CPHQ: The Mark of Distinction in Healthcare Quality 2nd International Conference of the Asia Pacific Society for Healthcare Quality 2008 18 January 2008 Singapore David Loose, RN, MSN, CPHQ, CNAA Chair, Healthcare Quality Certification Board 2008
National Association for Healthcare Quality (NAHQ)
Founded 1976 Leading organization for healthcare quality professionals in the USA Over 5,000 individual members and 100 institutional members MISSION: NAHQ empowers healthcare quality professionals from every specialty by providing vital research, education, networking, certification and professional practice resources, and a strong voice for healthcare quality.
Healthcare Quality Certification Board (HQCB)
Formed in 1976 as the “Quality Assurance Certification Certification Board” A separate Board from NAHQ The certifying arm of NAHQ
MISSION:
The Healthcare Quality Certification Board, by providing the only accredited international healthcare quality certification, improves the quality of healthcare by advancing the theory, practice and development of diverse quality professionals.
Establishes policies, procedures, and standards for certification and recertification in the field of healthcare quality management.
Grants Certified in Healthcare Quality Quality (CPHQ) (CPHQ) status,participation recognizing in professional andProfessional academic achievement through the individual’s this international voluntary certification program
HQCB Vision The HQCB is a globally recognized leader dedicated to improving the quality of healthcare by providing a valid process for assessing the competency of professionals in healthcare quality.
A Certified Professional Healthcare Quality (CPHQ) in is… An individual who has passed the HQCB’s accredited, international examination demonstrating:
Competent knowledge in quality principles Skill & understanding of program development and management Coordination of survey processes Communication and education techniques Departmental management
History of the CPHQ Exam
1976 197 6 - Exa Exam m Commi Committe ttee e forma formatio tion n
1984 198 4 - The firs firstt exam exam admini administe stered red
2000 200 0 - Int Intern ernati ationa onall expan expansio sion n
2002 200 2 - Com Comput puter-b er-base ased d test testing ing
2005 200 5 - Web Web-ba -based sed inter internat nation ional al testin testing g
Approved by National Organization for Competency Assurance (NOCA)
NOCA promotes excellence in competency assurance for practitioners in all occupations and professions by approving their certification processes.
Assures the of public and employers and ofand the attests quality,to validity, validity, and legal defensibility the CPHQ credential the professional commitment of those who achieve this recognition. HQCB completed it’s initial Survey in 1988. Has successfully successfully recertified every 5 years since.
CPHQ is the only fully-accredited credential in the field of international quality management
Total CPHQ Candidates Tested 18,000
Cumulative # of Candidates Tested
16,000 14,000
12,000 10,000 8,000
6,000 4,000 2,000 0
2 9 9 1
3 9 9 1
4 9 9 1
5 9 9 1
6 9 9 1
7 9 9 1
8 9 9 1
9 9 9 1
0 0 0 2
1 0 0 2
2 0 0 2
3 0 0 2
4 0 0 2
5 0 0 2
6 0 0 2
7 0 0 2
HQCB Candidate Distribution USA
International
1,200 1,000 800 600 400 200 0 1997
1999
2001
2003
2005
2007
Number of International Candidates 120 12 0
100 10 0
80
60
40 20
0 9 9 9 1
0 0 0 2
1 0 0 2
2 0 0 2
3 0 0 2
4 0 0 2
5 0 0 2
6 0 0 2
7 0 0 2
CPHQ Licensure or Registration RN 71%
LVN 1%
RHIA 4%
RHIT 3% MD/DO 1%
Other 8%
None 12%
Demographic Data of International CPHQ’s Demographic Variable
International Respondents
Organization type Unit within hospital Organization size
51% hospital-based 63% QM 48% with 1000+ employees
Years of experience Time in HC quality Type of position Highest degree
Median = 13 years 73% spend 100% of time 70% supervisory or higher 40% Masters Degree
Eligibility for CPHQ Exam • 1 January 2004: Eliminated minimum education and experience criteria. • Must asses assess s own readin readiness ess to take the the exam. exam. Recommend candidates have at least two years experience in managing and/or conducting conducting activities in healthcare quality. NOT appropriate for entry level candidates. • For A ALL LL professi professionals onals who aspire aspire to exce excell and demonstrate their competency in healthcare quality.
Testing Centers www.goAMP.com Some of the Testing Locations on this website:
Hong Kong (Institute of Internationa Internationall Education, 156 156 Des Voeux Road Central, Central, General
Singapore (United States Educational Information Center
Commercial Building, Room 601-2, Hong Kong)
12 Prince Edward Road, Road, #01-03 Podium Podium A, Bestway Building, Singapore) Singapore)
Japan, South Korea, Taiwan, Guam, Philippines Australia UAE, Qatar, Lebanon, Jordan, Saudi Arabia
Computer -based Testing
Each exam includes 15 new questions for “pre-testing” that are not included in final scoring All questions included in final final scores have been pre-tested pre-tested for quality and accuracy 3 hours to complete exam Allows instant pass pass / fail score score reports
Test Taking Tips
Prepare: Suggested resources in Handbook
NEW: CPHQ Self-Assessment Examination
65-question online exam developed to be parallel in 65-question content and difficulty to the actual examination.
Questions are presented in the same computer format
as the certification examination. Can be used to assess whether or not you are prepared for the examination.
More Test Taking Tips
Review International Terminology Crosswalk (Translation available from English to Arabic, Spanish, Chinese on website)
Case mix = patient groupings
CEO = Chief Executive Officer Unit = Unit / ward / floor
Buddy Up to Study and Take Test
Review Content Outline Carefully
Read Each Question Carefully: Not designed to trick you
Cognitive Levels for Exam Questions (140 Total, 15 pre-test)
32% % of of exa exam m (40 (40)) Recall - 32
Application - 53 53% % of of exa exam m (63 (63))
Test of specific facts & concepts Requires candidate to interpret or to apply information to a situation
Analysis - 15 15% % of of exa exam m (22 (22))
Tests the ability to evaluate, problem solve or integrate information and / or judgment into a meaningful whole. whole.
Recall Which of the following types of budgets itemizes the major equipment to be purchased in the next year? A. capital B. variable C. operating D. zero-based
Recall Which equipment of the following of budgets the major to betypes purchased in theitemizes next year?
A. CAPITAL B. variable C. operating D. zero-based
Key: A Task on Content Outline: Management and Leadership – Participate in preparing and managing operating budgets.
Application The separate services of Pharmacy and Nursing are having difficulty developing an action plan for medication errors. Pharmacy Services states that Nursing Services causes the majority of the problems related to errors, while Nursing Services states the opposite. The quality professional’s role in resolving this problem is to: A. provide them them with directives directives on how how to solve the the problem. problem. B. facilitate discussion between the groups to enable them to assume ownership of their portions of the problem. C. assign the task to an uninvolved manager. D. refer the problem to the facility-wide quality council.
Application The separate services and Nursing are having difficulty developing an action plan of forPharmacy medication errors. Pharmacy Services states that Nursing Services causes the majority of the problems related to errors, while Nursing Services states the opposite. The quality professional’s role in resolving this problem is to: A. provide them with directives directives on how to solve the problem. problem. B. FACILITATE DISCUSSION BETWEEN THE GROUPS TO ENABLE THEM TO ASSUME OWNERSHIP OF THEIR PORTIONS OF THE PROBLEM. C. assign the task to an uninvolved manager. manager. D. refer the problem to the facility-wide quality council.
Key: B
Task on Content Performance Measurement & Improvement– Facilitate changeOutline: within the organization.
Analysis The1,000 following represents two samples of five hospitals’ hysterectomy rates per women aged 40-60 years of age:
Sample A Sample B
Rates 3, 5, 7, 8, 5 4, 5, 6, 7, 5
Mean 5.6 5.4
Standard Deviation 1.8 1.1
In analyzing this information, it can be concluded that: A. Sample A has more more variability than Sample Sample B. B. Sample A’s performance is superior to Sample B’s. C. there are more cases in Sample B. D. there is a data collection error in Sample B.
Analysis The following represents two samples of five hospitals’ hysterectomy hysterectomy rates per 1,000 women aged 40-60 years of age:
Sample A Sample B
Rates 3, 5, 7, 8, 5 4, 5, 6, 7, 5
Mean 5.6 5.4
Standard Deviation 1.8 1.1
In analyzing this information, it can be concluded that:
A. Sample A has more variability than Sample B. B. Sample A’s performance is superior to Sample B’s. C. there are more cases in Sample B. D. there is a data collection error in Sample B.
Key: A Task on Content Outline: Information Management; Use basic statistical techniques to describe data.
After You Pass the Examination
Can use the designation of CPHQ after your name.
Recertification required every 2 years
30 hours of continuing education required
The continuing education must cover the topics on the exam outline
Various Ways of Obtaining Continuing Education
Seminar/Conference Attendance Seminar/Conference Webinar/Audio Conferences College Courses Self Study
Professional Benefits of CPHQ
Promotes:
Excellence in the profession Quality Management as a distinct discipline in Healthcare
Personal Benefits of CPHQ
Tool for career/financial advancement
Identifies you as a qualified individual to your employer, others. Provides your employer & the public with the assurance that you have the necessary skills & knowledge to perform competently.
Personal satisfaction in being a CPHQ, an internationally recognized commitment to excellence…
WORLD CLASS – CERTIFIED PROFESSIONAL
Contact Information www.cphq.org Healthcare Quality Certification Board P. O. Box 19604 Lenexa, KS 66285-9604, USA International +1-913-895-4609 Toll free U.S./Canada 1-800-346-4722 Facsimile 1-913-895 1-913-895-4652 -4652