Population Health Management Flashcards
7 cards from real CPE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Population Health Management flashcards as text
A physician executive reviews data showing high 30-day readmission rates for heart failure patients. Which intervention has the STRONGEST evidence for reducing readmissions?
Answer: Structured transitional care programs with follow-up calls and early clinic visits
Structured transitional care programs combining post-discharge calls, medication reconciliation, and timely follow-up visits have the strongest evidence base for reducing heart failure readmissions.
In population health management, 'hot spotting' refers to:
Answer: Identifying geographic areas or patients with disproportionately high healthcare utilization and costs
Hot spotting identifies geographic clusters or individual patients with disproportionately high utilization and costs to target intensive interventions where they will have the greatest impact.
Which indicator is the BEST measure of health equity within a population health program?
Answer: Variation in health outcomes stratified by race, income, and geography
Stratifying outcomes by race, income, and geography reveals disparities and allows targeted interventions to reduce inequities within the population.
A health system is moving toward a total cost of care model. Which population health strategy MOST directly reduces total costs?
Answer: Optimizing high-value preventive care and reducing avoidable acute care utilization
Optimizing preventive care and reducing avoidable hospitalizations and ED visits directly lowers total cost of care while improving population health outcomes.
Which concept describes the idea that health systems should take responsibility for the health of a defined geographic or attributed population?
Answer: Accountable Care
Accountable Care Organizations (ACOs) are built on the principle that health systems are accountable for the quality and cost outcomes of a defined attributed patient population.
A physician executive wants to address food insecurity as part of a population health initiative. Which action is MOST appropriate at the health system level?
Answer: Integrating SDOH screening into clinical workflows and connecting patients to community food resources
Integrating SDOH screening into clinical workflows and establishing referral pathways to community resources addresses food insecurity systematically at scale.
Which payment model MOST aligns provider incentives with population health management goals?
Answer: Global capitation with shared savings and quality performance requirements
Global capitation with shared savings and quality requirements incentivizes providers to manage the total health of a population efficiently rather than maximizing volume.