CBHCM CBHCM Outcomes Measurement and Quality Improvement 4

Question 1

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?

Accepted Answer

Conduct a root cause analysis to identify gaps in transitional care

Answer

Root cause analysis systematically identifies underlying factors contributing to readmissions, enabling targeted quality improvement interventions.

Question 2

Which of the following is an example of a process measure in behavioral health quality improvement?

Accepted Answer

Percentage of clients who complete a standardized depression screening at intake

Answer

Process measures track whether specific evidence-based practices (such as screening at intake) are being performed, rather than outcomes achieved.

Question 3

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:

Accepted Answer

Standardize the intake workflow and provide targeted training on PHQ-9 administration

Answer

Standardizing workflows and training addresses variation in practice patterns, which is a core strategy in quality improvement.

Question 4

Which data source is MOST useful for tracking population-level behavioral health outcomes in a managed care organization?

Accepted Answer

Claims data and encounter records

Answer

Claims and encounter data provide comprehensive population-level information on service utilization, diagnoses, and care patterns across large cohorts.

Question 5

The HEDIS measure CBP (Controlling High Blood Pressure) is relevant to behavioral health case management because:

Accepted Answer

Many behavioral health clients have co-occurring chronic medical conditions requiring integrated monitoring

Answer

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.

(CBHCM) Certified Behavioral Health Case Manager Practice Test

(CBHCM) Certified Behavioral Health Case Manager Practice Test

CBHCM CBHCM Outcomes Measurement and Quality Improvement 4