CCM Care Coordination & Resource Management 3

Question 1

A care manager is developing a care plan for a recently discharged stroke patient. Which element is ESSENTIAL to prevent 30-day readmission?

Accepted Answer

Arranging a follow-up appointment within 7 days of discharge

Answer

Early post-discharge follow-up within 7 days is a key evidence-based strategy to detect complications and prevent readmission.

Question 2

The concept of 'warm handoff' in care transitions refers to:

Accepted Answer

A direct, real-time introduction between the outgoing and receiving care team members

Answer

A warm handoff involves a direct personal introduction or communication between providers to ensure continuity and reduce information loss.

Question 3

Which model specifically uses 'health coaches' and 'community health workers' as part of a care coordination team?

Accepted Answer

Chronic Care Model

Answer

The Chronic Care Model incorporates community resources and self-management support, often delivered by health coaches and community health workers.

Question 4

A care manager is prioritizing a caseload of 25 clients. Which client should receive IMMEDIATE attention?

Accepted Answer

A client discharged yesterday with no post-acute services arranged

Answer

A newly discharged client with no post-acute services is at high risk of adverse outcomes and requires urgent care coordination.

Question 5

In the context of resource management, 'utilization review' is BEST described as:

Accepted Answer

Assessing whether healthcare services are medically necessary and appropriate

Answer

Utilization review evaluates whether specific services are medically necessary, appropriate in setting, and cost-effective.

(CCM) Certified Care Manager Practice Test