Free AHM-540 Exam Dumps

Question 26

To improve members’ abilities to make appropriate care decisions about specific medical problems, some health plans use a form of decision support known as telephone triage programs. The following statements are about telephone triage programs. Select the answer choice containing the correct statement.

A. The primary role of telephone triage clinical staff is to diagnose the caller’s condition and give medical advice.
B. Quality management (QM) for telephone triage programs typically focuses on the clinical information provided rather than on the quality of service.
C. Currently, none of the major accrediting agencies offers an accreditation program specifically for telephone triage programs.
D. A telephone triage program may also include a self-care component.

Correct Answer:B

Question 27

This agency oversees the Federal Employee Health Benefits Program (FEHBP).

A. Health Resources and Services Administration (HRSA)
B. Office of Personnel Management (OPM)
C. Department of Health and Human Services (HHS)
D. Department of Justice (DOJ)

Correct Answer:B

Question 28

One difference between outcomes research and clinical research is that outcomes research

A. provides an absolute measure of treatment results, whereas clinical research provides a relative measure of results
B. focuses on treatment effectiveness, whereas clinical research focuses on treatmentefficacy
C. examines diseases and treatments in isolation, whereas clinical research considers the effects of changes in health status and quality of life
D. gathers outcomes data from controlled clinical trials, whereas clinical research collects and analyzes clinical, financial, and administrative data

Correct Answer:B

Question 29

Readiness is an important consideration for the development of health promotion programs. Readiness refers to

A. the availability of previously established health promotion programs to an health plan’s members through employers, providers, or community service agencies
B. the appropriateness of a program’s educational approach, given the language, literacy level, and cultural sensitivities of the target population
C. a member’s level of knowledge about existing health risks and problems and the member’s ability and willingness to adopt new health-related behaviors
D. a member’s access to information technology, such as a video cassette recorder, a computer, or the Internet

Correct Answer:C

Question 30

Outcomes management is a tool that health plans use to maximize all the results
associated with healthcare processes. The following statement(s) can correctly be made about outcomes management:
* 1. The goal of outcomes management is to identify and implement treatments that are cost- effective and deliver the greatest value
* 2. Outcomes management introduces performance as a critical factor in the assessment and improvement of outcomes

A. Both 1 and 2
B. 1 only
C. 2 only
D. Neither 1 nor 2

Correct Answer:A