CPHQ Population Health Management 3 — Questions and Answers
Question 1: Which analytic approach segments patients by predicted future healthcare utilization and cost?
- Retrospective chart audit
- Predictive risk stratification modeling (Correct answer)
- Root cause analysis
- Benchmarking surveys
Correct answer: Predictive risk stratification modeling
Predictive risk stratification uses algorithms to identify patients likely to require high-intensity care, enabling proactive intervention.
Question 2: A population health program tracks the percentage of diabetic patients with HbA1c below 8%. This is an example of a:
- Process measure
- Structural measure
- Outcome measure (Correct answer)
- Balancing measure
Correct answer: Outcome measure
HbA1c control rate reflects the clinical result of care delivered to the diabetic population, making it an outcome measure.
Question 3: Care transitions programs in population health primarily aim to:
- Increase inpatient admissions
- Reduce medication errors in the pharmacy
- Prevent hospital readmissions by supporting patients after discharge (Correct answer)
- Expand surgical capacity
Correct answer: Prevent hospital readmissions by supporting patients after discharge
Care transition interventions provide follow-up, education, and coordination to help patients safely manage their health after leaving the hospital.
Question 4: Value-based care arrangements differ from fee-for-service in that providers are rewarded for:
- Volume of services delivered
- Improved patient outcomes and cost efficiency (Correct answer)
- Number of hospital days
- Specialist consultation frequency
Correct answer: Improved patient outcomes and cost efficiency
Value-based care ties reimbursement to quality outcomes and cost management rather than the quantity of services provided.
Question 5: In population health management, health literacy is important because:
- It determines insurance coverage eligibility
- Low health literacy is linked to poor self-management and higher utilization (Correct answer)
- It sets provider reimbursement rates
- It measures clinical staff competency
Correct answer: Low health literacy is linked to poor self-management and higher utilization
Patients with low health literacy struggle to understand diagnoses and follow care plans, leading to worse outcomes and more frequent acute care use.
Question 6: A Accountable Care Organization (ACO) is designed primarily to:
- Restrict patient choice of providers
- Align provider incentives to improve quality and reduce costs for a defined population (Correct answer)
- Increase pharmaceutical spending
- Manage only inpatient services
Correct answer: Align provider incentives to improve quality and reduce costs for a defined population
ACOs coordinate care across providers for a defined patient population, sharing savings when quality targets are met and costs are reduced.
Question 7: Which intervention is considered a population-level prevention strategy for cardiovascular disease?
- Prescribing statins to individual patients
- Sodium reduction policies and community exercise programs (Correct answer)
- Performing coronary artery bypass on high-risk patients
- Increasing cardiology specialist visits
Correct answer: Sodium reduction policies and community exercise programs
Population-level prevention targets environmental and policy factors—such as dietary sodium—that affect entire communities rather than individual patients.
CPHQ Population Health Management 3
Which analytic approach segments patients by predicted future healthcare utilization and cost?