Age-Friendly Health Systems IHI Team and Faculty

• Matt Berry, Marketing Manager (maberry@ihi.org)
• Alice Bonner, PhD, RN, Advisor, Care of Older Adults (abonner@ihi.org)
• Nicole Brandt, PharmD, Faculty
• Cynthia Brown, MD, Faculty
• Kate DeBartolo, Senior Project Director, (kdebartolo@ihi.org)     
• Alex Enxuto, Associate Project Manager (aenxuto@Ihi.org)
• Donna Fick, MD, Faculty
• Luisana Henriquez Garcia, MA Project Manager (lgarcia@ihi.org)
• Laura Howell Nelson, Project Director (lhowellnelson@ihi.org)
• Nicole Korp, Project Manager (nkorp@ihi.org)
• Kevin Little, PhD, Improvement Advisor
• Kedar Mate, MD, President and CEO, Senior Sponsor (kmate@ihi.org)
• Amanda Meier, MA, Project Manager (ameier@ihi.org)
• Ivy Mwangi, MD, Faculty
• KellyAnne Pepin, MPH, Senior Project Director (kpepin@ihi.org)
• JoAnne Reifsnyder, PhD, MSN, MBA, RN, FAAN, Faculty
• Cayla Saret, Senior Managing Editor (csaret@ihi.org)
• Rafael Samper-Ternent, MD, PhD, Faculty 
• Andrea Schwartz, MD, Faculty
• Christina Southey, Im​provement Advis​or
• Mary Tinetti, MD, Faculty

Age-Friendly Health Systems Advisory Group​

• ​​​Don Berwick, MD, MPP (chair), President emeritus and Senior Fellow, Institute for Healthcare Improvement, former administrator of the Centers for Medicare & Medicaid Services
• Faith Mitchell (co-chair), PhD, Institute Fellow, Urban Institute
• Mary Tinetti, MD (founding co-chair), Gladys Phillips Crofoot Professor of Medicine (Geriatrics) and Professor, Institution for Social and Policy Studies; Section Chief, Geriatrics
• Ann Hendrich, PhD, RN (founding co-chair), Researcher & Content Expert, Health System, Nursing and Safety Executive
• Kyle Allen, DO, AGSF, Vice President Enterprise Medical Director, CareSource
• Kevin Biese, MD Associate Professor, Emergency Medicine; Co-Director, Division of Geriatric Emergency Medicine; Director, Emergency Medicine Residency Program;  Advisor to Gary and Mary West Health Institute
• Alice Bonner, PhD, RN, Advisor, Care of Older Adults, Institute for Healthcare Improvement
• Peg Bradke, RN, MA, Vice President, Post-Acute Care, UnityPoint Health - St. Luke's Hospital
• Nicole Brandt, PharmD, MBA, Professor, Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy; Executive Director, Peter Lamy Center on Drug Therapy and Aging
• Marie Cleary-Fishman, BSN, MS, MBA, CPHQ Vice President , Clinical Quality AHA Center for Health Innovation American Hospital Association
• Lenise Cummings-Vaughn, MD, Associate Professor of Medicine, Washington University's School of Medicine
• Thomas E. Edes, MD, MS, Senior Medical Advisor, Office of Geriatrics & Extended Care, U.S. Department of Veterans Affairs
• Glyn Elwyn, MD, PhD, The Dartmouth Institute for Health Policy and Clinical Practice
• Wes Ely, MD, MPH, Professor of Medicine, Vanderbilt University School of Medicine
• Donna Fick, PhD, RN, Elouise Ross Eberly Professor of Nursing and Professor of Medicine and Director of Center of Geriatric Nursing Excellence, Pennsylvania State University; Editor, Journal of Gerontological Nursing
• Terry Fulmer, PhD, RN, President, The John A Hartford Foundation
• Sherry A. Greenberg, PhD, RN, GNP-BC, FGSA, FNAP, AGSF FAANP, FAAN Evelyn Lauder Chair in Adult Gerontology and Professor Hunter-Bellevue School of Nursing, Hunter College, New York City
• Scotte R. Hartronft, MD, MBA, FACP, Executive Director, VA Office of Geriatrics and Extended Care, Veterans Health Administration
• Carrie Hays McElroy, MSN, RN, Gero-BC, ACM, VP Clinical Operations/CNO, Chief Integrity and Compliance Officer, Trinity Health PACE
• Kate Hilton, JD, MTS, Senior Consultant, ReThink Health and Faculty, Institute for Healthcare Improvement
• Ann Hwang, MD, Director of the Center for Consumer Engagement in Health Innovation, Community Catalyst
• Barbara Jacobs, RN, Vice President, Nursing and Chief Nursing Officer, Anne Arundel Medical Center
• Maulik Joshi, DrPH, Chief Executive Officer, Meritus Health
• Doug Koekkoek, MD, Chief Executive, Providence Medical Group
• Bruce Leff, MD, Professor, Johns Hopkins Medicine and Director, The Center for Transformative Geriatric Research, Johns Hopkins University School of Medicine
• Shari M. Ling, MD, Acting CMS Chief Medical Officer
• Nancy Lundebjerg, MPA, Chief Executive Officer, American Geriatrics Society
• Joe McCannon, Founder, Shared Nation, Formerly Founder and Chief Executive Officer, Billions Institute
• Angela Patterson, DNP, FNP-BC, NEA-BC, FAANP, Chief Nurse Practitioner Officer, CVS Minute Clinic Vice President, CVS Health
• VJ Periyakoil, MD, Director, Palliative Care Education and Training, Stanford University School of Medicine, VA Palo Alto Health Care System, Division of Primary Care and Population Health
• ​Jonathan Perlin, MD, President and CEO, The Joint Commission
• Eric Rackow, MD, Executive Chairman and Co-Founder, eFamilyCare; President Emeritus, NYU Hospital Center; Professor of Medicine, NYU School of Medicine
• ​Stephanie Rogers, MD, MPH Assistant Professor, Medicine, University of California, San Francisco
• Ronnie Rosenthal, MD, Professor of Surgery, Yale School of Medicine and Surgeon-In-Chief, VA Connecticut Healthcare System
• Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC, Chief Nursing Executive, HCA Healthcare American Group, Vice President, Group Clinical Operations
• Nirav Shah, MD, MPH, Adjunct Professor at the School of Medicine, Stanford University
• Albert Siu, MD , Professor and System Chair, Geriatrics and Palliative Medicine, Population Health Science and Policy, General Internal Medicine
• Victor Tabbush, PhD, Adjunct Professor Emeritus, UCLA Anderson School of Management
• Julie Trocchio, MSN, Senior Director, Community Benefit and Continuing Care, Catholic Health Association of the United States

Age-Friendly Health Systems What Matters Advisory Group

• Joann Austin
• Elissa Brown
• MaeMargaret Evans
• Kate Hilton
• Janice Hopper
• Andrea Kabcenell
• Rafael Ruiz
• Robert Small
• Randy Smith
• Madge Street

Resources to Practice Age-Friendly Care

Numerous resources are available to help your team and organization practice age-friendly care and to guide your journey toward becoming an Age-Friendly Health System, including:

• Getting Started Guides
• Age-Friendly Health Systems Measurement
• NEW: CMS Age-Friendly Hospital Measure
• 4Ms Framework ​of an Age-Friendly Health System
• Making the Business Case for Age-Friendly Health Systems
• Working with Older Adults
• Case Studies
• Equity in Age-Friendly Care
• Additional Resources: IHI Insights, news and journal articles, and more
   

Getting Started Guides

​​​​​​​​​​Guide to Using the 4Ms in the Care of Older Adults in Hospitals and Ambulatory Practices

The guide is designed to help care teams test and implement a specific set of evidence-based, geriatric best practices called the "4Ms": What Matters, Medication, Mentation, Mobility.

• Download the Guide

Guide to Care of Older Adults in Nursing Homes

IHI, along with partner nursing homes, has developed the Age-Friendly Health Systems Guide to Care of Older Adults in Nursing Homes and companion document, Age-Friendly Health Systems Workbook for Nursing Homes Teams. The Guide presents a systems-based approach to implementing the 4Ms throughout the nursing home, and the Workbook is designed by and for point-of-care teams that interact with individual residents each day.

• Download the Guide
• Download the Workbook

Guide to Recognition for Geriatric Emergency Department Accredited Sites

Geriatric Emergency Department Accredited sites are well aligned with 4Ms care. This guide provides an overview of each initiative, illustrates the overlap between them, and provides guidance on incorporating What Matters to older adults into Geriatric Emergency Department care.

• Download the Guide

Guide to Recognition for Geriatric Surgery Verification Hospitals

Geriatric Surgery Verification (GSV) Hospitals are well aligned with 4Ms care. This guide provides an overview of each initiative and illustrates the GSV Standards that meet the requirements for recognition as an Age-Friendly Health System when provided to adults ages 65+.

• Download the Guide

Guide to Using the 4Ms in the Care of Older Adults in the Convenient Care Clinic

This guide contains resources to help convenient care clinics implement the 4Ms (What Matters, Medication, Mentation, and Mobility) into their setting of care.

• Download the Guide

Guide to Using the 4Ms in the Care of Older Adults in Home Health

This guide contains resources to help home health implement the 4Ms (What Matters, Medication, Mentation, and Mobility) into their setting of care.

• Download the Guide

The Three Keys to Cross-Sector Age-Friendly Care

Improving Public Health and Health Care for Older Adults: The Three Keys to Cross-Sector Age-Friendly Care Implementation Guide and Workbook contains resources to improve how public health and health care organizations work across the care continuum. The accompanying materials also provide guidance and specific recommendations to support efforts to provide age-friendly care to all older adults.

• Download the Implementation Guide and Workbook plus related content

Age-Friendly Health Systems EHR Implementation Guides

• Download the EHR Implementation Guide with Cerner Examples
• Download the EHR Implementation Guide with Epic Examples
• Download the Epic Implementation Guide​

For feedback or questions about these guides, please email afhs​@ihi.org.

Age-Friendly Health Systems Measurement

Age-​Friendly Health Systems: Measures Guide

This document provides guidance on how to use and track a series of measures ​​to help study your performance​.

• Download the Measures Guide​
• Video: Measuring the Impact of the 4Ms in Your System
• NCQA Article: A Core Measure Set For Age-Friendly Health Care Delivery

4Ms Evaluation Metrics Resource Library

Developed by the University of California San Francisco and a national Age-Friendly Health System Research Council, the 4Ms Evaluation Metrics Resource Library is a one-stop collection of 4Ms metrics compiled from the literature to help evaluators, researchers, implementers, and other stakeholders jump start their work to assess the impact of 4Ms implementation efforts. Metrics can be easily filtered by each of the 4Ms, measure type (e.g., process, outcome), clinical setting, data source, and subpopulations.

• Access the 4Ms Evaluation Metrics Resource Library 

Cross-Setting Measurement Guide 

The Comprehensive measurement guide has been created to reflect the measurement guidance contained in the guides for Hospital, Ambulatory, Nursing Home, Convenient care and Home care. It contains a comparison of the recommended measures for all settings that can currently be recognized by IHI (as of February 2025) and definitions of the measure for considerations by systems. Additionally, the guide builds on the guidance in the various AFHS Guides by adding in measures that we have gathered from systems looking to spread the 4Ms across their system and provides additional considerations for systems creating their own measurement dashboards to track the impact of the 4Ms on process and outcomes. 

The guide has been created to provide a base for diverse systems to customize their own measures based on their internal systems. IHI will continue to review and revise the guide as required as we learn more from the increasing number of systems engaged in implementing the 4Ms in their system and tracking impact. 

• Access the Cross-Setting Measurement Guide

Spreading Age-Friendly Care: From One Care Location to Reach Older Adults Across Your Health System

The guide will help health systems in spreading the 4Ms through all sites of care by discussing international effort and specific activities to reach this goal.

• Download the Guide

Read these IHI Insights posts to learn how different health systems have spread 4Ms care using the drivers or approaches outlined in the guide. 

• Hartford HealthCare: Celebrate and tell your stories to drive spread
• University of Texas Health Science Center at Houston: Calculate the financial impact of practicing the 4Ms
• Providence Health: Get specific about which health system priorities are advanced by the 4Ms
• MaineHealth: Gather evidence of impact during piloting of the 4Ms

NEW: CMS Age-Friendly Hospital Measure

This brief overview discusses why the measure matters, crosswalks the five domains of the measure to the 4Ms of the age-friendly care, includes a timeline of the measure, and shares resources. 

• Download the Overview

CMS Age-Friendly Measure Completion Checklist

Use this example checklist from Luminis Health Anne Arundel Medical Center as a starting point for documenting and monitoring progress towards attestation. 

• Download the Checklist

CMS, AHRQ, and UCSF on Advancing Age-Friendly Care

The recording of this October 2024 Friends of Age-Friendly Health Systems call is now available to view online or share with a colleague.

• Watch the recording
• Download the slides

The Expert Oversight Committee (EOC), as an advisory body to the Certification Board for Professionals in Patient Safety (CBPPS), is responsible for overseeing the examination and recredentialing processes for the Certified Professional in Patient Safety™ (CPPS) and Certified Professional in Human Factors in Health Care (CPHFH) credentials and ensuring that certification continues to meet the high standards required for the profession.

Download the latest version of the CBPPS Policies statement

Download the latest CPPS Job Analysis Report Summary
 

Certification Board for Professionals in Patient Safety

• Rollin J. "Terry" Fairbanks, MD, MS, CPPS
  CBPP  S Vice Chair
  Senior Vice President and Chief Quality and Safety Officer
  MedStar Health
  Professor of Emergency Medicine
  Georgetown University
• Martin (Marty) Hatlie, JD
  CBPPS Public Member
  Co-Founder, Patients for Patient Safety US
  President and CEO, Project Patient Care
• Michelle Jackson, MSN, RN, SCRN, NE-BC, CPPS, CPHQ
  Division Assistant Vice President of Patient Safety and Clinical Excellence
  HCA Healthcare Houston Gulf Coast Division
• Patricia McGaffigan, RN, MS, CPPS 
  Ex Officio
  CBPPS President
  Senior Advisor, Safety
  Institute for Healthcare Improvement​
• Sam Shen, MD, MBA, CPPS
  Patient Safety Officer/Associate Chief Quality Officer, Stanford Healthcare
  Professor of Emergency Medicine, Dept. of Emergency Medicine, Stanford University School of Medicine
• Sam R. Watson, MSA, MT(ASCP), CPPS, CAE
  CBPPS Secretary
  Senior Vice President, Field Engagement
  Michigan Health & Hospital Association (MHA) Keystone Center 
• Ronald M. Wyatt, MD, MHA 
  CBPPS Chair
  Founder and CEO
  Achieving Equity LLC
• Wade J. Westhoff, CFP®, AIF®
  CBPPS Treasurer and Public Member
  The Westhoff Group, Raymond James

What is a Certified Professional in Patient Safety (CPPS)?

The CPPS credential establishes patient safety competency standards and elevates the professional stature of health care professionals who meet knowledge requirements in safety science, human factors engineering, and the practice of safe care. Certification requires a combination of education and experience, as well as successful completion of the evidence-based certification exam.

Who is the certifying body behind CPPS?

The CPPS examination is administered by the Certification Board for Professionals in Patient Safety (CBPPS). CBPPS was formed to oversee a rigorous and comprehensive credentialing process that attests to patient safety competencies and expertise. The board's chief responsibility is the development and administration of an evidence-based examination that provides candidates with a process by which they can demonstrate their competency in patient safety science and application.

Are there prerequisites or eligibility requirements to sit for the exam?

Candidates for the CPPS credential are those whose current or future professional responsibilities include patient safety practices as an integral component. In addition, candidates must possess academic and professional experience at one of the following levels:

• Baccalaureate degree or higher plus three years of experience (includes time spent in clinical rotations and residency programs) in a health care setting or with a provider of services to the health care industry
• Associate degree or equivalent plus five years of experience (includes time spent in clinical rotations) in a health care setting or with a provider of services to the health care industry

What is the fee to sit for the CPPS examination?

The CPPS exam fee is $549. For international candidates, the CPPS exam fee is US $649.

What are the new updates to the exam? 

The Certified Professional in Patient Safety (CPPS)™ certification exam and related offerings have been updated to align with a comprehensive job analysis conducted by CBPPS that considered current knowledge and skills related to the role of a patient safety professional. 

The updated CPPS exam features a new exam content outline (ECO).

This revised exam includes 100 scored items and 20 pre-test items (up from 10 pre-test items) and covers 4 domains (a consolidation from the previous 5). Candidates will now have 2.5 hours to complete the exam, an extension from the previous 2 hours. 

Exam preparation materials for the updated CPPS exam are now available.

Click here to review all changes effective 11/12/2024 

What is tested on the CPPS examination?

Candidates are tested on four core patient safety domains: Culture, Systems Thinking, Human Factors Engineering, and Design, Safety Risks and Responses, Performance Measurement, Analysis, Improvement and Monitoring. The vast majority of questions test application and analysis, while a small percentage test for recall.

How can I obtain a CPPS Candidate Handbook and application?

The CPPS Candidate Handbook is available for download, or call our authorized testing partner, PSI Candidate Services​ at (833) 333-4755. An application is included in the Candidate Handbook. Mail the completed application and appropriate fee to PSI ​at the address indicated on the application.

Can I apply for the CPPS examination online?

Yes, a candidate who pays the examination fee by credit card may apply online and schedule an appointment to test through the PSI website.

• Visit the PSI certification website
• On the main page click "Find Your Test"
• From the "Browse by Industry" section choose "Health Care"
• Find and choose "Certification Board for Professionals in Patient Safety (CBPPS)"
• Click “View Available Tests”
• Choose "Certified Professional in Patient Safety Examination (CPPS)"
• Select "Login/Register"
• Click "Create Account" near the top of the page.
• Fill in the required information and schedule your exam 

How can I prepare for the exam?

To prepare for the exam, we provide candidates with a detailed exam content outline, resource list and self-assessment exam (SAE) or practice exam. The SAE is offered through our testing partner, PSI, and may be purchased on the PSI website.

IHI also offers a CPPS Review Course in various formats throughout the year (in-person, self-paced, and live webinar). This course can help participants prepare for the exam by reviewing domain content areas and test-taking strategies.

CBPPS does not endorse resources designed to prepare candidates to take the certification exam. Completion of the SAE is optional and not required to take or pass the certification exam. Taking the SAE/practice exam or review course does not guarantee a passing score or improved performance on the exam.  

Is there a practice exam? How is it scored? How can I order it?

A practice exam is available for purchase from PSI. Note: This is also referred to as the self-assessment exam (SAE), described above. The practice exam should be regarded as a diagnostic tool to assess strengths and weaknesses, rather than a study guide for the examination. Upon purchase, the practice exam is available for a period of 60 days from the date of purchase, or until all 50 questions have been answered. At the time of completion, candidates receive a numerical score for each content area, as well as a summary including each question in its entirety, along with their response and the correct answer for each.

CBPPS does not endorse resources designed to prepare candidates to take the certification exam. Completion of the SAE is optional and not required to take or pass the certification exam. Taking the SAE/practice exam or review course does not guarantee a passing score or improved performance on the exam.   

Will the IHI Open School Patient Safety Curriculum help me prepare for the CPPS exam?​

The IHI Open School ​Patient Safety Curriculum is an important foundational course in patient safety science, but it is not meant to be preparatory for the exam.

What is the passing score? How is the passing score determined?

The passing score for the examination is 500. Scores ranges from 200 to 800. The passing score for the examination is determined by using a process known as the Angoff method, in which experts in the field estimate the difficulty of each item on the examination for the minimally qualified candidate. These judgments are averaged to determine the minimum passing score, which represents the amount of knowledge a minimally qualified candidate would likely demonstrate on the examination. The results of these ratings are presented to the exam development committee to determine the final passing score.  

​​​​​​​​​​​​​​​​​The Certified Professional in Patient Safety (CPPS) program certifies health care professionals who meet the competency requirements in the areas of patient safety science and human factors engineering, and who demonstrate the ability to apply this knowledge to effectively plan and implement patient safety initiatives.

Following successful completion of the CPPS examination, the certified professional is required to maintain certification by fulfilling continuing education (CE) requirements, which are reviewed and established by the Certification Board for Professionals in Patient Safety (CBPPS).

Recertification cycle: 3 years

Two paths to recertification are available, as described below. Please submit your application to certification@ihi.org 

Recertification Path I 

• Includes obtaining and maintaining documentation of 45 CE hours over the recertification cycle, submitting your completed CPPS Recertification Handbook and supporting documents, and payment of a recertification fee.
• Accepted types of CE:
  • All CE that follows the CPPS content outline is accepted.
  • CE options include: educational programs, self-study, CPPS item writing, academic course work, and more.
• There are many ways to obtain credits toward your CPPS recertification. The CBPPS has pre-approved the programs listed on the CPPS Continuing Education Credits web page. 
   

​Download the CPPS Recertification Handbook

Submit CPPS Recertification Fee

Recertification Path II

• Requires sitting for and passing the CPPS Examination within one year prior to expiration date.
• Submit first page of application with certificant information and PSI passing score report. 

Recertification Info Session

Did you miss the last informational call? Listen Now & Review Slides.

The Certification Board for Professionals in Patient Safety (CBPPS) has pre-approved specific programs for continuing education (CE) credits toward CPPS Recertification. CBPPS believes that continuous knowledge and competency enhancement advances not only your career, but also your organization and patient safety as a whole.

Please retain a copy of your CE activity completion certificate for your CPPS Recertification records.

Apply to Offer CPPS CE Credits for Your ​Educational Activity

​If you are a provider interested in offering CPPS continuing education (CE) for your educational activity, we invite you to apply for approval by filling out the CPPS CE Approval Application below. Applications should be submitted at least six weeks prior to the activity date.

Download the CPPS CE Approval Application
Pre-Approved CPPS CE Credit Activities​​
  
 

Cognitive Interviewing Workshop

May 1, 2025 | 10:00am – 2:30pm PT  | Seattle, WA

The Washington Patient Safety Coalition is hosting a workshop to provide formal training on cognitive interviewing technique for adverse event investigations. The fee is $295 per attendee. Lunch, coffee, and parking are provided. Contact Steve Levy at slevy@qualityhealth.org or 206-204-7383 with questions.

CPPS CE Credit: 4.0

2025 Compass Annual Forum

May 28, 2025 | Altoona, IA

Join Compass Healthcare Collaborative (Compass), convening providers and community stakeholders to work toward the common goal of exceptional healthcare in Iowa and across the nation! The Compass Annual Forum is an All Teach All Learn event in which attendees will learn and apply leadership practices through interactive activities to advance healthcare quality across the healthcare continuum.

CPPS CE Credit: 5.0

Orientation to Patient Safety

Impact By Design Pro.
Expires July 3, 2025

Self-guided webinar series offered by Impact By Design Pro.

CPPS CE Credit: Up to 4.0
 

Drug Errors in Anesthesia 2023

American Society of Anesthesiologists  
Expires on 3/5/2026 

In this course, you'll learn about adverse drug events in hospitalized patients, adverse drug events in operating room patients, types of drug errors, a review of closed claims data, and strategies for reducing medication errors.  

CPPS CE Credit: 0.75 

Patient Safety Highlights 2022 Package

American Society of Anesthesiologists  
Expires 3/12/2026 

The Patient Safety Highlights 2022 package consists of 13 individual modules that contain recordings of the corresponding session presented at ANESTHESIOLOGY® 2022. 

CPPS CE Credit: 12.50

The Anesthesia Quality and Patient Safety Meeting 2023 Online

American Society of Anesthesiologists 

The Anesthesia Quality and Patient Safety Meeting 2023 focuses on key themes in quality improvement, patient safety, team collaboration, and wellness. The meeting includes renowned practitioners who are passionate about ensuring safe care before, during, and after surgery. The program offers attendees a variety of perspectives on quality and patient safety topics. 

CPPS CE Credit: 5.5 

The CPPS examination is a computer-based test offered throughout the year at PSI Assessment Centers located domestically in the United States and internationally. The examination is also available online via live remote proctor. The examination is administered by appointment only. 

Available dates will be indicated when you schedule your examination. Candidates are scheduled on a first-come, first-served basis. Candidates will be given two hours to complete the examination.

CPPS Content Areas

Candidates will be tested on the following patient safety domains:​

• Culture
• Systems Thinking, Human Factors Engineering, and Design
• Safety Risks and Responses
• Performance Measurement, Analysis, Improvement and Monitoring 

CPPS Examination: Live Remote Proctoring

Live remote online proctoring for the CPPS exam is available. This exam delivery option allows CPPS candidates to continue advancing their personal and professional goals without having to travel to a testing center.

Candidates can now select either "Test Center" or "Remote Online Proctored" delivery mode for their examination. For more information on how to book your examination, please see the "How to Book an Examination" below.

Additional information on Online Proctoring:

• ​Live Remote Online Proctoring Rules​
• Live Remote Online Proctoring FAQs

Please contact cpps@ihi.org with any additional questions.​​​

Please be advised: Using a work computer for the remote proctored exam, even one which passes the System Compatibility Check, is highly discouraged due to administrator firewalls and IT security systems which frequently prevent exam launch.

How to Book a CPPS Examination

The CPPS examination is administered by appointment only at a PSI Assessment Center or online via live remote proctor.

Visit the PSI certification website

• On the main PSI web page click "Find Your Test"
• From the "Browse by Industry" section choose "Health Care"
• Find and choose "Certification Board for Professionals in Patient Safety (CBPPS)"
• Click "View Available Tests"
• Choose "Certified Professional in Patient Safety Examination (CPPS)"
• Select "Login/Register"
• Click "Create Account" near the top of the page
• Fill in the required information and schedule your exam 

International Candidates

Candidates testing outside of the US may submit their applications online or by mail. International candidates will be notified of the exam scheduling process as follows:

• Online applicants will be notified by email as soon as they complete the application.
• A candidate who submits a paper application form will be notified by email within 10 business days of receipt of his or her application form.

The Examination Application is available in the Candidate Handbook.​​

CPPS Examination Costs

The cost of the CPPS examination is US $549.

For international candidates, the cost of the CPPS examination is US $649.​