The NAHQ CPHQ exam blueprint distinguishes outcome measures from structure and process measures. Outcome measures assess the results of care on patient health, including complications, morbidity, and effectiveness of treatment.
Option D is correct because the surgical site infection (SSI) rate directly reflects the clinical outcome of joint replacement surgery and is a key indicator of quality and patient safety. SSIs are nationally recognized outcome measures and are frequently used for benchmarking and public reporting.
Option A and Option B are process measures, as they evaluate whether specific care activities were completed. Option C is a structure measure, reflecting provider qualifications rather than patient outcomes.
The CPHQ framework emphasizes selecting outcome measures that are clinically meaningful, measurable, and aligned with patient safety, making SSI rate the most appropriate outcome measure.
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