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Strategic Planning & Decision Making 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 Strategic Planning & Decision Making flashcards as text
  1. A care manager is evaluating two post-acute placement options for a patient. One facility has lower readmission rates but longer wait times. Which decision-making framework best supports this trade-off analysis?

    Answer: Multi-criteria decision analysis

    Multi-criteria decision analysis allows simultaneous weighting of multiple competing factors such as quality metrics and access timing.

  2. In strategic planning for a care management program, a 'gap analysis' is primarily used to:

    Answer: Identify differences between current performance and desired goals

    Gap analysis compares current state to desired future state, highlighting areas requiring strategic action.

  3. When a care management organization adopts a population health stratification model, the PRIMARY strategic purpose is to:

    Answer: Allocate care management resources to highest-need patients

    Stratification enables targeted resource allocation so that intensive care management reaches the patients who will benefit most.

  4. A care manager notices that readmission rates have risen 12% over two quarters despite a new transition-of-care protocol. The BEST next strategic step is to:

    Answer: Conduct a variance analysis to identify protocol adherence gaps

    Variance analysis investigates whether the protocol is being followed as intended before drawing conclusions about its effectiveness.

  5. The PDSA (Plan-Do-Study-Act) cycle is most appropriately applied in care management strategic planning when:

    Answer: Testing small-scale changes before full program implementation

    PDSA is a rapid-cycle improvement method designed to pilot changes on a small scale and learn before broader rollout.

  6. In evidence-based decision making for care management, the HIGHEST level of evidence for changing a clinical care pathway is derived from:

    Answer: Systematic reviews and meta-analyses

    Systematic reviews and meta-analyses synthesize data from multiple studies, providing the strongest evidence base for practice changes.

  7. A care management program is implementing a new chronic disease management strategy. Establishing measurable key performance indicators (KPIs) at the outset is critical because:

    Answer: KPIs allow objective evaluation of whether the strategy is achieving intended outcomes

    KPIs provide objective benchmarks that determine program success and guide ongoing strategic adjustments.