CCM (The Commission CCM & CDMS Exams) case studies
CCM · Put your knowledge to work in context.
The Certified Case Manager (CCM®) credential is a board certification awarded by The Commission, the credentialing organization that counts more than 50,000 professionals among those who have chosen case management certification through it. The Commission describes the CCM as a cross-cutting certification that validates quality and ethical practice whether the candidate comes to board certification from nursing, social work, or another allied health field - which is why it is used in hospitals, health plans, clinics, and other care settings, and is approved to meet hospital Magnet Recognition status. The CCM case studies are 5 cases and about 3,957 words.
1The Discharge That Depends on a Coverage Detail
R is 68 with COPD (FEV1 38% predicted) and three hospital admissions in six months. She is on day 4 of an exacerbation, weaned to 2 L nasal cannula, and the hospitalist projects discharge in 48 hours.
836 words, about 4 min2The Patient Who Says Everyone Would Be Better Off
D is 54 and three weeks into inpatient rehabilitation after a T4 ASIA A spinal cord injury from a motorcycle crash. His physiatrist notes he has been withdrawn since admission, sleeps poorly, and has lost 4 kg.
718 words, about 4 min3The Board Wants Proof After Six Months
A community health center enrolls 220 adults with type 2 diabetes and at least one avoidable ED visit in the prior year into a telephonic case management program. At six months: 30-day readmissions fell from 18% to 15%; ED visits rose from 1.9 to 2.1 per patient-year; the proportion with HbA1c above 9% fell from 42% to 33%; only 58% of enrollees completed a care plan; and actual caseload is 1:85 against a planned 1:50.
727 words, about 4 min4Three Hours a Day, and Nobody at Home
A is 78 and on day 6 of an admission for a left middle cerebral artery stroke; NIHSS is 8. He has right hemiparesis (arm 2/5, leg 3/5), moderate Broca's aphasia, follows one-step commands, has no neglect, and is medically stable on aspirin and a statin.
824 words, about 4 min5The Daughter Who Says Don't Tell Her
K is 81 with metastatic pancreatic cancer, admitted for a pain crisis. Her oncologist documents ECOG 3 and a prognosis of weeks.
852 words, about 4 min