[hoolahan]

Same test book colors for me kc! But yes, sounds like diff versions of same test. There are probably a lot of repeat questions, and then some that are thrown in for differences.

I picked that answer, but it was a complete guess!

We only had one stroke question, and it was the need for subacute rehab was based on, and it was either amount of brain tissue damged, or functional assessment. I picked func assessment, b/c why else would they go to rehab?

A lot of it was really careful reading of the questions. If there was any communication questions, I went with whatever answer promoted the pt/family's input. OR if the question asked about collaboration, I stayed away from answers that were focused on just the case manager, but picked the one that described a type of collaboration.

OK, I am sure you had this one, who is the case managaer's primary client? a) the payor ( one who hires you) or b) the consumer? I picked the consumer, but it was a hard choice b/c you are working for the insur co, but all the ethics criteria emphasized the good of the ct comes first.

OH yeah, here's another one, you find out the pt is in an inadequate faciity, do you a) move them to another facility? or b) act as the pt advocate? I picked advocate, b/c I felt you should first try to improve the situation.

Also we had one on if the case manager thinks care is substandard by a provider, the cm should discuss it first w who? a) your supervisor b) first the provider, then the pt, c) the insur co?
I pikced first the doc, then the pt. Only b/c I operate on the idea that you should be upfront, and go to the source before going behind their backs.

Did you notice a lot of ? focused on the cm/md relationship? Again, I picked the common sense answer, include them in the decision making process and answers like that.

[hoolahan]

Darn got this one wrong!!! Liquid vs gas oxygen...

Improved Patient Ambulation. Liquid Oxygen Portables are widely recognized as the easiest, lightest and most comfortable O2 modality forAmbulatory Patients. Clinical studies indicate that the Patient's Health typically improves with increasedambulation. This is an extremely important issue with Physicians, Respiratory Therapists and Patients.

Improved Patient Quality of Life. Unlike Concentrators, a traditional LOX Reservoir does not generate any noise or heat, resulting in a betterliving environment for the patient. Again, this can be an important issue with Physicians, RespiratoryTherapists and Patients.

Saves the Patient Money. Unlike Concentrators, a traditional LOX does not consume any electricity. Therefore, the patient does nothave any additional monthly electrical bill expenses, due to powering a Concentrator. For Patient's on a fixedincome this can be a very important point because most Concentrators have relatively high power consumptionratings (i.e., 350 - 425 Watts). Typically, the additional monthly expense to the patient is in a range of $25 to$30.

Quality of Medical Oxygen. Liquid Oxygen systems always deliver 100% pure oxygen gas. A good-running Concentrator will typicallydeliver only 90 - 95% pure oxygen gas. A poor-running Concentrator (which is a relatively commonoccurrence) will be even less.

Lower Dealer Maintenance/Service Cost. When compared to Concentrators, traditional Liquid Oxygen systems typically require significantly lessmaintenance and service throughout the product life cycle. Liquid Oxygen systems are also widely recognizedas having a longer product life cycle than Concentrators.

No Back-Up System Required. Unlike Concentrators, the traditional Liquid Oxygen system does not require any type of back-up oxygen source, resulting in less required capital equipment for the Dealer. Also in the event of a power outage, thepatient isn't burdened with switching to the back-up source.

Saves the Dealer Money.For ambulatory patients, a liquid oxygen based system is typically the lowest cost modality alternative for theHome Healthcare Provider/Dealer. This is due to fewer required stops to fill the Liquid Oxygen Reservoir,versus dropping off several small, high-pressure cylinders.

Benefits Of Liquid Oxygen Respiratory SystemsCAIRE INC. * 3505 County Road 42 West, Burnsville, MN 55306-3803 U.S.A. * 1-800-482-2473© 1998 CAIRE, Inc. All rights reserved. Made in U.S.A. product specification subject to change without notice. Printed in U.S.A.

[hoolahan]

OMG! I am soooooo anal, I had to find the answer to these questions before I go to sleep...at least I got it right, it just made the most sense to me....

The 80/20 Rule...

Pareto's Principle: The 80-20 Rule
By Arthur W. Hafner, Ph.D.
March 31, 2001

Vilfredo Pareto (1848-1923) was an Italian economist who, in 1906, observed that twenty percent of the Italian people owned eighty percent of their country's accumulated wealth. Over time and through application in a variety of environments, this analytic has come to be called Pareto's Principle, the 80-20 Rule, and the "Vital Few and Trivial Many Rule." Called by whatever name, this mix of 80%-20% reminds us that the relationship between input and output is not balanced. In a management context, this rule of thumb is a useful heuristic that applies when there is a question of effectiveness versus diminishing returns on effort, expense, or time.

The Rule and Its Corollary
Pareto's rule states that a small number of causes is responsible for a large percentage of the effect, in a ratio of about 20:80. Expressed in a management context, 20% of a person's effort generates 80% of the person's results. The corollary to this is that 20% of one's results absorb 80% of one's resources or efforts. For the effective use of resources, the manager's challenge is to distinguish the right 20% from the trivial many.

Practical Applications
Some examples about the allocation of time, effort, and resources are the following:
· Costs. To reduce costs, identify which 20% are using 80% of the resources. If members of this segment are not top profit generators, consider charging them for the resources they consume or shift services away from this sector.
· Personal Productivity. To maximize personal productivity, realize that 80% of one's time is spent on the trivial many activities. Analyze and identify which activities produce the most value to your company and then shift your focus so that you concentrate on the vital few (20%). What do you do with those that are left over? Either delegate them or discontinue doing them.
· Product Mix. Marketers and advertisers engage in market segmentation by identifying groups of people/organization with shared characteristics and then aggregate these groups into larger market segments. This segmentation may be behavioristic, demographic, geographic, or psychographic. The rule predicts that 80% of the profits are derived from 20% of the segments. If costs are allocated to segments and the segments are then rank-ordered by profit, overall profits will increase if the less profitable segments are discontinued, sold, or traded.
· Profits. To increase profits, focus attention on the vital few (top 20%) by first identifying and ranking customers in order of profits and then focusing sales activities on them. The 80-20 Rule predicts that 20% of the customers generate 80% of the revenues, and 20% yield 80% of the profits, but these two groups are not necessarily the same 20%.

More Examples of the 80-20 Rule:
80% of a manager's interruptions come from the same 20% of the people
80% of a problem can be solved by identifying the correct 20% of the issues
80% of advertising results come from 20% of your campaign.
80% of an equipment budget comes from 20% of the items
80% of an instructor's time is taken up by 20% of the students
80% of benefit comes from the first 20% of effort
80% of customer complains are about the same 20% of your projects, products, services.
80% of network traffic stays within the LAN while 20% needs to cross the backbone.
80% of our personal telephone calls are to 20% of the people in our address book
80% of our shipments utilize 20% of your inventory.
80% of sales time is spent on 20% of the customers, who may not be the profitable 20%
80% of the decisions made in meetings come from 20% of the meeting time
80% of the outfits we wear come from 20% of the clothes in our closets and drawers
80% of the traffic in town travels over 20% of the roads
80% of what we produce is generated during 20% of our working hours
80% of your annual sales come from 20% of your sales force
80% of your future business comes from 20% of your customers
80% of your growth comes from 20% of your products
80% of your innovation comes from 20% of your employees or customers
80% of your profits come from 20% of your customers
80% of your staff headaches come from 20% of our employees
80% of your success comes from 20% of your efforts
80% of your website traffic comes from 20% of your pages

From studying these examples of the 80-20 Rule, managers in both profit and not-for-profit enterprise can increase their effective and efficient use of resources by analyzing the inputs required to produce the outputs that they experience.

Final Thought: The 20-20-60 Rule
When I began my librarian career as an administrator in higher education, the dean to whom I reported told me that there was a rule of thumb that had served him well. It was the 20-20-60 Rule, a special case of 80-20 Rule that he applied to a wide variety of problems and situations. His rule was that 20% of most prospects are avid supporters and 20% are avidly not supporters. The persons in these two 20% tails are basically fixed and no amount of persuasion will change their view or attitude. Prospects in the remaining 60% are persons who are interested but need to be convinced or "sold." Application of the 20-20-60 Rule means that our outcome is best if we focus on the 60% group by answering their concerns, doubts, and questions. The persons in the 60% group are the ones who most likely will become our clients and customers.


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[kcwintn]

Hoolahan
It sounds like you did fine on the test; I guess we will just hold our breath for 8-10 weeks now; doesn't that seem ridiculously long???? I guess Mr. Chauncey grades them individually

[hoolahan]

I hope you're right!!

I wish they would give it at a Sylvan Learning Center. I really like taking tests on the computer, b/c for one thing, you can bookmark a question to review before you turn it in. You can't possibly accidentally skip a question and fill in all those stupid dots wrong! No filling in stipd dots, no number two pencils, and you could take it whenever you wanted, after you get approved.

Plus, the seating we had was horrible! Chairs that swivel in front of a long table, designed for people who are 5' tall, and 120lbs or less. Several very large people were there, and I wasn't sure they were going to make it behind the table, heck, it was a tight squeeze for me too! And a miserable rainy day!!

Let's keep our fingers crossed!!!

[CseMgr1]

Took the CCM exam today (whew!). I THINK I did ok on it (don't want to say it too loud, 'cause I might jinx it). Anyway, you folks out there who are planning to take it study anything AND everything that has to do with all the federal laws (e.g. Medicare, Medicaid, SSI, ERISA, COBRA, etc.), Life Care Planning, Vocational Training, Workman's Comp, and the concepts behind Utilization Review and Case Management. TIP: I took Vegas' advice and also read from cover to cover "The Case Manager's Handbook". That helped a lot too.....thanks, Vegas! =)

[Madilyn Juliet]

I have taken the CCM exam 4 times and failed each time by less than 4 points! It is different every time! I have tried prep courses and softward (datachem) neither have worked! I guess reading the case managers handbook might help!

[CseMgr1]

It is an EXCELLENT resource. If you read it from FRONT TO BACK (I read it twice), it will help. =)

[bobdog]

There are a number of course on the internet to study for the exam try:
http://www.iuniversitycourses.com/
http://www.casemanagerexam.com/
http://www.rncasemanager.com/index.htm

[bobdog]

Try this online resource:

http://casemanagerexam.com