AHIP AHM-530 Exam - Topic 6 Question 67 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 67
Topic #: 6

In order to evaluate and manage the performance of individual providers in its provider network, the Quorum Health Plan implemented a program that focuses on identifying the best and worst outcomes and utilization patterns of its providers. This program is also designed to develop and implement strategies such as treatment protocols and practice guidelines to improve the performance of Quorum's providers. This information indicates that Quorum implemented a program known as:

AAn integrated delivery system (IDS)

BA coordinated care program

COstensible agency

DContinuous quality improvement (CQI)

Show Suggested Answer

Suggested Answer: D

by Jolene at Mar 21, 2023, 02:23 AM

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Osvaldo

4 months ago

I’m not sure about that, but I agree they need better strategies!

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Gracie

5 months ago

I think it’s more about an integrated delivery system (IDS).

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Brittni

5 months ago

Wait, is this really how they evaluate providers? Seems a bit off.

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Cary

5 months ago

Definitely a coordinated care program!

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Linette

5 months ago

Sounds like a Continuous Quality Improvement (CQI) program to me.

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Edda

5 months ago

I thought integrated delivery systems were more about overall network management, so I'm leaning towards option B or D.

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Karan

5 months ago

I feel like the focus on treatment protocols points towards CQI, but I can't recall all the details about it.

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Ashlee

5 months ago

This sounds a lot like the coordinated care program we practiced in our last mock exam. I think that might be it.

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Emilio

6 months ago

I remember discussing continuous quality improvement in class, but I'm not entirely sure if that's the right answer here.

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Lyda

6 months ago

The "one switch at a time" approach sounds like it minimizes risk, which is a big plus for an existing environment. I'll make sure to highlight that in my answer.

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Rueben

6 months ago

This seems like a straightforward question about the definition of availability. I'll carefully read through the options and select the one that best matches the description.

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Cammy

6 months ago

Hmm, I'm not too familiar with Cisco Unified Contact Center Express, so I'll have to think this through carefully.

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