DMEC CLMS CERTIFICATION EXAM 108
COMPREHENSIVE STUDY GUIDE 2026
CLINICAL LAB MANAGEMENT AND QUALITY
ASSURANCE PRINCIPLES
◉ standards of care.
Answer: parameters to measure the quality of healthcare
◉ clinical guidelines.
Answer: statements to help make decisions about health specific
circumstances.
◉ clinical pathway.
Answer: structured multi-disciplined plan of care to support clinical
guidelines and protocol to improve continuity and coordination.
◉ 4 parts of clinical pathway.
Answer: 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
,are 4 parts of what?
◉ decision tree.
Answer: used to select the best course of action in decisions where
there is no clear decisions.
◉ descriptive screening tool.
Answer: identifies characteristics about a population to show health
prevention.
◉ predictive screening tool.
Answer: shows what may happen to a specific population.
◉ evaluative screening tool.
Answer: evaluates the understanding/effectiveness
◉ SF-36.
Answer: predictive screening tool to assess functional health and
well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
,-scored 00-100, lower score-> incr. disability
◉ patient activation measure.
Answer: 13 item predictive screening tool to evaluate patient's
knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
◉ health risk assessment.
Answer: predictive screening tool: patient's self assessment of their
health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse
condition.
- examples: PHQ-9, etc.
◉ rose Q.
Answer: health risk assessment for angina, MI, coronary heart
disease.
defined angina pectoris as, "a chest pain or discomfort with these
characteristics:
(a) the site must include either the sternum (any level) or the left
arm and left anterior chest (defined as the anterior chest wall
between the levels of clavicle and lower end of sternum),
, (b) it must be provoked by either hurrying or walking uphill (or by
walking on the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop
or slacken pace, unless nitroglycerin is taken, (d) it must disappear
on a majority of occasions in 10 min or less from the time when the
subject stands still."
Possible myocardial infarction1 was defined as, "one or more
attacks of severe pain across the front of the chest lasting for 30 min
or longer."
◉ seattle angina questionnaire.
Answer: 19-item self-administered health risk assessment for
angina and functional artery disease measuring five dimensions of
coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
treatment satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg,
less physical limitation, less angina, and better quality of life).
◉ arthritis impact measurement scales.
Answer: health risk assessment: Disease-specific measure of
physical, social, and emotional well-being designed as a measure of
outcome in arthritis.
COMPREHENSIVE STUDY GUIDE 2026
CLINICAL LAB MANAGEMENT AND QUALITY
ASSURANCE PRINCIPLES
◉ standards of care.
Answer: parameters to measure the quality of healthcare
◉ clinical guidelines.
Answer: statements to help make decisions about health specific
circumstances.
◉ clinical pathway.
Answer: structured multi-disciplined plan of care to support clinical
guidelines and protocol to improve continuity and coordination.
◉ 4 parts of clinical pathway.
Answer: 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
,are 4 parts of what?
◉ decision tree.
Answer: used to select the best course of action in decisions where
there is no clear decisions.
◉ descriptive screening tool.
Answer: identifies characteristics about a population to show health
prevention.
◉ predictive screening tool.
Answer: shows what may happen to a specific population.
◉ evaluative screening tool.
Answer: evaluates the understanding/effectiveness
◉ SF-36.
Answer: predictive screening tool to assess functional health and
well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
,-scored 00-100, lower score-> incr. disability
◉ patient activation measure.
Answer: 13 item predictive screening tool to evaluate patient's
knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
◉ health risk assessment.
Answer: predictive screening tool: patient's self assessment of their
health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse
condition.
- examples: PHQ-9, etc.
◉ rose Q.
Answer: health risk assessment for angina, MI, coronary heart
disease.
defined angina pectoris as, "a chest pain or discomfort with these
characteristics:
(a) the site must include either the sternum (any level) or the left
arm and left anterior chest (defined as the anterior chest wall
between the levels of clavicle and lower end of sternum),
, (b) it must be provoked by either hurrying or walking uphill (or by
walking on the level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop
or slacken pace, unless nitroglycerin is taken, (d) it must disappear
on a majority of occasions in 10 min or less from the time when the
subject stands still."
Possible myocardial infarction1 was defined as, "one or more
attacks of severe pain across the front of the chest lasting for 30 min
or longer."
◉ seattle angina questionnaire.
Answer: 19-item self-administered health risk assessment for
angina and functional artery disease measuring five dimensions of
coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4
treatment satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg,
less physical limitation, less angina, and better quality of life).
◉ arthritis impact measurement scales.
Answer: health risk assessment: Disease-specific measure of
physical, social, and emotional well-being designed as a measure of
outcome in arthritis.
