Test 3: Case Management Questions
and Answers Updated 2026
The influence of case managment into hospitals was from ? - AnswerImplementation of diagnosis
related groups reimbursment from Medicare
Who started case management? - AnswerInsurance companies
The underlying premise of case management is based on the fact that: - AnswerEveryone benefits
when the individual reaches optimal level of wellness and functional capability.
Case management philosophy: - AnswerAchievement 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 - AnswerOptimize outcomes for all involve specifically the patient
Maintaining quality while streamlining cost: - AnswerIncreased quality of care will decrease the
length of stay, adverse outcome rate and waste therefore cost.
Patient navigator/advocate - AnswerA 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 - AnswerPrevent health complications and rehospitalizations of chronically
ill, elderly hospital patients by providing them with comprehensive discharge planning and home
follow-up.
Case management goals: - AnswerDecrease 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 - AnswerSpecific
Measurable
Attainable
Realistic/relevant
and Answers Updated 2026
The influence of case managment into hospitals was from ? - AnswerImplementation of diagnosis
related groups reimbursment from Medicare
Who started case management? - AnswerInsurance companies
The underlying premise of case management is based on the fact that: - AnswerEveryone benefits
when the individual reaches optimal level of wellness and functional capability.
Case management philosophy: - AnswerAchievement 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 - AnswerOptimize outcomes for all involve specifically the patient
Maintaining quality while streamlining cost: - AnswerIncreased quality of care will decrease the
length of stay, adverse outcome rate and waste therefore cost.
Patient navigator/advocate - AnswerA 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 - AnswerPrevent health complications and rehospitalizations of chronically
ill, elderly hospital patients by providing them with comprehensive discharge planning and home
follow-up.
Case management goals: - AnswerDecrease 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 - AnswerSpecific
Measurable
Attainable
Realistic/relevant
