CCM Quality and Outcomes Measurement 5

Question 1

A case manager is using a Likert scale questionnaire to assess patient functional status. This instrument measures which type of outcome?

Accepted Answer

Patient-reported outcome

Answer

Likert scale questionnaires completed by patients to assess functional status are patient-reported outcome measures (PROMs) that capture self-perceived health.

Question 2

Which quality improvement method uses 'rapid-cycle' tests of change in small samples before spreading system-wide?

Accepted Answer

Model for Improvement (IHI)

Answer

The IHI Model for Improvement employs rapid Plan-Do-Study-Act (PDSA) cycles to test changes quickly and learn before broader implementation.

Question 3

A health plan's case management program demonstrates a reduction in average hospital days per 1,000 members. This is an example of:

Accepted Answer

A utilization outcome metric

Answer

Hospital days per 1,000 members is a utilization outcome metric that quantifies inpatient resource use across a population.

Question 4

When reporting quality outcomes, 'risk adjustment' is performed in order to:

Accepted Answer

Account for differences in patient populations when comparing providers or programs

Answer

Risk adjustment controls for differences in patient acuity and demographics so that outcome comparisons between programs or providers are fair and valid.

Question 5

A case manager is reviewing a run chart for asthma action plan completion rates over 12 months. The PRIMARY purpose of this tool is to:

Accepted Answer

Detect trends and patterns in performance over time

Answer

Run charts display data over time and are used in quality improvement to detect trends, shifts, and patterns that indicate whether a process is improving.

CCM - Certified Case Manager Exam Practice Test

CCM - Certified Case Manager Exam Practice Test

CCM Quality and Outcomes Measurement 5