CERTIFIED PROFESSIONAL IN HEALTH CARE RISK
CERTIFIED PROFESSIONAL INHEALTH CARE RISK MANAGEMENTCANDIDATE HANDBOOK AND APPLICATIONConducted by the American Hospital Association Certification CenterEffective January 2020
For questions regarding the certificationprograms, contact:For questions regarding the examinationapplication and administration, contact:AHA Certification Center (AHA-CC)155 N. Wacker Drive, Suite 400Chicago, IL 60606Phone: 312-422-3702Fax: 312-422-4575Email: certification@aha.orgWebsite: www.AHACertificationCenter.orgPSI18000 W. 105th St.Olathe, KS 66061-7543Phone: 833-333-4755Fax: 913-895-4651Email: info@goamp.comWebsite: www.goamp.comCPHRM is a trademark of the AHA Certification Center, a division of the American HospitalAssociation.Copyright 2019 by the AHA Certification Center, a division of the American HospitalAssociation. All rights reserved. Any unauthorized reprint, use, distribution, or commercialexploitation of this material, in whole or in part, is strictly prohibited. No part of this publicationmay be stored, reproduced or transmitted in any form or by any means, electronic or mechanical,including copying, recording, or by any information storage and retrieval system without expresswritten permission from the author/publisher. For information, contact the AHA CertificationCenter at certification@aha.org.2CPHRM Candidate Handbook and Application
Table of ContentsThe AHA-CC. 5Statement of Nondiscrimination. 5AHA-CC Certification Program Examinations. 5Testing Agency. 6CPHRM Certification Program. 6Definition of a Health Care Risk Management Professional. 6CPHRM Eligibility Requirements. 6CPHRM Examination . 7CPHRM Examination Content Outline. 7CPHRM Examination Preparation. 11Review the Content. 11Complete the CPHRM Self-Assessment Examination. 11Use Other Study Resources. 11CPHRM Examination Administration. 11Computer Administration at PSI Assessment Centers. 12Special Administration – Laptop or Paper-and-Pencil. 12International Testing. 13Special Arrangements for Candidates with Disabilities . 13Adhering To Professional Standards Of Conduct. 13CPHRM Examination Application And Scheduling Process. 14CPHRM Examination Application Fee Schedule. 14Online Application and Scheduling. 15Paper Application. 16Application Processing and CPHRM Examination Scheduling. 17Rescheduling or Cancelling a CPHRM Examination. 17Copyright 2014 by the AHA Certification Center (rev. January 2019 )3
On The Day Of The CPHRM Examination. 18Failing to Report for the CPHRM Examination. 18Reporting for the CPHRM Examination. 18On-site Security. 19Identity Verification. 19Use of Calculators. 19Inclement Weather or Emergency. 20Taking The CPHRM Examination. 20Rules for CPHRM Examination. 21Copyrighted CPHRM Examination Questions. 23Following The CPHRM Examination. 23CPHRM Examination Score Reports. 23How the CPHRM Examination Passing Score is Set . 23Passing the CPHRM Examination. 24Failing the CPHRM Examination. 24CPHRM Examination Scores Canceled by the AHA-CC. 25CPHRM Examination Score Confidentiality. 25Administrative Matters. 25Renewal Of CPHRM Certification. 26Failing to Renew CPHRM Certification. 27Appeals . 27CPHRM Examination Application. 28Request For Special Examination Accommodations Form. 30Documentation Of Disability-Related Needs. 314CPHRM Candidate Handbook and Application
CERTIFIED PROFESSIONAL IN HEALTH CARE RISK MANAGEMENTCANDIDATE HANDBOOK AND APPLICATIONThis Candidate Handbook provides information about the Certified Professional in Health CareRisk Management (CPHRM) program, including the exam administration policy and process as wellas the CPHRM Examination Application. Keep this Candidate Handbook until after the CPHRMExamination is completed. Additional copies of this Candidate Handbook may be obtained bydownloading a copy from www.AHACertificationCenter.org. The most current version of theCandidate Handbook is posted here and supersedes any other version.THE AHA-CCThe American Hospital Association Certification Center (AHA-CC) is a division of the AmericanHospital Association (AHA). Its mission is to create, facilitate and administer the health careindustry’s premier certification programs.Each Certification Program in development or operation with the AHA-CC has a CertificationProgram Committee that serves as content expert, program resource, and consultant to the AHACC regarding program development, CPHRM Examination content, test development, testadministration and evaluation. Members are appointed by the AHA-CC Advisory CouncilStatement of NondiscriminationThe AHA-CC does not discriminate among candidates on the basis of race, color, religion, sex,sexual orientation, gender identity, national origin, age, disability, veteran status, genetic informationor any other legally protected group status.AHA-CC CERTIFICATION PROGRAM EXAMINATIONSThe AHA-CC conducts certification examinations for programs in the following fields of health care: Facility Managers Materials and Resource Management Constructors Risk Management Environmental Services Volunteer Resources Professionals Human ResourcesThe AHA-CC also provides contracted project management and quality assurance services to theAmerican Organization for Nursing Leadership (AONL) in support of its certification programs fornurse executives and nurse managers.Each certification examination is designed to test a well-defined body of knowledge representativeof professional practice in the discipline. Successful completion of a certification examination isan indicator of broad-based knowledge in the discipline being tested. Certification examinationsconducted by the AHA-CC are independent of each other. Each leads to a certification credential ina health care discipline.Copyright 2014 by the AHA Certification Center (rev. January 2019 )5
Content of each examination was defined by a national job analysis study. The study involvedsurveying practitioners in the field to identify tasks that are performed routinely and consideredimportant to competent practice. Each edition of a certification examination is developed througha combined effort of qualified subject matter experts and testing professionals, who construct theexamination in accordance with the Examination Content Outline.Testing AgencyThe AHA-CC contracts with PSI to assist in the development, administration, scoring, scorereporting and analysis of its CPHRM Examination.CPHRM CERTIFICATION PROGRAMAdministered by the AHA-CC, the CPHRM certification program promotes health care riskmanagement through certification of qualified individuals and the following program elements: Recognizing formally those individuals who meet the eligibility requirements of the AHA-CCand pass the CPHRM Examination Requiring certification renewal through continued personal and professional growth in thepractice of health care risk management Providing a national standard of requisite knowledge required for certification; thereby assistingemployers, the public and members of health professions in assessing health care risk managersDefinition of a Health Care Risk Management ProfessionalThe Health Care Risk Management Professional’s primary duties include the prevention, reduction,and control of loss to the health care organization, its patients, visitors, volunteers, physicians, otherhealth care professionals and employees. Regardless of the health care delivery system in whichthe individual works, the Health Care Risk Management Professional interfaces with a number ofhealth care professionals in the accomplishment of these objectives. Duties may include incidentinvestigation and analysis, tracking, trending and evaluation, risk financing and claims management.CPHRM Eligibility RequirementsCandidates meeting the CPHRM eligibility requirements fully and passing the CPHRMExamination attain the CPHRM designation. The AHA-CC reserves the right, but is not obligated,to verify the accuracy of eligibility information supplied by or on behalf of a candidate.To be eligible for the Certified Professional in Health Care Risk Management (CPHRM)Examination, a candidate must fulfill one of the following requirements for education/health careexperience and meet the requirement for risk management experience.Education/Health Care Experience Baccalaureate degree or higher from an accredited college or university plus five years ofexperience in a health care setting or with a provider of services to the health care industry6CPHRM Candidate Handbook and Application
Associate degree or equivalent from an accredited college plus seven years of experience in ahealth care setting or with a provider of services to the health care industry. High school diploma or equivalent plus nine years of experience in a health care setting or with aprovider of services to the health care industry.Risk Management Experience 3,000 hours or 50 percent of full-time job duties within the last three years dedicated to healthcare risk management in a health care setting or with a provider of services (e.g. consultant,broker, or attorney) to the health care industry.CPHRM EXAMINATIONThe CPHRM Examination is structured as follows: Composed of 110 multiple-choice questions. A candidate’s score is based on 100 of thesequestions. Ten items are “trial” or “pretest” questions that are interspersed throughout theExamination and are not scored. A candidate is allowed two hours in which to complete the CPHRM Examination. The CPHRM Examination is based on the five major content areas listed in the ContentOutline.-E ach content area is further defined in the Content Outline by a list of tasks representativeof that job responsibility.- The number of CPHRM Examination questions devoted to each major content area isincluded in the Content Outline.CPHRM Examination Content OutlineFor the CPHRM Examination Content Outline for the current CPHRM Examination, refer to thefollowing pages.Copyright 2014 by the AHA Certification Center (rev. January 2019 )7
1. Clinical/Patient SafetyTotal # of itemsAmerican Hospital AssociationCertified Professional in Healthcare Risk ManagementExamination Specifications*25A. Assess the current state of patient safety and staff awareness within the organizationB. Collaborate on proactive patient safety initiatives (e.g., FMEA, Safety Culture/Just Culture)C. Design, implement, and maintain educational programs on risk management and patient safetyrelated topicsD. Promote a culture of patient safety through education, policy development, and standardizationof processesE. Educate providers, staff, employees, patients and families on the role of patients and families inimproving patient safety and reducing riskF. Coach physicians, leaders, managers, and staff on appropriate disclosure methods and processesG. Participate in critical incident debriefingH. Participate in the development of corrective action plans and supervise follow-up ofrecommended improvements (e.g., stemming from risk assessments/audits and investigations ofreported incidents)I. Provide guidance to staff regarding any of the following:1. disruptive patient, family member and/or visitors2. informed consent3. substitute (Surrogate) Decision Makers4. minors consent5. release of information (e.g., law enforcement, subpoenas, attorneys, search warrants, etc.)6. abuse allegations7. advance directives/orders for life sustaining treatmentJ. Manage an incident reporting and data analysis system for patient safety, patient complaints, andother risk eventsK. Provide risk management consultation for specific ethical dilemmasL. Maintain awareness of patient safety initiatives occurring locally and nationallyM. Review documentation and assist providers/staff with appropriate documentation to mitigate risk2. Risk FinancingA. Manage a broad comprehensive insurance program including such activities as captivemanagement, insurance, insurance purchasing, insurance consulting, administering self-insuredcoverages and managing or coordinating the management of claims for all lines of insuranceB. Oversee the investigation of accidents or circumstances that could lead to financial loss (e.g.,professional, institutional, general liability, and product liability)C. Analyze historical loss experience; address trendsD. Develop enterprise risk financing strategies to address the organization’s areas of exposure (e.g.,general liability (GL), professional liability (PL), cyber liability)E. Provide recommendations to reduce risk in contracts, ensuring adequate controls and obligationsfor insurance coverage are appropriate to the riskF. Ensure timely reporting of incidents according to insurance policy language8CPHRM Candidate Handbook and Application15
3. Legal and RegulatoryTotal # of itemsAmerican Hospital AssociationCertified Professional in Healthcare Risk ManagementExamination Specifications*20A. Promote compliance with federal and state laws and regulations through policy development,guidance, or educationB. Promote compliance with federal and state laws and regulations governing patient confidentialitythrough policy development, guidance, or education including protected health information(PHI)C. Promote compliance with federal and state reporting requirements through policy development,guidance, or education (e.g., abuse of vulnerable populations)D. Promote compliance with federal and state reporting requirements governing violence in theworkplace through policy development, guidance, or educationE. Promote compliance with federal and state regulations/organization policy regarding theinvestigation and resolution of patient complaints or grievances through policy development,guidance, or educationF. Collaborate with other departments by preparing and conducting quality and/or risk assessmentsto maintain a constant state of accreditation readinessG. Promote compliance with laws and regulations governing involuntary detention of patientsthrough policy development, guidance, or educationH. Promote compliance with the requirements of the following federal acts/regulations throughpolicy development, guidance, or education:1. Centers for Medicare and Medicaid Services (CMS)2. Emergency Medical Treatment and Active Labor Act (EMTALA/COBRA)3. Health Insurance Portability and Accountability Act (HIPAA)4. National Practitioner Data Bank (NPDB)5. Safe Medical Device Act (SMDA)I. Design a risk management data collection/analysis system to ensure timely reporting andmonitoring of:1. device reporting and tracking logs2. regulatory inquiries3. Collaborate in the development of the organization’s regulatory compliance plan to ensureworkforce compliance of all applicable accreditation standards4. Promote, in partnership with Patient Safety and Medical Staff departments, programsthat address provider and staff behavioral issues are culturally, legally and psychologicallysound and non-discriminatory5. Participate in the development of responses to inquiries from regulatory and licensingagencies, and insurance companiesCopyright 2014 by the AHA Certification Center (rev. January 2019 )9
4. Healthcare OperationsTotal # of itemsAmerican Hospital AssociationCertified Professional in Healthcare Risk ManagementExamination Specifications*20A. Collaborate with leaders and security personnel on workplace violence preventionB. Conduct risk assessments to identify exposures related to new and existing services and enterprisewide servicesC. Establish a method for planning, evaluating, selecting, management, and on-going evaluation ofenterprise wide event reports of harm or near-harm incidentsD. Supervise and develop risk ma
Definition of a Health Care Risk Management Professional. The Health Care Risk Management Professional’s primary duties include the prevention, reduction, and control of loss to the health care organization, its patients, visitors, volunteers, p
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HIPAA/HITECH PRESENTED BY: Brian L Tuttle is a Certified Professional in Health IT (CPHIT), Certified HIPAA Professional (CHP), Certified HIPAA Administrator (CHA), Certified Business Resilience Auditor (CBRA), Certified Information Systems Security Professional (CISSP) with over 18 years' experience in Health IT and Compliance Consulting.
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