CBHCM Outcomes Measurement and Quality Improvement Flashcards
7 cards from real CBHCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 CBHCM Outcomes Measurement and Quality Improvement flashcards as text
A behavioral health case manager notices that clients discharged from inpatient care are frequently readmitted within 30 days. Which quality improvement approach is MOST appropriate to address this pattern?
Answer: Conduct a root cause analysis to identify gaps in transitional care
Root cause analysis systematically identifies underlying factors contributing to readmissions, enabling targeted quality improvement interventions.
Which of the following is an example of a process measure in behavioral health quality improvement?
Answer: Percentage of clients who complete a standardized depression screening at intake
Process measures track whether specific evidence-based practices (such as screening at intake) are being performed, rather than outcomes achieved.
A CBHCM is reviewing data showing wide variation in PHQ-9 completion rates across case managers on the team. The BEST next step is to:
Answer: Standardize the intake workflow and provide targeted training on PHQ-9 administration
Standardizing workflows and training addresses variation in practice patterns, which is a core strategy in quality improvement.
Which data source is MOST useful for tracking population-level behavioral health outcomes in a managed care organization?
Answer: Claims data and encounter records
Claims and encounter data provide comprehensive population-level information on service utilization, diagnoses, and care patterns across large cohorts.
The HEDIS measure CBP (Controlling High Blood Pressure) is relevant to behavioral health case management because:
Answer: Many behavioral health clients have co-occurring chronic medical conditions requiring integrated monitoring
Behavioral health case managers often work with clients who have co-occurring medical conditions, making integrated quality measures like CBP relevant to whole-person care.
A case manager wants to evaluate whether a new peer support intervention is effective. Which study design provides the strongest causal evidence?
Answer: Randomized controlled trial with a comparison group
Randomized controlled trials minimize confounding by randomly assigning participants to intervention and control groups, providing the strongest causal evidence.
In quality improvement, 'benchmarking' refers to:
Answer: Comparing an organization's performance metrics against industry standards or best-performing peers
Benchmarking involves comparing an organization's performance data against external standards or high-performing peers to identify improvement opportunities.