analyze data on patient safety incidents, such as medication errors, falls, infections, and adverse events12.
* Incident reporting systems can help identify patterns, trends, and areas of improvement for patient safety and quality of care123.
* The graph shows the incident rates for one facility compared to similar facilities in four categories:
medication, falls, infection, and adverse events. The graph indicates that the facility has a higher incident rate for falls than the average of similar facilities, while the other categories are comparable or lower4.
* Therefore, the first step after reviewing the graph should be to perform additional analysis on falls data, such as the types, causes, consequences, and contributing factors of falls incidents, and compare them with the best practices and standards for falls prevention and management567.
* This will help the facility to understand the root causes of the high falls incident rate, and to develop and implement appropriate interventions to reduce the risk and harm of falls for patients567.
* Reviewing medication processes, researching best practices, and sharing data with the governing body are also important steps, but they should be done after the additional analysis on falls data, as they are more general and less specific to the problem identified by the graph4. References: 1: Patient Safety Incident Reporting and Learning Systems | WHO 2: Incident Reporting: Key to Successful Healthcare Organizations | SafeQual 3: Report a patient safety incident | NHS England 4: Data from an Incident reporting system compares Incident rates for one facility to similar facilities | User-uploaded image 5: Falls Prevention and Management | NAHQ 6: Preventing Falls in Hospitals | Agency for Healthcare Research and Quality 7: Falls Prevention and Management | Institute for Healthcare Improvement


NEW QUESTION # 441
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