DMEC CLMS CERTIFICATION 2026 COMPLETE
STUDY GUIDE AND PRACTICE QUESTIONS
◉ standards of care. Answer: parameters to measure the quality of
healthcare
◉ clinical guidelines. Answer: statements to help make decisions
about health specific circumstances.
◉ clinical pathway. Answer: structured multi-disciplined plan of care
to support clinical guidelines and protocol to improve continuity and
coordination.
◉ 4 parts of clinical pathway. Answer: 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
◉ decision tree. Answer: used to select the best course of action in
decisions where there is no clear decisions.
,◉ descriptive screening tool. Answer: identifies characteristics
about a population to show health prevention.
◉ predictive screening tool. Answer: shows what may happen to a
specific population.
◉ evaluative screening tool. Answer: evaluates the
understanding/effectiveness
◉ SF-36. Answer: predictive screening tool to assess functional
health and well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
◉ patient activation measure. Answer: 13 item predictive screening
tool to evaluate patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
◉ health risk assessment. Answer: predictive screening tool:
patient's self assessment of their health and how likely they will
seek care.
,- predicts future health costs
- predicts likely-hood of progression of their illness to a worse
condition.
- examples: PHQ-9, etc.
◉ rose Q. Answer: health risk assessment for angina, MI, coronary
heart disease.
defined angina pectoris as, "a chest pain or discomfort with these
characteristics:
(a) the site must include either the sternum (any level) or the left
arm and left anterior chest (defined as the anterior chest wall
between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by
walking on the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop
or slacken pace, unless nitroglycerin is taken, (d) it must disappear
on a majority of occasions in 10 min or less from the time when the
subject stands still."
Possible myocardial infarction1 was defined as, "one or more
attacks of severe pain across the front of the chest lasting for 30 min
or longer."
, ◉ seattle angina questionnaire. Answer: 19-item self-administered
health risk assessment for angina and functional artery disease
measuring five dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
treatment satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg,
less physical limitation, less angina, and better quality of life).
◉ arthritis impact measurement scales. Answer: health risk
assessment: Disease-specific measure of physical, social, and
emotional well-being designed as a measure of outcome in arthritis.
-scales: mobility, physical activity (walking, bending, lifting),
dexterity, household activity (managing money and medications,
housekeeping), social activities, activities of daily living, pain,
depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor
health status.
◉ functional living index-cancer. Answer: health risk assessment:
Cancer-specific, functionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability,
emotional state, sociability, family situation, nausea
- Higher score indicates better quality of life.
STUDY GUIDE AND PRACTICE QUESTIONS
◉ standards of care. Answer: parameters to measure the quality of
healthcare
◉ clinical guidelines. Answer: statements to help make decisions
about health specific circumstances.
◉ clinical pathway. Answer: structured multi-disciplined plan of care
to support clinical guidelines and protocol to improve continuity and
coordination.
◉ 4 parts of clinical pathway. Answer: 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
◉ decision tree. Answer: used to select the best course of action in
decisions where there is no clear decisions.
,◉ descriptive screening tool. Answer: identifies characteristics
about a population to show health prevention.
◉ predictive screening tool. Answer: shows what may happen to a
specific population.
◉ evaluative screening tool. Answer: evaluates the
understanding/effectiveness
◉ SF-36. Answer: predictive screening tool to assess functional
health and well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
◉ patient activation measure. Answer: 13 item predictive screening
tool to evaluate patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
◉ health risk assessment. Answer: predictive screening tool:
patient's self assessment of their health and how likely they will
seek care.
,- predicts future health costs
- predicts likely-hood of progression of their illness to a worse
condition.
- examples: PHQ-9, etc.
◉ rose Q. Answer: health risk assessment for angina, MI, coronary
heart disease.
defined angina pectoris as, "a chest pain or discomfort with these
characteristics:
(a) the site must include either the sternum (any level) or the left
arm and left anterior chest (defined as the anterior chest wall
between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by
walking on the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop
or slacken pace, unless nitroglycerin is taken, (d) it must disappear
on a majority of occasions in 10 min or less from the time when the
subject stands still."
Possible myocardial infarction1 was defined as, "one or more
attacks of severe pain across the front of the chest lasting for 30 min
or longer."
, ◉ seattle angina questionnaire. Answer: 19-item self-administered
health risk assessment for angina and functional artery disease
measuring five dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
treatment satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg,
less physical limitation, less angina, and better quality of life).
◉ arthritis impact measurement scales. Answer: health risk
assessment: Disease-specific measure of physical, social, and
emotional well-being designed as a measure of outcome in arthritis.
-scales: mobility, physical activity (walking, bending, lifting),
dexterity, household activity (managing money and medications,
housekeeping), social activities, activities of daily living, pain,
depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor
health status.
◉ functional living index-cancer. Answer: health risk assessment:
Cancer-specific, functionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability,
emotional state, sociability, family situation, nausea
- Higher score indicates better quality of life.
