HCQM - Clinical Resource Management Exam | Verified Exam Questions
and Answers | Latest Updated Study Material 2026
Question:
HCQM - Clinical Resource Management Exam | Comprehensive
Pareto principle
Answer:
20% of the population owns 80% of the wealth.
Question:
Principle of factor sparsity
Answer:
Much like the Pareto principle -
accounts for why rescue care - the 20% of patients with significant chronic illness using care in
hospital consumes more than 80% of our health care resources.
Question:
Clinical Pathways
Answer:
structured multidisciplinary plans of care
designed to support the implementation of clinical guidelines and protocols. Support clinical
management, clinical and nonclinical resource management, clinical audit and financial
management. Provide guidance for each stage in management with a specific condition over a
given time period and include progress and outcome details.
Question:
Disease Management
Answer:
A system of coordinated health care
interventions and communications for a population with conditions in which patient self care
efforts are significant. Attempts to reduce health care costs and improve quality of life for
individuals by preventing or minimizing the effects of disease through knowledge, skills,
enabling a sense of control over life and integrative care.
, Question:
Medicare Health Support Project
Answer:
Authorized by the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 provided for a disease
management study that did not show improved outcomes or cost savings.
Question:
Demand Management
Answer:
Combines patient empowerment through
self care and health promotion information with professional support through 24 hour hotlines
and triage services.
Question:
Transitions of Care
Answer:
Aims to facilitate a match between an
individual's care needs and his or her care setting.
Question:
7 strategies to improve transition of care according to Eric Coleman
Answer:
1. Foster greater engagement of patient and caregivers 2. Elevate status of
patients and caregivers as essential members of the team 3. Implement performance measures 4.
Define accountability during transitions 5. Build professional competency in care coordination 6.
promote cross setting collaboration
Question:
Provider Profiling
Answer:
The collection, collation and analysis of data
to develop provider specific profiles
Question:
Provider profiling assists in decreasing
and Answers | Latest Updated Study Material 2026
Question:
HCQM - Clinical Resource Management Exam | Comprehensive
Pareto principle
Answer:
20% of the population owns 80% of the wealth.
Question:
Principle of factor sparsity
Answer:
Much like the Pareto principle -
accounts for why rescue care - the 20% of patients with significant chronic illness using care in
hospital consumes more than 80% of our health care resources.
Question:
Clinical Pathways
Answer:
structured multidisciplinary plans of care
designed to support the implementation of clinical guidelines and protocols. Support clinical
management, clinical and nonclinical resource management, clinical audit and financial
management. Provide guidance for each stage in management with a specific condition over a
given time period and include progress and outcome details.
Question:
Disease Management
Answer:
A system of coordinated health care
interventions and communications for a population with conditions in which patient self care
efforts are significant. Attempts to reduce health care costs and improve quality of life for
individuals by preventing or minimizing the effects of disease through knowledge, skills,
enabling a sense of control over life and integrative care.
, Question:
Medicare Health Support Project
Answer:
Authorized by the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 provided for a disease
management study that did not show improved outcomes or cost savings.
Question:
Demand Management
Answer:
Combines patient empowerment through
self care and health promotion information with professional support through 24 hour hotlines
and triage services.
Question:
Transitions of Care
Answer:
Aims to facilitate a match between an
individual's care needs and his or her care setting.
Question:
7 strategies to improve transition of care according to Eric Coleman
Answer:
1. Foster greater engagement of patient and caregivers 2. Elevate status of
patients and caregivers as essential members of the team 3. Implement performance measures 4.
Define accountability during transitions 5. Build professional competency in care coordination 6.
promote cross setting collaboration
Question:
Provider Profiling
Answer:
The collection, collation and analysis of data
to develop provider specific profiles
Question:
Provider profiling assists in decreasing
