Quality & Outcomes Evaluation and Measurements

(Comprises 18% of the Exam, approximately 27 questions) 

Everyone—from policymakers to payers to accrediting bodies—is requiring the healthcare industry to focus on quantifiable outcomes. With the recent trend of healthcare reimbursement being tied to quantifiable outcomes, there is heightened focus on quality, efficiency, safety, and value in healthcare.

Case managers are in a position to shine in this environment, by means of their opportunities to directly affect outcomes from patient admission through discharge and beyond. Case managers must be familiar with quality and outcome measures and must understand their role in ensuring organizations meet them.