Test 3: Case Management Questions With Varidated Answers

The influence of case managment into hospitals was from ? - right answer--Implementation of diagnosis related groups reimbursment from Medicare Who started case management? - right answer--Insurance companies The underlying premise of case management is based on the fact that: - right answer--Everyone benefits when the individual reaches optimal level of wellness and functional capability. Case management philosophy: - right answer--Achievement of client wellness & autonomy through advocacy, communication, education, identification of resources and services. All done in a timely and cost efficient manner. Goal of case management - right answer--Optimize outcomes for all involve specifically the patient Maintaining quality while streamlining cost: - right answer--Increased quality of care will decrease the length of stay, adverse outcome rate and waste therefore cost. Patient navigator/advocate - right answer--A person who identifies patients' needs and barriers and assists by coordinating care and identifying community and healthcare resources to meet the needs. Transitional Care Model - right answer--Prevent health complications and rehospitalizations of chronically ill, elderly hospital patients by providing them with comprehensive discharge planning and home follow-up. Case management goals: - right answer--Decrease fragmented/duplicated care, enhance quality cost effective outcomes, patient center/goal oriented plan of care, coordinated care, identify at risk patients. WILL decrease LOS. Factors of a goal - right answer--Specific Measurable Attainable Realistic/relevant Timely When does discharge planning begin? - right answer--the moment a patient is admitted to a health care facility