Care Coordination & Resource Management 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 & Resource Management flashcards as text
A care manager is working with a client who has multiple chronic conditions and sees five different specialists. Which strategy BEST reduces fragmentation of care?
Answer: Facilitate a shared care plan accessible to all providers
A shared care plan visible to all providers ensures consistent treatment goals and reduces duplicate or conflicting orders.
Which tool is MOST useful for identifying gaps in a client's community support network?
Answer: Eco-map or social network map
An eco-map visually represents the client's relationships and community connections, revealing gaps in support.
A care manager learns a client's home health aide has been absent for three days. What is the FIRST priority action?
Answer: Contact the home health agency to arrange coverage
Arranging immediate coverage addresses the client's safety and ongoing care needs before other administrative steps.
Under the Medicare Shared Savings Program, care coordinators primarily aim to achieve which dual goal?
Answer: Improve quality of care while reducing unnecessary costs
The program incentivizes Accountable Care Organizations to deliver high-quality care at lower cost to Medicare.
When a care manager conducts a community resource assessment, which factor is LEAST relevant to resource selection?
Answer: The care manager's personal preference for a vendor
Resource selection must be driven by client needs and eligibility, not by the care manager's personal preferences.
A care manager notices a client repeatedly misses medication doses due to cost. The MOST appropriate intervention is to:
Answer: Explore pharmaceutical assistance programs and generic alternatives
Addressing the financial barrier through assistance programs or generics directly tackles the root cause of non-adherence.
Which level of Maslow's hierarchy MUST be addressed before a care manager can effectively work on a client's self-management education goals?
Answer: Physiological and safety needs
Basic physiological and safety needs (food, shelter, physical security) must be met before higher-order educational goals can be pursued.