Quality Improvement & Population Health Management Flashcards
7 cards from real CCP 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 Improvement & Population Health Management flashcards as text
Which risk stratification tier typically receives the most intensive care management interventions, including frequent outreach and individualized care plans?
Answer: High-risk patients
High-risk patients have the most complex needs and highest likelihood of adverse events, warranting intensive care management resources and personalized care plans.
A care manager reviews a population report showing that 40% of hypertensive patients have uncontrolled blood pressure. The FIRST step in a quality improvement response should be:
Answer: Conducting a root cause analysis to identify barriers
Root cause analysis identifies the underlying reasons for the quality gap, which must be understood before selecting and implementing targeted interventions.
Which term describes the process of identifying individuals within a population who are at elevated risk for future high-cost health events?
Answer: Predictive modeling
Predictive modeling uses historical data and algorithms to forecast future risk, enabling proactive care management resource allocation.
Under value-based care arrangements, a chronic care professional's performance is often evaluated using which type of measure related to hospital stays?
Answer: 30-day all-cause readmission rate
The 30-day all-cause readmission rate is a key value-based care quality measure that reflects care coordination effectiveness and transition management.
A care manager is tasked with closing care gaps for a panel of patients. Which action directly contributes to closing a care gap for colorectal cancer screening?
Answer: Outreaching to patients overdue for a colonoscopy
Outreaching to patients who are overdue for colonoscopy directly addresses the preventive care gap by facilitating completion of the recommended screening.
In population health, which concept describes dividing a patient population into smaller groups based on shared characteristics to tailor interventions?
Answer: Segmentation
Population segmentation groups patients by shared clinical, behavioral, or social characteristics, allowing care teams to design targeted and efficient interventions.
Which quality improvement tool visually displays the steps in a care process to identify inefficiencies, delays, and redundancies?
Answer: Process flow map
A process flow map (flowchart) visually diagrams each step in a care workflow, making it easier to spot bottlenecks, redundancies, and opportunities for improvement.