EPI case studies
EPI · Put your knowledge to work in context.
The Certified Enterprise Performance Improvement Professional (EPI) is an independent credential for practitioners who lead organization-wide improvement rather than single-department fixes. Candidates typically come from operations excellence, quality, program management, finance business partnering, and transformation roles where the job is to diagnose performance gaps, redesign processes, and make gains stick. The exam is delivered as multiple choice and samples eight domains: improvement strategy and governance; performance assessment and measurement; process analysis and redesign; continuous improvement methodologies; change management and organizational culture; data analytics and decision support; stakeholder engagement and communication; and ethics, risk, and compliance. Expect questions that test judgment, not recall of definitions - choosing the right metric for a stated goal, spotting a flawed measurement design, sequencing a redesign, or deciding when a governance gate should stop a project. The EPI case studies are 5 cases and about 3,055 words.
1Sepsis Program Governance Under a Board Deadline
A 420-bed nonprofit hospital has a risk-adjusted sepsis mortality rate of 18.4%, compared with a national benchmark of 14.1%. The board quality committee sets a target of 20% relative reduction within 12 months and allocates 350,000.
696 words, about 3 min2Diabetes Measure Penalty With Missing Data and Equity Concerns
A primary care network of 12 clinics serves 48,000 adults; 6,200 have diabetes. A payer's new quality program uses the measure HbA1c poor control above 9.0% with a target of 28% or lower.
621 words, about 3 min3Emergency Department Flow Constraint Without Capital
A 55,000-visit emergency department has a median door-to-provider time of 68 minutes; the target is 30. The left-without-being-seen rate is 4.8%, up from 3.1% a year ago.
584 words, about 3 min4Handoff Tool Adoption in a Teaching Hospital
A 300-bed teaching hospital implemented a standardized SBAR-based handoff tool in the EHR six months ago to reduce handoff-related safety events. Only 34% of resident handoffs use the tool fully; nursing reports that 22% of shift handoffs are interrupted.
586 words, about 3 min5Predictive Readmission Model Expansion Decision
A health system developed a machine-learning model to predict 30-day readmission for heart failure patients. The validation AUC is 0.78, but when deployed across three hospitals the alert fires for 62% of patients.
568 words, about 3 min