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ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q31-Q36):

NEW QUESTION # 31
Aside from clinical risk exposures, which of the following should be evaluated as part of a risk assessment concerning telemedicine?

A. public awareness
B. behavioral
C. operational
D. financial

Answer: C

Explanation:
According to Health Care Risk Management standards outlined by ASHRM and the American Hospital Association Certification Center, telemedicine risk assessment must extend beyond clinical quality of care to include operational risks. Operational considerations encompass technology infrastructure reliability, cybersecurity protections, credentialing and privileging of providers across state lines, licensing compliance, documentation workflows, data storage, and continuity planning for system outages.
Telemedicine platforms rely heavily on secure networks, interoperability with electronic health records, and protection of protected health information. Operational failures such as system downtime, inadequate bandwidth, or insufficient training can disrupt care delivery and increase liability exposure. Additionally, compliance with regulatory requirements regarding interstate practice and reimbursement policies falls within operational risk management.
Behavioral and public awareness considerations may influence patient engagement but are not primary risk assessment categories. Financial risks are relevant in enterprise risk management; however, the question specifically contrasts clinical risk exposures with other telemedicine-related risks, making operational risk the most directly applicable.
Health Care Operations objectives emphasize comprehensive evaluation of technological, regulatory, and workflow factors in emerging service models. Therefore, operational risks should be evaluated alongside clinical exposures when assessing telemedicine programs.

NEW QUESTION # 32
When CPOE is implemented, there is almost always a decline in:

A. Patient acuity
B. Medication errors related to prescribing/transcription
C. The need for clinical decision-making
D. Nurse staffing requirements

Answer: B

Explanation:
Computerized Provider Order Entry (CPOE) reduces medication errors primarily by eliminating illegible handwriting, standardizing order fields, and enabling decision support (allergy checks, dosing ranges, interactions). Evidence indicates CPOE can significantly reduce prescribing errors and improve patient safety, though it can also introduce new error types (selection errors, alert fatigue), requiring careful design and monitoring. From a risk management perspective, CPOE is a high-impact control that strengthens medication safety defenses at the "front end" of the medication-use process. Risk objectives include governance for order sets, usability testing, monitoring override patterns, and continuous training to prevent workarounds. Properly implemented, CPOE supports safer, more reliable care and reduces preventable adverse drug events, aligning with enterprise safety goals and regulatory expectations for medication management.

NEW QUESTION # 33
Which of the following are essential elements of a standard loss run?

A. date, expense, and indemnity
B. date, location, and root cause analysis
C. common law, case law, and analysis
D. date, frequency, and severity

Answer: A

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, a standard loss run is a report generated by an insurer or third-party administrator summarizing claims activity for a specific period. Loss runs are critical tools in risk financing, underwriting review, actuarial analysis, and budgeting for self-insured retentions.
Essential elements of a standard loss run include the date of loss, indemnity payments, and expense payments.
Indemnity reflects amounts paid or reserved for compensation to claimants, while expense represents allocated loss adjustment expenses such as defense costs, expert witness fees, and investigation costs. These data elements allow the organization to evaluate financial exposure, trends in claim development, and adequacy of reserves.
While frequency and severity are important analytical concepts derived from loss data, they are not typically listed as standalone fields within the basic loss run report. Legal analysis, case law references, and root cause analyses are not standard components of loss run documentation.
Risk financing objectives emphasize accurate tracking of financial exposure and informed forecasting.
Therefore, date, expense, and indemnity are essential elements of a standard loss run report.

NEW QUESTION # 34
A risk manager identifies a problem with the informed consent process in the organization. All of the following are appropriate interventions EXCEPT

A. reviewing and revising the informed consent policies and procedures.
B. reporting physicians with incomplete consent forms to the appropriate peer review committee.
C. educating medical, nursing, and physician office staff on components of the informed consent process.
D. conducting a medical record audit to ascertain completeness of consent forms.

Answer: B

Explanation:
According to Health Care Risk Management standards endorsed by ASHRM and the American Hospital Association Certification Center, system-level issues in the informed consent process should first be addressed through quality improvement and educational interventions rather than immediate punitive action.
Conducting a medical record audit is an appropriate first step to identify patterns of incomplete documentation and determine whether the problem is isolated or systemic. Reviewing and revising policies and procedures ensures alignment with current legal standards and clarifies responsibilities for obtaining and documenting consent. Providing targeted education to physicians, nurses, and office staff reinforces understanding of required elements, including discussion of risks, benefits, alternatives, and patient questions.
Reporting physicians with incomplete consent forms directly to peer review may be appropriate in cases of persistent noncompliance or willful disregard of standards. However, when a systemic process problem is identified, immediate referral to peer review is not the appropriate primary intervention and may undermine a just culture approach.
Clinical and patient safety objectives emphasize root cause identification, education, and process improvement before disciplinary escalation. Therefore, reporting physicians to peer review in this context represents the inappropriate intervention.

NEW QUESTION # 35
A 22-year-old man has been treated at a hospital for a psychiatric condition. His mother requests that a copy of the patient's medical record be released to her. The risk manager's advice to the medical records department should be to

A. contact the hospital's legal counsel to authorize the release of the medical record.
B. check with the psychiatrist for a recommendation to release the medical record.
C. verify that a specific release of information form has been signed by the patient and then release the medical record.
D. request evidence that the mother is the guardian of the patient and then release the medical record.

Answer: C

Explanation:
According to Health Care Risk Management standards supported by ASHRM and the American Hospital Association Certification Center, a 22-year-old patient is a legal adult and retains full rights to privacy and control over disclosure of protected health information under HIPAA and applicable state confidentiality laws. Psychiatric records are subject to heightened confidentiality protections in many jurisdictions.
Absent a court order or legal guardianship determination, a parent does not have automatic access to an adult child's medical records. Therefore, before releasing any information, the organization must verify that the patient has executed a valid, specific authorization for release of information that complies with HIPAA requirements. The authorization must clearly identify the recipient, the information to be disclosed, and be properly signed and dated.
Consulting legal counsel or a treating psychiatrist does not substitute for proper authorization. Similarly, requesting guardianship documentation would only be appropriate if the mother asserts legal guardianship status; however, in the absence of such documentation, release cannot occur.
Legal and regulatory objectives emphasize strict adherence to privacy laws, protection of psychiatric records, and proper authorization procedures. Therefore, verification of a signed release of information from the patient is required before disclosure.

NEW QUESTION # 36
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Valid CPHRM Exam Camp | CPHRM Test Practice

CPHRM Test Practice & New CPHRM Real Exam

ASHRM Certified Professional in Health Care Risk Management (CPHRM) Sample Questions (Q31-Q36):

2026 Valid CPHRM: Valid Certified Professional in Health Care Risk Management (CPHRM) Exam Camp

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