HCQM Suggested Studying

Following is a list of suggested reading materials to help candidates prepare for the HCQM Certification Exam. The use of these books is optional, and although the books were an integral tool in the exam’s development, it does not guarantee successful completion of the exam. ABQAURP does not offer these materials for sale, please utilize your preferred retailer to purchase.

"The Managed Health Care Handbook, 4th Edition"
P.R. Kongstvedt
This thoroughly revised (30 new chapters) and updated book is a strategic and operational resource for use in planning and decision-making. It includes advice from managers in the field on how to succeed in every aspect of managed care including quality management, claims and benefits administration, and managing patient demand.

"The Patient Safety Handbook"
Barbara Youngberg, JD, BSN, MSW
Martin J. Hatlie, JD

The Patient Safety Handbook offers practical guidance on implementing systems and processes to improve outcomes and advance patient safety. Covering the full spectrum of patient safety and risk reduction, it builds from the fundamentals of the science of safety, to a thorough discussion of operational issues and the actual application of the principles of research.

"Hornbook Series: Health Law - 2nd Edition"
Barry R. Furrow
Thomas L. Greaney

Expert authors overview health law as it affects the professionals, institutions, and entities that deliver and finance health care in the United States. Considers the law's response to quality and error through institutional and professional regulation, and malpractice litigation against professionals, hospitals, and managed care organizations.

"NTOCC Care Transitions Bundle - 7 Essential Intervention Categories "
The Care Transitions Bundle was developed and launched by the National Transitions of Care Coalition (NTOCC) to support individuals and organizations with essential interventions for improving transitions of care for providers, patients, and their identified family caregiver.

2022 Update - 7 Essential Intervention Categories

"Standards of Practice for Case Management"
CMSA's Standards of Practice for Case Management (revised 2016) is a dynamic and timely document which establishes formal written standards of practice from a variety of disciplines. The introduction articulates Standards of Performance and Section IV provides definitions for key terminology.

2016 Standards of Practice

"Nursing Case Management from Essentials to Advanced Practice Applications - 4th edition"
Elaine L. Cohen, RN, EdD
Toni G. Cesta, PhD, RN

This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction.

"The Case Manager’s Survival Guide: Winning Strategies for Clinical Practice (Second Edition)"
Toni G. Cesta, PhD, RN
Hussein A. Tahan, MS, RN, CNA
Lois F. Fink, MA, RNC

This practical, "hands-on" guide includes vital information every case manager and administrator of a case management program need to be successful. A useful resource for working in the changing face of healthcare, it addresses case managers in all settings with an emphasis on nurse case managers and their role in providing patient care and containing costs. Focusing on the "nuts and bolts" aspects of case management, it discusses the operations of case management programs based on the authors' first hand experiences.