CCP Quality Improvement & Population Health Management 2

Question 1

Which risk stratification tier typically receives the most intensive care management interventions, including frequent outreach and individualized care plans?

Accepted Answer

High-risk patients

Answer

Low-risk patients

Answer

Rising-risk patients

Answer

Preventive-care patients

Question 2

A care manager reviews a population report showing that 40% of hypertensive patients have uncontrolled blood pressure. The FIRST step in a quality improvement response should be:

Accepted Answer

Conducting a root cause analysis to identify barriers

Answer

Ordering new medications for all patients

Answer

Discharging non-compliant patients from the panel

Answer

Referring all patients to cardiology

Question 3

Which term describes the process of identifying individuals within a population who are at elevated risk for future high-cost health events?

Accepted Answer

Predictive modeling

Answer

Needs assessment

Answer

Utilization review

Answer

Clinical documentation improvement

Question 4

Under value-based care arrangements, a chronic care professional's performance is often evaluated using which type of measure related to hospital stays?

Accepted Answer

30-day all-cause readmission rate

Answer

Average length of inpatient stay

Answer

Number of specialist referrals

Answer

Medication adherence self-report

Question 5

A care manager is tasked with closing care gaps for a panel of patients. Which action directly contributes to closing a care gap for colorectal cancer screening?

Accepted Answer

Outreaching to patients overdue for a colonoscopy

Answer

Scheduling a medication review appointment

Answer

Reviewing hospital discharge summaries

Answer

Updating problem lists in the EHR

Question 6

In population health, which concept describes dividing a patient population into smaller groups based on shared characteristics to tailor interventions?

Accepted Answer

Segmentation

Answer

Normalization

Answer

Standardization

Answer

Benchmarking

Question 7

Which quality improvement tool visually displays the steps in a care process to identify inefficiencies, delays, and redundancies?

Accepted Answer

Process flow map

Answer

Run chart

Answer

Fishbone diagram

Answer

Control chart