BCACP Population-Based Care 3

Question 1

Which risk stratification tool is commonly used to identify high-risk patients most likely to benefit from intensive ambulatory care management?

Accepted Answer

Hierarchical Condition Categories (HCC) scoring

Answer

HCC scores are used in value-based care models to stratify patient risk and predict resource utilization, guiding population health interventions.

Question 2

A pharmacist wants to address medication adherence gaps across an entire patient panel. The MOST scalable first step is to:

Accepted Answer

Analyze pharmacy dispensing data to identify patients with PDC <0.80

Answer

Proportion of Days Covered (PDC) analysis of dispensing data allows efficient, data-driven identification of non-adherent patients across a large panel.

Question 3

In a patient-centered medical home (PCMH), the pharmacist's role in population-based care most commonly includes:

Accepted Answer

Conducting panel reviews, identifying care gaps, and providing medication management

Answer

In PCMHs, pharmacists collaborate as part of the care team to review patient panels, close care gaps, and optimize medication therapy.

Question 4

A health system wants to reduce preventable emergency department visits for patients with asthma. Which population health intervention is most directly aligned with this goal?

Accepted Answer

Implementing an asthma action plan program with telephonic follow-up

Answer

Proactive asthma action plans combined with telephonic follow-up address medication use and triggers in the ambulatory setting, reducing acute exacerbations.

Question 5

The concept of 'population health management' differs from traditional disease management primarily because it:

Accepted Answer

Addresses the health of an entire defined population, including those not actively seeking care

Answer

Population health management encompasses all individuals within a defined group—including those not currently engaged with the health system—unlike disease management which targets active patients.

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP Population-Based Care 3