Instructions: Print this exam worksheet. Return to the course page using the link below. Read the course material. Enter your answers on this worksheet. Return to the course page and click the link 'Take Test.' Transfer your answers.

Quantum Units Education®

Improving Care of Chronically Ill


1. This paper asserts that the Chronic Care Model can be used to improve outcomes for chronic care patients.

A. True

B. False

2. This paper states implementing the Chronic Care Model will result in several business benefits. What is not among these benefits?

A. Improve staff satisfaction and retention.

B. Increase bottom line profit.

C. Enhance patient staisfaction and loyalty.

D. Position clinics to capture pay-for-performance and quality improvement bonuses and grants.

E. Streamline workflow and maximize use of staff.

Phase 1: Getting Started

3. The Chronic Care Model focuses on:

A. Addressing the acute needs of individual patients.

B. Controlling healthcare costs.

C. Improving healthcare of a population of patients.

4. Begin by forming a "lead team" with representatives from clinical, administrative and financial areas of your clinic.

A. True

B. False

Phase 2: Assess Data and Set Priorities

5. This paper recommends you begin by collecting _____________ to help assess the current state of care.

A. all patient data

B. baseline data in the areas you want to improve

C. data on staff satisfaction

D. data on cardiovascular risk

6. This paper recommends using both clinical and non-clinical goals in improvement efforts.

A. True

B. False

7. Areas in which you may want to identify performance measures do not include:

A. clinical

B. business

C. political

D. staff and patient satisfaction

E. operations

8. Data collection is key to performance improvement. Tips to maximize effectiveness and minimize cost of data collection include:

A. Leverage information technology (IT) to gather data you already have in your system.

B. Don't wait until you develop new IT capacity to start collecting data.

C. Create the easiest process possible to secure data not already readily available.

D. A and B above.

E. A, B and C above.

Phase 3: Redesign Care and Business Systems

9. Which of the following is not one of the four key goals in rethinking primary care teams?

A. Ensure all of the needs are met in caring for the chronically ill.

B. Use the least expensive & best trained staff to perform each task.

C. Maximize patient and staff satisfaction and retention.

D. Maximize team profitability.

E. Standardize care, improving both quality and efficiency.

10. Nonphysician staff are more likely to adhere to protocols than physicians and should be asked to engage in more of those care processes.

A. True

B. False

11. A key part of redesigning care and business systems is to create patient panels to:

A. Establish a link between specific providers and patients.

B. As a necessary prerequisite for quality measurement and improvement.

C. As a prerequisite for many pay-for-performance programs.

D. To better assess the balance between patient demand and capacity.

E. All of the above.

12. Change Key 3.3 says there are five elements of Chronic Care Model based care that should be part of every patient interaction.

A. True

B. False

13. "Check-back" patient visits health care providers use are not what this paper considers productive planned care visits.

A. True

B. False

14. Organizing planned care visits help support evidence based patient care.

A. True

B. False

15. Group visits benefit patients clinically and can benefit your clinic financially.

A. True

B. False

16. Key aspects of patient self management of their health include:

A. Telling patients not to come for a visit unless they are in dire need.

B. Providing the patient with necessary health related information.

C. Responding to the patient's goals.

D. All of the above.

E. A and B above.

Phase 4: Continuously Improve Performance and Sustain Changes

17. This paper recommends:

A. Once you have a working program scale back on making changes.

B. Continuously look for ways to improve even when you are succeeding.

18. You may be able to take advantage of certifications, grants and programs based on Chronic Care Model quality incentives.

A. True

B. False

Phase 5: Advanced Topics

19. Some clinics have found that quality improvement efforts are stymied by:

A. Poor attitudes on the part of staff.

B. Broken operational systems.

C. Broken financial systems.

Appendix B

20. Appendix B includes several Partner Tools to help you redesign your patient care model, including a presentation titled "Zen of Teams".

A. True

B. False

Copyright © 2021 Quantum Units Education

Visit us at!