The NAHQ CPHQ exam blueprint emphasizes that foundational education in quality improvement must begin with a shared understanding of quality definitions, principles, and methodologies. These elements create a common language and framework that enables consistent application of improvement concepts across the organization.
Option C is correct because quality definitions (e.g., structure, process, outcome measures) and principles (e.g., systems thinking, continuous improvement, data-driven decision-making) are essential for building competency and alignment. Without this foundation, staff may misinterpret improvement goals or apply tools inconsistently.
Option A may be useful in applied learning but is not foundational. Option B is related to human resources processes, not QI education. Option D suggests individualized rather than system-focused improvement, which conflicts with CPHQ principles.
The CPHQ framework prioritizes standardized education to support sustainable improvement, making Option C the correct answer.