CCM CCM Quality Improvement & Outcomes Management 2

Question 1

A CCM program wants to improve medication adherence rates. Which quality improvement approach focuses on eliminating waste and maximizing value in care processes?

Accepted Answer

LEAN methodology

Answer

LEAN methodology focuses on eliminating non-value-added steps (waste) in care processes to improve efficiency, quality, and patient outcomes.

Question 2

Which measure type directly assesses whether a patient's health status improved as a result of care received?

Accepted Answer

Outcome measure

Answer

Outcome measures assess the end result of care on patients' health status, such as reduction in HbA1c levels or hospital readmission rates.

Question 3

A CCM is conducting a chart audit and calculates the percentage of diabetic clients who received a foot exam in the past year. This is an example of:

Accepted Answer

A process measure

Answer

Tracking whether a recommended care step (foot exam) was completed for eligible patients is a process measure of care quality.

Question 4

In quality improvement, what is the purpose of a 'balancing measure'?

Accepted Answer

To ensure improvements in one area do not negatively impact another

Answer

Balancing measures monitor unintended consequences of improvements to ensure that gains in one area do not create problems elsewhere in the system.

Question 5

Which quality framework, developed by the IOM, describes six dimensions of health care quality including safety, effectiveness, and patient-centeredness?

Accepted Answer

The IOM Six Aims framework

Answer

The IOM's six aims (safe, effective, patient-centered, timely, efficient, equitable) provide a widely used framework for defining and measuring health care quality.

(CCM) Certified Care Manager Practice Test

(CCM) Certified Care Manager Practice Test

CCM CCM Quality Improvement & Outcomes Management 2