CCM Care Coordination & Resource Management 2 — Questions and Answers
Question 1: A care manager is working with a client who has multiple chronic conditions and sees five different specialists. Which strategy BEST reduces fragmentation of care?
- Encourage the client to manage specialist appointments independently
- Facilitate a shared care plan accessible to all providers (Correct answer)
- Limit the number of specialists involved
- Schedule all appointments on the same day
Correct answer: Facilitate a shared care plan accessible to all providers
A shared care plan visible to all providers ensures consistent treatment goals and reduces duplicate or conflicting orders.
Question 2: Which tool is MOST useful for identifying gaps in a client's community support network?
- Mini-Mental State Examination
- Eco-map or social network map (Correct answer)
- Barthel Index
- PHQ-9 depression screen
Correct answer: Eco-map or social network map
An eco-map visually represents the client's relationships and community connections, revealing gaps in support.
Question 3: A care manager learns a client's home health aide has been absent for three days. What is the FIRST priority action?
- Document the absence in the case file
- Contact the home health agency to arrange coverage (Correct answer)
- Notify the client's physician
- Schedule a reassessment visit next week
Correct answer: Contact the home health agency to arrange coverage
Arranging immediate coverage addresses the client's safety and ongoing care needs before other administrative steps.
Question 4: Under the Medicare Shared Savings Program, care coordinators primarily aim to achieve which dual goal?
- Increase specialist referrals and decrease primary care visits
- Improve quality of care while reducing unnecessary costs (Correct answer)
- Standardize medication protocols across all beneficiaries
- Maximize hospital admissions for high-risk patients
Correct answer: Improve quality of care while reducing unnecessary costs
The program incentivizes Accountable Care Organizations to deliver high-quality care at lower cost to Medicare.
Question 5: When a care manager conducts a community resource assessment, which factor is LEAST relevant to resource selection?
- The client's insurance coverage and eligibility
- The resource agency's accreditation status
- The care manager's personal preference for a vendor (Correct answer)
- Transportation accessibility for the client
Correct answer: The care manager's personal preference for a vendor
Resource selection must be driven by client needs and eligibility, not by the care manager's personal preferences.
Question 6: A care manager notices a client repeatedly misses medication doses due to cost. The MOST appropriate intervention is to:
- Document non-adherence and move on
- Explore pharmaceutical assistance programs and generic alternatives (Correct answer)
- Recommend the client reduce the number of medications
- Refer the client to a new physician
Correct answer: Explore pharmaceutical assistance programs and generic alternatives
Addressing the financial barrier through assistance programs or generics directly tackles the root cause of non-adherence.
Question 7: Which level of Maslow's hierarchy MUST be addressed before a care manager can effectively work on a client's self-management education goals?
- Esteem needs
- Self-actualization
- Physiological and safety needs (Correct answer)
- Social belonging needs
Correct answer: Physiological and safety needs
Basic physiological and safety needs (food, shelter, physical security) must be met before higher-order educational goals can be pursued.
CCM Care Coordination & Resource Management 2
A care manager is working with a client who has multiple chronic conditions and sees five different specialists.
Which strategy BEST reduces fragmentation of care?