CCM Trivia 5 — Questions and Answers
Question 1: Which federal act prohibits discrimination based on disability by programs receiving federal financial assistance and applies broadly to public services?
- Americans with Disabilities Act (ADA)
- Rehabilitation Act of 1973, Section 504 (Correct answer)
- Workforce Innovation and Opportunity Act
- Fair Housing Act
Correct answer: Rehabilitation Act of 1973, Section 504
Section 504 of the Rehabilitation Act of 1973 prohibits disability discrimination in programs receiving federal funding, predating and complementing the ADA.
Question 2: A 'sentinel event' in healthcare accreditation (per The Joint Commission) is defined as:
- Any event requiring an incident report
- An unexpected occurrence involving death or serious physical or psychological injury (Correct answer)
- A near-miss that did not reach the patient
- A medication error caught before dispensing
Correct answer: An unexpected occurrence involving death or serious physical or psychological injury
The Joint Commission defines a sentinel event as an unexpected occurrence involving death or serious harm to a patient, requiring immediate investigation and response.
Question 3: In the context of chronic disease management, what does 'self-efficacy' measure?
- A patient's actual clinical skill in performing a task
- A patient's confidence in their ability to manage their condition (Correct answer)
- The effectiveness of a self-management education program
- A physician's assessment of patient adherence
Correct answer: A patient's confidence in their ability to manage their condition
Self-efficacy, a concept from Bandura's social learning theory, refers to a person's belief in their own ability to successfully perform behaviors needed to manage their condition.
Question 4: Which payment model bundles all services for a defined episode of care into a single payment shared among providers?
- Fee-for-service
- Capitation
- Bundled payment (Correct answer)
- Global budget
Correct answer: Bundled payment
Bundled payments (episode-based payments) provide a single payment for all services related to a defined episode of care, incentivizing providers to coordinate and reduce unnecessary services.
Question 5: When a case manager facilitates a meeting between a client, family, and care team to align goals and preferences, this is BEST described as:
- Care conference (Correct answer)
- Peer review
- Concurrent review
- Level-of-care assessment
Correct answer: Care conference
A care conference (or family meeting) brings together the patient, family members, and the interdisciplinary team to discuss care goals, preferences, and the treatment plan.
Question 6: Under Social Security, which program provides benefits to disabled workers under age 65 who have sufficient work credits?
- Supplemental Security Income (SSI)
- Social Security Disability Insurance (SSDI) (Correct answer)
- Medicare Part D
- Medicaid Disability Waiver
Correct answer: Social Security Disability Insurance (SSDI)
SSDI provides monthly benefits to disabled workers who have earned enough Social Security work credits through prior employment and payroll tax contributions.
Question 7: Which assessment tool uses a structured format with scores from 0–18 to measure functional independence across motor and cognitive domains in rehabilitation?
- Barthel Index
- Glasgow Coma Scale
- FIM (Functional Independence Measure) (Correct answer)
- Katz Index of ADLs
Correct answer: FIM (Functional Independence Measure)
The FIM (Functional Independence Measure) scores 18 items across motor and cognitive domains on a 7-level scale, widely used in inpatient rehabilitation settings.
CCM Trivia 5
Which federal act prohibits discrimination based on disability by programs receiving federal financial assistance and applies broadly to public services?