CCM-Case Management Process Question and answer rated A+ 2023

CCM-Case Management Process Question and answer rated A+ 2023According to Ortiz and Riipi (2005) Case management is a process. Program evaluation is an ongoing part of Case management Case Management utilizes (APIME) Assessment, Planning, Implementation, Monitoring, and Evaluation. Stages of the Case Management Process are: 1. Case Selection 2. Problem Identification 3. Case plan development and coordination 4. Case plan implementation 5. Case plan evaluation 6. Case plan reassessment and reevaluation 7. Case closure Stage 1: Case Selection involves Selecting patients who would benefit from case management such as: moderate or complex illness comorbidities, discharge needs, and social/financial issues. General indicators to select cases are 1. Length of stay (over 5 days) 2. Hospital charges more than $50,000 3. Live alone 4. Over 65yrs 5. Has Medicare disability or no insurance 6. Readmission within 15 days for same problem 7. Having trauma surgeons or geriatric specialists 8. First-time mothers 9. Diagnosis-related group (DRG): A special diagnosis Psychosocial Indicators are 1. Unintentional overdose 2. Intentional overdose 3. Substance abuse 4.Eating disorders 5. Chronic Mental Illness 6. Alzheimer's and dementia 7. Noncompliance 8. Behaviors (uncooperative, aggressive, manipulative) 9. Misc conditions (ex: Muchhausen) Socioeconomic Indicators are 1. Homelessness 2. Abuse/Neglect 3. Domestic Violence 4. Inadequate housing 5. Lack of support system 6. Out-of-state residence 7. Rural residence 8. Limited/no financial resources 9. Limited/no health insurance 10. Single parent status 11. Repeated admissions to acute care 12. Frequent ER visits Stage 2: Problem Identification involves Assessment of patient needs and establishment of plan of care. Problem Identification Assessment Categories are: 1. Patient history and demographics 2. Current medical status 3. Nutritional assessment 4. Medication assessment 5. Financial assessment 6. Functional assessment 7. Psychosocial assessment 8. Cultural and Religious assessment Patient history and demographics includes General: name, age, address, marital status, employment, language, education level; medical history: previous diagnoses, current diseases, childhood illness, accidents, injuries; complicating factors: chronicity, comorbidities; noncompliance issues; family history: cancer, diabetes, heart disease, hypertension; and allergies: foods, drug, and environment. Current Medical Status includes: Interviewing healthcare providers: PT, OT, and speech therapists; home health nurses; social workers; assistants; and homemakers; reviewing data: diagnostic test results, lab tests, vital signs, progress notes, physician reports, observational documents