CCP Quality Improvement & Population Health Management

Question 1

Which quality improvement model uses Plan-Do-Study-Act (PDSA) cycles to test and implement changes in care delivery?

Accepted Answer

Model for Improvement

Answer

Six Sigma

Answer

Lean Manufacturing

Answer

Root Cause Analysis

Question 2

In population health management, which metric best measures the percentage of eligible patients who received a recommended preventive service?

Accepted Answer

Care gap closure rate

Answer

Patient satisfaction score

Answer

Length of stay

Answer

Readmission rate

Question 3

A chronic care manager identifies that 30% of diabetic patients in a panel have HbA1c above 9%. This is an example of which population health activity?

Accepted Answer

Case finding through risk stratification

Answer

Utilization management

Answer

Prior authorization

Answer

Discharge planning

Question 4

Which data source is most commonly used by care managers to identify patients who are high utilizers of emergency department services?

Accepted Answer

Claims and administrative data

Answer

Patient satisfaction surveys

Answer

PHQ-9 scores

Answer

Medication refill records

Question 5

The Triple Aim framework in population health focuses on improving patient experience, improving population health, and:

Accepted Answer

Reducing per capita cost of care

Answer

Increasing provider satisfaction

Answer

Expanding insurance coverage

Answer

Implementing electronic health records

Question 6

Which type of quality measure evaluates whether the right processes and structures are in place to support good patient outcomes?

Accepted Answer

Process measure

Answer

Outcome measure

Answer

Balancing measure

Answer

Efficiency measure

Question 7

In a quality improvement initiative, a 'balancing measure' is used to:

Accepted Answer

Ensure changes in one area do not cause unintended harm elsewhere

Answer

Track the primary improvement goal

Answer

Calculate cost savings from interventions

Answer

Monitor patient satisfaction