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Healthcare

Certified Professional in Healthcare Risk Management (CPHRM)

Credentialing Body: American Hospital Association (AHA) Certification Center

Category
Healthcare
01

Overview

The CPHRM certification is the gold standard for healthcare risk managers. This comprehensive course equips participants with knowledge and tools to minimize risk exposure, improve patient safety, comply with healthcare regulations, and manage claims. The program also prepares candidates for the CPHRM exam by covering legal principles, risk identification, loss prevention, and enterprise risk management.

  • Understand core principles of healthcare risk management and its impact on patient safety.
  • Apply legal and ethical guidelines in risk assessment and incident reporting.
  • Analyze and respond to risk exposures across clinical and administrative domains.
  • Implement risk mitigation strategies in accordance with national standards.
  • Prepare confidently for the CPHRM certification examination.

Introduction to Healthcare Risk Management

  • Role and scope of risk managers
  • Regulatory and accreditation frameworks (e.g., CMS, Joint Commission)

Clinical/Patient Safety Risk Management

  • Incident reporting systems
  • Root Cause Analysis (RCA)
  • Sentinel events and adverse outcomes

Legal and Regulatory Risk

  • Tort law, liability, negligence
  • Informed consent and patient rights
  • HIPAA, EMTALA, Stark Law, Anti-kickback statutes

Claims and Litigation Management

  • Professional liability
  • Documentation practices
  • Working with attorneys, insurers, and third-party administrators

Risk Financing

  • Insurance programs and self-insurance models
  • Captive arrangements and deductibles
  • Budgeting and claims reserves

Organizational Leadership and Strategy

  • Enterprise Risk Management (ERM) framework
  • Governance and compliance alignment
  • Culture of safety and proactive prevention

Exam Preparation and Practice Questions

  • Sample exam scenarios and question walkthrough
  • Exam techniques and time management

Individual Benefits

  • Establishes credibility as a certified healthcare risk expert
  • Increases understanding of enterprise risk management and litigation trends
  • Expands career advancement opportunities in hospitals and insurance firms
  • Enhances ability to proactively address patient safety and compliance issues
  • Boosts confidence when leading risk audits or investigations

Organizational Benefits

  • Reduces legal liability and patient harm incidents
  • Improves claim management and financial protection
  • Enhances patient safety and care delivery practices
  • Strengthens the institution’s compliance and audit-readiness
  • Supports the development of a risk-aware, prevention-focused culture

Next step

Build the capability your organisation needs.

Discuss a corporate certification pathway with the SPS team.