- Certified Case Manager Quality and Outcomes Measurement Questions and Answers 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 - Certified Case Manager Quality and Outcomes Measurement Questions and Answers flashcards as text
What is a root cause analysis (RCA)?
Answer: A systematic investigation after an adverse event to identify underlying causes and prevent recurrence
RCA is a systematic investigation method used after adverse events to identify root causes and develop corrective actions.
What are Patient-Reported Outcome Measures (PROMs)?
Answer: Standardized questionnaires measuring the client's perception of their health status and quality of life
PROMs are validated instruments capturing the client's own assessment of health status, functioning, and quality of life.
What is benchmarking in case management quality improvement?
Answer: Comparing performance against best practices or peer organizations to identify improvement opportunities
Benchmarking compares performance against best practices or peers to identify gaps.
What is the Triple Aim framework?
Answer: An IHI framework for improving patient experience, population health, and reducing costs simultaneously
The Triple Aim simultaneously targets improved patient experience, population health, and reduced per capita costs.
What role does data analytics play in case management quality improvement?
Answer: Enables pattern identification, risk prediction, outcomes measurement, and evidence-based decisions
Data analytics enables pattern identification, risk prediction, outcomes measurement, and evidence-based program improvement.
What is the significance of the National Quality Forum (NQF)?
Answer: Endorses standardized performance measures through consensus-based processes
NQF endorses consensus-based quality measures, providing the gold standard for healthcare measurement.