Population/community health Ch. 15: Case Management revision questions and answers 2024

Population/community health Ch. 15: Case Management revision questions and answers 2024 Which of the following best describes case management? a. A tool of health maintenance organizations b. Targeted toward a specific segment of the population c. Implemented with individual clients d. Used to monitor the health status, resources, and outcomes for an aggregate ANS: C Case management, in contrast to the definition of care management, involves activities implemented with individual clients in the system. Managed care is a tool of health maintenance organizations. Care management is an enduring process in which a population manager establishes systems and monitors the health status, resources, and outcomes for an aggregate—a targeted segment of the population or a group. Which of the following best describes why planning care for an individual is so challenging in today's health care system? a. Because today's clients have high expectations of the health care system b. Because multiple providers, payers, and settings have to be coordinated c. Because of the new high technology constantly being created and used for client treatment d. Because so many different health care providers are in the acute care setting today ANS: B Case management practice is complex because of the coordinating activities of multiple providers, payers, and settings throughout a client's continuum of care. Planning care is so challenging because of the complexities of the system, not the high expectations of the population, new technology, or different providers. Coordination of all of these aspects of care, not just one of them, is what makes planning so difficult