Care Coordination & Patient Advocacy Flashcards
7 cards from real CCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Care Coordination & Patient Advocacy flashcards as text
A care manager is working with a patient who has multiple providers but no clearly designated primary care provider (PCP). The best advocacy action is to:
Answer: Help the patient identify and establish care with a PCP to serve as the care coordinator
A PCP is essential for longitudinal care coordination; helping the patient establish this relationship addresses a foundational gap in care continuity.
Which of the following best describes the difference between 'disease management' and 'case management'?
Answer: Disease management focuses on a specific condition population; case management addresses individual complex patients holistically
Disease management programs target a defined population with a specific condition using standardized protocols, while case management addresses the whole person with complex, individualized needs.
A patient's caregiver reports feeling overwhelmed and unable to continue providing care. The care manager should first:
Answer: Assess the caregiver's specific needs and explore respite care options
Caregiver burnout is a serious patient safety risk; assessing the caregiver's needs and exploring respite care options addresses both caregiver and patient wellbeing.
When a patient's health literacy is low, the most effective communication strategy for the care manager is to:
Answer: Use plain language, teach-back method, and visual aids
Plain language, teach-back (asking the patient to repeat instructions in their own words), and visual aids are evidence-based strategies to confirm understanding in patients with low health literacy.
A care manager coordinating care for a patient with behavioral health and medical comorbidities should prioritize:
Answer: Integrated care planning that addresses both physical and behavioral health simultaneously
Integrated care that addresses behavioral health and medical conditions simultaneously produces better outcomes, as these conditions are deeply interconnected and mutually affect each other.
A care manager is helping a patient navigate a complex appeal process for a denied home health benefit. This role is best characterized as:
Answer: Patient advocate
Helping a patient navigate appeals and access entitled benefits is a core function of patient advocacy, which is a defining role of the care manager.
In which situation is it most appropriate for a care manager to break patient confidentiality without consent?
Answer: The patient discloses a credible, imminent plan to harm themselves or another person
The duty to warn and protect (Tarasoff principle) and mandatory reporting obligations override confidentiality when there is a credible, imminent threat of harm to the patient or others.