Quality Improvement & Population Health Management Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Quality Improvement & Population Health Management flashcards as text
Which quality improvement model uses Plan-Do-Study-Act (PDSA) cycles to test and implement changes in care delivery?
Answer: Model for Improvement
The Model for Improvement, developed by Associates in Process Improvement, uses PDSA cycles as its core methodology for testing and scaling changes.
In population health management, which metric best measures the percentage of eligible patients who received a recommended preventive service?
Answer: Care gap closure rate
Care gap closure rate measures how effectively a population receives recommended preventive services, directly reflecting population health performance.
A chronic care manager identifies that 30% of diabetic patients in a panel have HbA1c above 9%. This is an example of which population health activity?
Answer: Case finding through risk stratification
Identifying a subset of a population with poor clinical indicators through data analysis is the core activity of risk stratification and case finding.
Which data source is most commonly used by care managers to identify patients who are high utilizers of emergency department services?
Answer: Claims and administrative data
Claims and administrative data contain records of all billable encounters including ED visits, making them the primary source for identifying high utilizers.
The Triple Aim framework in population health focuses on improving patient experience, improving population health, and:
Answer: Reducing per capita cost of care
The IHI Triple Aim targets three simultaneous goals: better patient experience, better population health, and lower per capita healthcare costs.
Which type of quality measure evaluates whether the right processes and structures are in place to support good patient outcomes?
Answer: Process measure
Process measures assess whether evidence-based care activities (such as annual foot exams for diabetics) are being performed, indicating the quality of care delivery.
In a quality improvement initiative, a 'balancing measure' is used to:
Answer: Ensure changes in one area do not cause unintended harm elsewhere
Balancing measures detect unintended consequences of improvement efforts, ensuring that gains in one area do not negatively impact another part of the system.