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AHIP AHM-530 Exam - Topic 6 Question 67 Discussion

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:
D) Continuous quality improvement (CQI)
A) An integrated delivery system (IDS)
B) A coordinated care program
C) Ostensible agency

AHIP AHM-530 Exam - Topic 6 Question 67 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 67
Topic #: 6
[All AHM-530 Questions]

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:

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Suggested Answer: D

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

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Osvaldo
10 months ago
I’m not sure about that, but I agree they need better strategies!
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Gracie
11 months ago
I think it’s more about an integrated delivery system (IDS).
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Brittni
11 months ago
Wait, is this really how they evaluate providers? Seems a bit off.
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Cary
11 months ago
Definitely a coordinated care program!
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Linette
11 months ago
Sounds like a Continuous Quality Improvement (CQI) program to me.
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Edda
11 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
11 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
11 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
12 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
12 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
12 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
12 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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