CPHQ Population Health Management 5 ā Questions and Answers
Question 1: In population health analytics, 'attribution' refers to:
- Assigning patients to a responsible provider or organization for accountability purposes (Correct answer)
- Calculating hospital billing codes
- Measuring staff performance reviews
- Determining drug formulary tiers
Correct answer: Assigning patients to a responsible provider or organization for accountability purposes
Attribution assigns patients to providers or ACOs based on utilization patterns to establish accountability for their outcomes and costs.
Question 2: Which tool is commonly used to measure population health outcomes across multiple domains including mortality, morbidity, and social factors?
- HCAHPS survey
- County Health Rankings model (Correct answer)
- HEDIS technical specifications
- The Leapfrog Hospital Survey
Correct answer: County Health Rankings model
County Health Rankings assesses multiple health determinants and outcomes at the county level, enabling comparison and prioritization across communities.
Question 3: An organization implements a 'pay for performance' (P4P) program. What population health risk must quality professionals monitor?
- Excessive specialist hiring
- Cherry-picking healthier patients to improve measured performance scores (Correct answer)
- Increased pharmaceutical costs
- Reduced patient volume
Correct answer: Cherry-picking healthier patients to improve measured performance scores
P4P programs can incentivize providers to select healthier patients who are easier to treat, potentially worsening care for high-need populations.
Question 4: Social prescribing in population health involves:
- Prescribing generic drugs to reduce costs
- Linking patients to non-medical community services to address social needs (Correct answer)
- Requiring social workers to prescribe medications
- Mandating community service for non-compliant patients
Correct answer: Linking patients to non-medical community services to address social needs
Social prescribing connects patients with community resourcesāhousing, food assistance, social activitiesāto address SDOH impacting their health.
Question 5: Population health programs use 'episode of care' bundled payments primarily to:
- Pay physicians based on seniority
- Incentivize coordinated, efficient care across the full care continuum for a condition (Correct answer)
- Limit patient access to specialists
- Reduce outpatient visit frequency
Correct answer: Incentivize coordinated, efficient care across the full care continuum for a condition
Bundled payments provide a single payment for all services in an episode, encouraging providers to coordinate and eliminate redundant or low-value care.
Question 6: The 'prevention paradox' in population health means:
- Preventive care always costs more than treatment
- Interventions that bring large benefits to the population may offer little to each individual (Correct answer)
- Prevention programs never reduce total costs
- Individual risk factors predict population trends precisely
Correct answer: Interventions that bring large benefits to the population may offer little to each individual
Rose's prevention paradox states that a large number of people exposed to a small risk may generate more cases than a small number exposed to high risk.
Question 7: When evaluating a population health management program's return on investment (ROI), which factor is most critical to account for?
- Provider satisfaction scores only
- Attribution lagātime before interventions produce measurable cost reductions (Correct answer)
- The number of program brochures distributed
- Hospital parking revenue
Correct answer: Attribution lagātime before interventions produce measurable cost reductions
Population health interventions often take months to years to reduce costs, so ROI analyses must account for the time lag between investment and measurable savings.
CPHQ Population Health Management 5
In population health analytics, 'attribution' refers to: