Medical Professional CCM合格記、CCM日本語版と英語版

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Medical Professional CCM Exam Syllabus Topics:

Section	Objectives
Topic 1: Care Delivery and Reimbursement Methods	- Healthcare delivery systems - Insurance and reimbursement structures
Topic 2: Quality and Outcomes Evaluation	- Quality improvement methods - Outcome measurement and evaluation
Topic 3: Rehabilitation and Disability Management	- Rehabilitation principles - Return-to-work planning
Topic 4: Psychosocial and Support Systems	- Community resources and support systems - Psychosocial assessment
Topic 5: Ethics, Legal, and Regulatory Aspects	- Professional ethics in case management - Legal and regulatory compliance

>> Medical Professional CCM合格記 <<

CCM日本語版と英語版、CCM日本語問題集

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Medical Professional Certified Case Manager Certification Exam (CCM) 認定 CCM 試験問題 (Q136-Q141):

質問 # 136
You are the Contract Manager of the Employer's Representative in a Thermal Power Plant Project. The Contract for this project is EPC Turnkey Contract using the FIDIC Silver Book (edition 2017) with a Contract Price of 28 million USD. The Employer's Requirements require that: "the Contractor design in accordance with international and national technical regulations, and standards, [etc.]".
For piling works, the Employer's Requirements state that the Contractor will design according to a specific national standard for piling works NTS-PW-01. After all piles for the jetty have been installed, a pile load test on lateral bearing capacity shows that actual lateral bearing capacity is much lower than the calculated lateral bearing capacity. It was later revealed by the Technical Standard Committee that there was a typo mistake during preparation of the NTS-PW-01 (translated from a foreign standard). The lateral bearing capacity of installed piles had been substantially overestimated as a result of this typo. Contractor submits a claim for
200,000 USD regarding extra costs for installing additional piles as a result of errors in the Employer's Requirements.
In the hydrological information of Site Data provided by the Employer, the annual high water level is 4.0m.
However, during the design stage, with updated data from local stations along the rivers, the Contractor found out there was a mistake in the calculation. The annual high water level should be 4.5m. As a result, the Contractor has to design and build additional flood walls along the river to protect the Plant from flooding.
The Contractor claims an amount of 300,000 USD to construct the flood wall, based on Unforeseeable difficulties.
As the Employer's Representative, after you have consulted with both Parties but failed to reach agreement, you will make a fair determination of the Claims of the Contractor.
In your "Notice of the Employer's Representative's determination", what is your determination for the Contractor?

A. The Contractor is entitled to the Claim for additional costs in relation to the piling, based on errors in the Employer's Requirement only.
B. The Contractor is entitled to the Claim for the additional flood wall based on Unforeseeable difficulties only.
C. The Contractor is entitled to both Claims.
D. The Contractor is not entitled to either of the Claims.

正解：C

解説：
Both claims are valid under the Silver Book principles:
The error in the Employer's Requirements (typo in NTS-PW-01) leads to entitlement for additional piling costs.
The unforeseen hydrological data causing additional flood protection works qualify as unforeseeable physical conditions entitling the Contractor to compensation.
Hence, Option D is correct - the Contractor is entitled to both claims.
References:
FIDIC Silver Book 2017 Edition, Sub-Clause 4.1 (Employer's Requirements) and Sub-Clause 4.12 (Unforeseeable Physical Conditions) FIDIC Contract Manager Study Guide, Module on Claims and Employer's Requirements

質問 # 137
In a drafted FIDIC Silver Book (edition 1999), the following sentence has been added to Sub-Clause 3.5:
" In case of an Instruction regarding a pending or proposed Variation, Contractor shall carry out any determination regardless of a possible notice of dissatisfaction. " What GP(s) is/are breached?

A. GP1 and GP3
B. GP3 only
C. GP1, GP2 and GP3
D. GP1 only

正解：A

質問 # 138
Giving "Notice" .... [2017 edition] (2 correct answers apply)
Choose all of the correct answers (multiple possibilities).

A. ... is intended for written communications, in full compliance with the formal requirements outlined in the dedicated Sub-Clause.
B. ... is always compulsory together with a clear indication of the relevant Sub-Clause under which the Notice is being served.
C. ... is a special obligation for the Engineer only, in order to enable him/her to manage the implementation of the contract.
D. ... is not a compulsory obligation, but "highly recommended".

正解：A、B

解説：
Option B is correct: Notices are compulsory when required and must reference the relevant Sub-Clause to be valid.
Option D is correct: Notices are formal written communications and must comply with the contract's prescribed procedures.
Option A is incorrect; notices are often mandatory, not merely recommended.
Option C is incorrect; notices are obligations for all Contract Participants, not just the Engineer.
References:
FIDIC Red, Yellow, Silver Books 2017 Edition, Sub-Clause 1.3 - Communications FIDIC Contract Manager Study Guide, Module on Notices and Communication

質問 # 139
Which one of the following statements regarding drafting contracts based on FIDIC Books is correct?

A. People who draft contracts should, when preparing a new contract, always start with the question:where do I want to lay the most risks between Employer and Contractor, and does the Employer has the budget to reward Contractors with a high risk apatite?
B. The FIDIC Books provide people who draft contracts with great examples on how to draft a good contract model. Furthermore, arrangements from Red, Yellow and Silver Books can be easily mixed to get a good fit for a specific project.
C. The Form of Contract is chosen by the Contractor and imposed by him on the Employer, who tenders on that basis.
D. Amending clauses, supposedly in the interest of the Employer, immediately nullifies all the advantages of standardization, and almost invariably introduces conflicting or ambiguous requirements on the parties, and often causes mistrust between them.

正解：A

解説：
Option D is correct because contract drafting should strategically allocate risks between parties based on who can best manage them and the Employer's budget for risk and reward. Understanding risk appetite is key to tailoring FIDIC contracts appropriately.
Option A is exaggerated; while amendments can introduce issues, careful drafting can preserve benefits of standardization.
Option B is partly true but mixing arrangements is complex and not always straightforward.
Option C is incorrect; the Employer usually chooses the contract form.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Contract Drafting and Risk Allocation

質問 # 140
Which one answer holds two statements that are both correct with regards to risks and key considerations regarding the Golden Principles?

A. " The Employer obtains the best value for money " AND " Disputes should be avoided to the extent achievable. "
B. " The Contractor/Subcontractor is paid adequately and in a timely manner in accordance with the Contract to maintain its cash flow " AND " The terms of the Contract are comprehensive and fair to primarily the Employer " .
C. " Only the Employer should be the one to obtain the best value for money " AND " The Contractor
/Subcontractor is paid adequately and timely in accordance with the Contract to maintain its cash flow. "
D. " The Contractor should take advantage of its bargaining power every time possible " AND " Disputes are avoided to the extent achievable, minimised when they do arise, and resolved efficiently. "

正解：A

解説：
Option A correctly reflects Golden Principles emphasizing the Employer's objective of obtaining value for money and the importance of avoiding disputes as much as possible.
Other options either misrepresent the balanced nature of FIDIC principles or promote unfair or unbalanced positions.
References:
FIDIC Contract Management Guidelines - Golden Principles
FIDIC Contract Manager Study Guide, Module on Legal and Ethical Considerations

質問 # 141
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CCM日本語版と英語版: https://www.certjuken.com/CCM-exam.html

P.S.CertJukenがGoogle Driveで共有している無料の2026 Medical Professional CCMダンプ：https://drive.google.com/open?id=1KhNvcCF-Jov5ZouKiEpKANQus5CjOG0-