Quality Control & Process Improvement 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 Quality Control & Process Improvement flashcards as text
A care management team implementing a new diabetes outreach program uses the 'triple aim' framework. Which set of goals does this framework address?
Answer: Population health, patient experience, and per capita cost
The IHI Triple Aim focuses simultaneously on improving population health, enhancing patient experience, and reducing per capita healthcare costs.
Which of the following is the MOST appropriate use of a dashboard in care management quality programs?
Answer: Providing real-time or near-real-time visibility into key performance indicators
Dashboards aggregate and display KPIs visually so care management leaders can quickly monitor performance and act on trends.
A care manager is evaluating whether a new telephonic intervention reduced avoidable ER visits. To ensure the comparison is valid, the BEST study design would be:
Answer: A randomized controlled trial or matched comparison group design
Randomized or well-matched comparison designs control for confounders and allow valid attribution of outcomes to the intervention.
Which quality dimension, as defined by the IOM's six aims, refers to providing services based on scientific knowledge to all who could benefit?
Answer: Effective
The IOM defines 'effective' care as applying evidence-based practices consistently to all patients who stand to benefit.
A care management director wants to engage frontline staff in continuous quality improvement. Which approach is MOST aligned with a Kaizen culture?
Answer: Encouraging staff to identify and test small improvements in daily workflows
Kaizen (continuous improvement) relies on frontline staff identifying and making incremental improvements as part of their daily work.
When measuring care management program effectiveness, 'attribution' refers to:
Answer: Linking observed outcomes to the specific interventions provided
Attribution involves demonstrating that measured improvements in outcomes are causally linked to the care management intervention rather than other factors.
A quality team wants to implement error-proofing in a medication reconciliation process. Which Lean concept BEST describes building mechanisms to prevent mistakes from occurring?
Answer: Poka-yoke
Poka-yoke refers to error-proofing devices or methods built into a process to prevent mistakes or make errors immediately obvious.