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Healthcare Management and Delivery: Case Management Programs and

Models
Overview:
This educational activity consists of content for review, a posttest, and an evaluation
form.

Educational Objectives:
Upon completion of this activity, the learner should be able to:

1. Understand the core concepts and functions of case management programs and
models
2. Identify five types of case management programs or models
3. Effectively evaluate a case management program or model

Method of Participation:
To complete this activity and receive a statement of credit, participants must:
• Review all contents of this activity in the relevant The Commission for
Case Manager Certification’s CMBOK® section.
• Complete and submit the course’s posttest and CE evaluation form
• Score at least 70% on the posttest
• Mail, fax or email the answer sheet and CE evaluation form to the
following address:
The Commission for Case Manager Certification
Attn: CMBOK CE Posttest Processing
1120 Route 73, Suite 200
Mount Laurel, NJ 08054
Fax: 856-439-0525
Email: help@cmbodyofknowledge.com

No credit will be awarded if either the posttest or evaluation form is incomplete or


missing.
A Certificate of Completion will be issued within six weeks of submission of all the
required forms and payment.

Continuing Education Information:


This program has been pre-approved by the Commission for Case Manager Certification
to provide continuing education credit to Certified Case Managers (CCM’s). The course
is approved for 2.0 CE contact hours.

Questions and Assistance:


If you have additional questions, you may contact CMBOK staff by email at
help@cmbodyofknowledge.com or by phone at 877.971.2262 or 856.380.6836.
Healthcare Management and Delivery Domain:
Case Management Programs and Models
Posttest

1. An effective and efficient case management program:


a. Has an external evaluation mechanism
b. Addresses cost, quality, safety, and outcomes
c. Is a stand-alone entity providing all necessary client care
d. All of the above

2. An organization’s case management program or model should be


reevaluated:
a. Quarterly
b. At least annually
c. Per clients’ needs
d. At least every 3 years

3. The following is NOT true of the acute care setting:


a. It is highly complex and includes intensive resources
b. It costs more than other settings
c. It involves multiple levels of care
d. It requires a case management program

4. Typically, a case management model or program is identified by the:


a. Practice or care setting
b. Primary care physician
c. Level of care or provider
d. Payors or representatives

5. Which of the following factors affect case management programs:


a. Care setting, intensity of services, and payors
b. Clients, support systems, and case manager
c. Interdisciplinary care team, providers, and payors
d. All of the above

6. Case management programs or models have varying degrees of:


a. Complexity
b. Comprehensiveness
c. Compensation
d. Both A and B

7. Examples of payor-based programs include:


a. Workers’ compensation
b. Medicaid
c. Veterans Administration
d. All of the above

8. Healthcare facilities offering inpatient services and resources:


a. Do not require case management services
b. Use utilization review to help manage lengths of stay
c. Must offer telephonic triage to clients/support systems
d. Both B and C

9. Case management models or programs based on type of services


include:
a. Workers’ compensation, government, and private insurance
b. Risk management, wellness, and health maintenance
c. Internal, external, and disease management
d. Medical, social, and behavioral health

10. Common functions of case managers across programs and models


include:
a. Transitions of care
b. Resource management
c. Capacity or bed management
d. All of the above
The Commission for Case Manager Certification's
Case Management Body of Knowledge® - Continuing Education Posttest
Instructions: Please fill in the information below, including your contact information and posttest answers
and mail, fax or email to the Commission's office for processing.
Both the posttest answer sheet and CE evaluation form must be included to process the CE request.
1. COURSE INFORMATION
Name of Course: Case Management Programs and Models CE Credit Amount: 2.0

2. YOUR CONTACT INFORMATION


First Name M.I. Last Name

CCM Number (if applicable)

Address

City, State, Zip

Email Address Phone Number

3. POSTTEST ANSWERS
Mark your answers clearly by filling in the answer
square completely with blue or black ink.

1 A B C D
2 A B C D
3 A B C D
4 A B C D
5 A B C D
6 A B C D
7 A B C D
8 A B C D
9 A B C D
10 A B C D

5. MAIL/ FAX or EMAIL COMPLETED FORM


PLEASE ALLOW SIX WEEKS to PROCESS:

MAIL: Commission for Case Manager Certification


attn: CMBOK CE Posttest Processing
1120 Route 73, Ste. 200
Mount Laurel, NJ 08054
PHONE: 877-971-2262 / 856-380-6836
FAX: 856-439-0525
EMAIL: help@cmbodyofknowledge.com

G:\CLIENT\CCMC\CMBOK\CE's\CE Quiz Answer\Quiz Answer Sheet


Case Management Programs and Models
CONTINUING EDUCATION ACTIVITY EVALUATION
Instructions: Please rate your agreement with the statements below by checking the appropriate
box for each statement. Rating scale = 1-6 (1= strongly disagree, 2= disagree, 3=moderately
disagree, 4= moderately agree, 5 = agree, 6 =strongly agree).

Strongly Moderately Moderately Strongly


Disagree Disagree Disagree Agree Agree Agree
The course met the following stated
objectives:

1. Understand the core concepts and


functions of case management 1 2 3 4 5 6
programs and models

2. Identify five types of case


1 2 3 4 5 6
management programs or models

3. Effectively evaluate a case 1 2 3 4 5 6


management program or model

Content was well organized 1 2 3 4 5 6

Quality and depth of the material was


1 2 3 4 5 6
effective

Course will improve/enhance my


1 2 3 4 5 6
Case Management practice

How much time (in minutes) did you spend on this CE activity? __________ minutes

Would you recommend this CE activity to your colleagues and/or


Yes No
staff?
Do you receive financial assistance for continuing education from
Yes No
your employer?

<12 1-5 >


How many years have you been in case management? None
months yrs 5yrs

Comments:

Thank you. Your comments will assist the planning team in the development of future activities.

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