CCM - Certified Case Manager Quality and Outcomes Measurement Questions and Answers 2

Question 1

What is the Donabedian model in quality measurement?

Accepted Answer

A framework evaluating quality through structure, process, and outcomes

Answer

The Donabedian model evaluates quality through three interconnected dimensions: structure, process, and outcomes.

Question 2

Which quality improvement methodology uses Plan-Do-Study-Act (PDSA)?

Accepted Answer

The Model for Improvement

Answer

The Model for Improvement uses PDSA rapid-cycle testing methodology.

Question 3

What is HEDIS?

Accepted Answer

A comprehensive set of standardized performance measures for evaluating health plans

Answer

HEDIS is a standardized performance measurement set maintained by NCQA for evaluating health plan quality.

Question 4

What is a 'balanced scorecard' approach to case management performance?

Accepted Answer

A framework evaluating performance across financial, client, process, and learning/growth perspectives

Answer

A balanced scorecard measures across financial, client, process, and learning/growth dimensions.

Question 5

What is the difference between a quality indicator and a quality standard?

Accepted Answer

An indicator is a measurable variable signaling quality; a standard is the threshold it should meet

Answer

Indicators measure aspects of performance; standards define acceptable thresholds.

CCM - Certified Case Manager Exam Practice Test