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Exam CPHQ Topic 1 Question 195 Discussion
Actual exam question for NAHQ's CPHQ exam
Question #: 195
Topic #: 1
Question #: 195
Topic #: 1
A surgeon has a surgical site infection rate of 6.7% for a particular procedure. The average infection rate for other surgeons performing the same procedure at this facility is 3.3%. After notifying the department chair of this situation, the quality professional should recommend
Suggested Answer: C Vote an answer
A surgeon's elevated surgical site infection (SSI) rate (6.7% vs. 3.3% average) indicates a performance gap requiring targeted investigation.
Option A (Suspension of the surgeon): Suspension is punitive and premature without understanding the cause of the high rate.
Option B (A performance improvement project): A project may address systemic SSI issues but is too broad for an individual surgeon's performance.
Option C (A focused review): This is the correct answer. The NAHQ CPHQ study guide states, "A focused review investigates an individual provider's performance when data indicates a significant deviation, such as an elevated SSI rate" (Domain 4). It examines factors like technique or compliance.
Option D (A root cause analysis): RCA is used for specific incidents, not ongoing performance trends.
CPHQ Objective Reference: Domain 4: Performance and Process Improvement, Objective 4.6, "Evaluate provider performance," emphasizes focused reviews for outliers. The NAHQ study guide notes, "Focused reviews target individual performance issues" (Domain 4).
Rationale: A focused review investigates the surgeon's specific practices, aligning with CPHQ's improvement principles.
Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, Objective 4.6.
Option A (Suspension of the surgeon): Suspension is punitive and premature without understanding the cause of the high rate.
Option B (A performance improvement project): A project may address systemic SSI issues but is too broad for an individual surgeon's performance.
Option C (A focused review): This is the correct answer. The NAHQ CPHQ study guide states, "A focused review investigates an individual provider's performance when data indicates a significant deviation, such as an elevated SSI rate" (Domain 4). It examines factors like technique or compliance.
Option D (A root cause analysis): RCA is used for specific incidents, not ongoing performance trends.
CPHQ Objective Reference: Domain 4: Performance and Process Improvement, Objective 4.6, "Evaluate provider performance," emphasizes focused reviews for outliers. The NAHQ study guide notes, "Focused reviews target individual performance issues" (Domain 4).
Rationale: A focused review investigates the surgeon's specific practices, aligning with CPHQ's improvement principles.
Reference: NAHQ CPHQ Study Guide, Domain 4: Performance and Process Improvement, Objective 4.6.
by Ellen at May 14, 2026, 09:07 AM
Here are all the actual test exam dumps for IT exams. Most people prepare for the actual exams with our test dumps to pass their exams. So it's critical to choose and actual test pdf to succeed.
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