CCM Case Management Concepts and Principles 1 — Questions and Answers
Question 1: What is the primary goal of case management according to the Case Management Society of America (CMSA)?
- To reduce healthcare costs above all other priorities
- To facilitate the client's achievement of wellness and autonomy through advocacy, communication, education, and service coordination (Correct answer)
- To ensure compliance with insurance benefit requirements
- To coordinate hospital discharge planning exclusively
Correct answer: To facilitate the client's achievement of wellness and autonomy through advocacy, communication, education, and service coordination
CMSA defines case management's primary goal as facilitating client wellness and autonomy through advocacy, communication, education, and service coordination.
Question 2: The CCM (Certified Case Manager) credential is administered by which organization?
- Case Management Society of America (CMSA)
- National Association of Social Workers (NASW)
- Commission for Case Manager Certification (CCMC) (Correct answer)
- American Nurses Credentialing Center (ANCC)
Correct answer: Commission for Case Manager Certification (CCMC)
The Commission for Case Manager Certification (CCMC) is the credentialing body that administers the CCM examination and awards the CCM designation.
Question 3: In the case management process, which step immediately follows the initial assessment?
- Implementation of services
- Problem identification and prioritization (Correct answer)
- Monitoring and follow-up
- Evaluation of outcomes
Correct answer: Problem identification and prioritization
After gathering information through assessment, the case manager identifies and prioritizes problems or needs before developing a care plan and implementing interventions.
Question 4: Which model of case management was specifically designed for individuals with serious mental illness and provides intensive community-based services via a multidisciplinary team?
- Broker model
- Assertive Community Treatment (ACT) model (Correct answer)
- Medical case management model
- Telephonic case management model
Correct answer: Assertive Community Treatment (ACT) model
The Assertive Community Treatment (ACT) model was developed for individuals with serious mental illness, delivering intensive, coordinated services in community settings.
Question 5: Which of the following best describes the 'broker' model of case management?
- The case manager provides all direct clinical services to the client
- The case manager links and connects clients to appropriate community resources without providing direct care (Correct answer)
- The case manager acts as the primary care physician
- The case manager manages only inpatient hospital stays
Correct answer: The case manager links and connects clients to appropriate community resources without providing direct care
In the broker model, the case manager's primary role is to identify, link, and coordinate community resources and services for the client rather than delivering direct care.
Question 6: Which organization published the first Standards of Practice specifically for the case management profession?
- American Nurses Association (ANA)
- Case Management Society of America (CMSA) (Correct answer)
- Commission for Case Manager Certification (CCMC)
- National Association of Social Workers (NASW)
Correct answer: Case Management Society of America (CMSA)
CMSA developed the first Standards of Practice for Case Management in 1995, establishing professional guidelines and expectations for the field.
Question 7: In case management, 'continuity of care' is best defined as:
- The client receiving the same individual provider throughout all treatment
- Seamless, coordinated care across settings, providers, and time to prevent gaps in services (Correct answer)
- Continuous monitoring of vital signs around the clock
- Uninterrupted insurance coverage with no lapses in benefits
Correct answer: Seamless, coordinated care across settings, providers, and time to prevent gaps in services
Continuity of care refers to coordinated, uninterrupted care across different settings, providers, and time periods to prevent service gaps and fragmentation.
CCM Case Management Concepts and Principles 1
What is the primary goal of case management according to the Case Management Society of America (CMSA)?