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CCM Quality Improvement & Outcomes Management Flashcards

6 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 6 CCM Quality Improvement & Outcomes Management flashcards as text

  1. A CCM program wants to improve medication adherence rates. Which quality improvement approach focuses on eliminating waste and maximizing value in care processes?

    Answer: LEAN methodology

    LEAN methodology focuses on eliminating non-value-added steps (waste) in care processes to improve efficiency, quality, and patient outcomes.

  2. Which measure type directly assesses whether a patient's health status improved as a result of care received?

    Answer: Outcome measure

    Outcome measures assess the end result of care on patients' health status, such as reduction in HbA1c levels or hospital readmission rates.

  3. A CCM is conducting a chart audit and calculates the percentage of diabetic clients who received a foot exam in the past year. This is an example of:

    Answer: A process measure

    Tracking whether a recommended care step (foot exam) was completed for eligible patients is a process measure of care quality.

  4. In quality improvement, what is the purpose of a 'balancing measure'?

    Answer: To ensure improvements in one area do not negatively impact another

    Balancing measures monitor unintended consequences of improvements to ensure that gains in one area do not create problems elsewhere in the system.

  5. Which quality framework, developed by the IOM, describes six dimensions of health care quality including safety, effectiveness, and patient-centeredness?

    Answer: The IOM Six Aims framework

    The IOM's six aims (safe, effective, patient-centered, timely, efficient, equitable) provide a widely used framework for defining and measuring health care quality.

  6. A care manager uses a Pareto chart when analyzing reasons for missed follow-up appointments. What principle does this tool help illustrate?

    Answer: 80% of problems stem from 20% of causes

    The Pareto principle (80/20 rule) holds that a small number of causes are typically responsible for the majority of problems, helping teams prioritize interventions.