CCM Care Coordination & Patient Advocacy 2

Question 1

A care manager is working with a patient who has been discharged from the hospital but refuses to take prescribed medications. What is the most appropriate first step?

Accepted Answer

Explore the patient's reasons for refusing and identify barriers

Answer

Exploring the patient's reasons for refusal is the foundation of patient-centered advocacy and helps identify actionable barriers like cost, side effects, or health literacy issues.

Question 2

Which care coordination model focuses on a primary care provider leading a team-based approach to manage all aspects of a patient's health needs?

Accepted Answer

Patient-Centered Medical Home (PCMH)

Answer

The Patient-Centered Medical Home (PCMH) model designates a primary care provider to coordinate comprehensive, team-based care across all settings.

Question 3

A patient with limited English proficiency needs to discuss a complex treatment plan. What is the most appropriate action for the care manager?

Accepted Answer

Arrange for a professional medical interpreter

Answer

Professional medical interpreters are required under federal law and ensure accurate communication without the liability or conflicts of interest that family interpreters present.

Question 4

When coordinating care for a patient transitioning from acute care to a skilled nursing facility (SNF), which document is most critical to communicate?

Accepted Answer

A comprehensive medication reconciliation list

Answer

Medication reconciliation is essential at care transitions to prevent errors, duplications, and omissions that are among the leading causes of adverse events post-discharge.

Question 5

A care manager notices that a patient's care plan goals conflict with the recommendations of the specialist. The best course of action is to:

Accepted Answer

Facilitate a care conference to align the patient, PCP, and specialist

Answer

Facilitating a care conference promotes interprofessional collaboration and ensures the patient's goals and clinical recommendations are reconciled in a shared care plan.

(CCM) Certified Care Management Professional Practice Test

(CCM) Certified Care Management Professional Practice Test

CCM Care Coordination & Patient Advocacy 2