Exam #1: Case Management
A nurse case supervisor should embody a knowledge of the health care surroundings close
to what 4 components? - ANS-1. Clinical
2. Business/Financial
3. Managerial
four. Professionalism
How are medical pathways used in the case control method? (2) - ANS-1. Clinical pathways
help case managers accurately control a affected person's care associated with the
admitting diagnosis
2. CP assist to enhance fine, lower price, control period of stay and avoid delays in care
How are clinical pathways used? (3) - ANS-1. Permanent part of medical record
2. Used in lieu of Care Plan and Orders
3. The nurse in price and the attending health practitioner will choose the best on admission
How does the APRN follow up with transitional planning within the TCM model? - ANS-The
APRN visits after discharge from the sanatorium, reaches out to patients via telephone, and
follows up on publish-discharge care. The accompany sufferers on their first go to to their
number one care issuer put up-discharge, and communicates with the PCP to ensure that
vital records has been exchanged. They additionally help the affected person in figuring out
early signs and signs and symptoms of worsening circumstance.
In the BOOST model, what method is utilized in patient training and discharge commands? -
ANS-Uses the teach-again technique
In the medical placing, what kind of assessment does the case manager perform? -
ANS-Patient and circle of relatives interview and evaluate of medical record
In the CTI version of transition making plans, does the coach anticipate home care of case
management responsibilites? - ANS-No, the coach initiates touch at the same time as the
affected person is inside the health center, obtains affected person consent to participate,
and completes a home visit 72 hours post-discharge. They then entire three phone calls
after the home go to that target observe-up care with the number one care company,
medicinal drugs, and other guide offerings.
In what settings are we now locating case management now that it has moved beyond the
extreme care setting? (five) - ANS-1. Home health agencies
2. Physician practices
3. Medical respite applications
4. Faith primarily based programs
5. Independent case control consulting corporations
What are 3 blessings of clinical pathways? - ANS-1. Enhances interdisciplinary collaboration
2. Helps to reduce needless variations in patient care and results, enhancing quality
three. A device to contain local and country wide tips into ordinary practices
What are four roles of the case supervisor in dealing with commercial enterprise/financial
issues? - ANS-1. Ensure that the level of care is suitable and services are medically vital
2. Proactively pick out delays in care, delays in discharge and chance of readmission
3. Maintain competence of usage evaluate (inpatient vs. Remark repute)
4. Document avoidable delays/days
, What are 5 key capabilities and responsibilities of a case supervisor? - ANS-1. Coordination
and facilitation of care
2. Utilization and resource control
3. Tracking of avoidable delays
four. Transitional and discharge planning
five. Quality and technique development
What are 5 key points that the case supervisor is responsible for in instituting
professionalism inside the profession? - ANS-1. Integrate high ethical standards and center
values
2. Hold self and others accountable
three. Perform work in an correct and well timed manner
four. Serve as a role version and mentor
five. Maintain present day scientific understanding and management competencies
What are five managerial duties of the case manager? - ANS-1. A nurse case manager have
to display management talents in selection making and trouble fixing
2. Must actively take part in Interdisciplinary Team Meetings and hold open verbal exchange
with physicians
3. Strive to make efficient use of time through the putting of priorities
4. Foster an environment of professionalism
five. Utilize the Chain of Command efficaciously in addressing complex/unusual situations
What are Accountable care corporations (ACO's)? - ANS-They are businesses designed to
provide an infrastructure for affected person-centered care
What are acute services? - ANS-Those which might be supplied at some stage in an acute
episode of contamination and in a sanatorium placing.
What are case managers advocates for? - ANS-Nurse case managers serve as advocates
for alternatives and offerings to satisfy the affected person and own family desires, while
promoting high-quality, price effective results for the assigned case types.
What are medical pathways additionally known as? - ANS-Clinical maps
What are medical pathways used to gain? - ANS-Clinical pathways have emerged as a
famous approach to standardize care whilst decreasing fees and enhancing first-class of
care
What are scientific pathways? - ANS-Interprofessional care plans that define the care and
desired results for a specific term for sufferers with a particular diagnosis
What are not unusual components of scientific pathways? (6) - ANS-1. Assessment
suggestions
2. Laboratory and diagnostic coaching
3. Medications
4. Activity
five. Diet
6. Teaching
What are post-acute offerings? - ANS-Services that are provided for sufferers after an acute
episode of care, whether in a facility placing or at home
What are preacute services? - ANS-Services which can be supplied to save you illness or
deterioration/adjustments inside the patient's fitness situation that can require acute care or
hospitalization
What are settings for acute services? (five) - ANS-1. Hospitals
2. Acute rehabilitation facilities
3. Postanesthesia devices
A nurse case supervisor should embody a knowledge of the health care surroundings close
to what 4 components? - ANS-1. Clinical
2. Business/Financial
3. Managerial
four. Professionalism
How are medical pathways used in the case control method? (2) - ANS-1. Clinical pathways
help case managers accurately control a affected person's care associated with the
admitting diagnosis
2. CP assist to enhance fine, lower price, control period of stay and avoid delays in care
How are clinical pathways used? (3) - ANS-1. Permanent part of medical record
2. Used in lieu of Care Plan and Orders
3. The nurse in price and the attending health practitioner will choose the best on admission
How does the APRN follow up with transitional planning within the TCM model? - ANS-The
APRN visits after discharge from the sanatorium, reaches out to patients via telephone, and
follows up on publish-discharge care. The accompany sufferers on their first go to to their
number one care issuer put up-discharge, and communicates with the PCP to ensure that
vital records has been exchanged. They additionally help the affected person in figuring out
early signs and signs and symptoms of worsening circumstance.
In the BOOST model, what method is utilized in patient training and discharge commands? -
ANS-Uses the teach-again technique
In the medical placing, what kind of assessment does the case manager perform? -
ANS-Patient and circle of relatives interview and evaluate of medical record
In the CTI version of transition making plans, does the coach anticipate home care of case
management responsibilites? - ANS-No, the coach initiates touch at the same time as the
affected person is inside the health center, obtains affected person consent to participate,
and completes a home visit 72 hours post-discharge. They then entire three phone calls
after the home go to that target observe-up care with the number one care company,
medicinal drugs, and other guide offerings.
In what settings are we now locating case management now that it has moved beyond the
extreme care setting? (five) - ANS-1. Home health agencies
2. Physician practices
3. Medical respite applications
4. Faith primarily based programs
5. Independent case control consulting corporations
What are 3 blessings of clinical pathways? - ANS-1. Enhances interdisciplinary collaboration
2. Helps to reduce needless variations in patient care and results, enhancing quality
three. A device to contain local and country wide tips into ordinary practices
What are four roles of the case supervisor in dealing with commercial enterprise/financial
issues? - ANS-1. Ensure that the level of care is suitable and services are medically vital
2. Proactively pick out delays in care, delays in discharge and chance of readmission
3. Maintain competence of usage evaluate (inpatient vs. Remark repute)
4. Document avoidable delays/days
, What are 5 key capabilities and responsibilities of a case supervisor? - ANS-1. Coordination
and facilitation of care
2. Utilization and resource control
3. Tracking of avoidable delays
four. Transitional and discharge planning
five. Quality and technique development
What are 5 key points that the case supervisor is responsible for in instituting
professionalism inside the profession? - ANS-1. Integrate high ethical standards and center
values
2. Hold self and others accountable
three. Perform work in an correct and well timed manner
four. Serve as a role version and mentor
five. Maintain present day scientific understanding and management competencies
What are five managerial duties of the case manager? - ANS-1. A nurse case manager have
to display management talents in selection making and trouble fixing
2. Must actively take part in Interdisciplinary Team Meetings and hold open verbal exchange
with physicians
3. Strive to make efficient use of time through the putting of priorities
4. Foster an environment of professionalism
five. Utilize the Chain of Command efficaciously in addressing complex/unusual situations
What are Accountable care corporations (ACO's)? - ANS-They are businesses designed to
provide an infrastructure for affected person-centered care
What are acute services? - ANS-Those which might be supplied at some stage in an acute
episode of contamination and in a sanatorium placing.
What are case managers advocates for? - ANS-Nurse case managers serve as advocates
for alternatives and offerings to satisfy the affected person and own family desires, while
promoting high-quality, price effective results for the assigned case types.
What are medical pathways additionally known as? - ANS-Clinical maps
What are medical pathways used to gain? - ANS-Clinical pathways have emerged as a
famous approach to standardize care whilst decreasing fees and enhancing first-class of
care
What are scientific pathways? - ANS-Interprofessional care plans that define the care and
desired results for a specific term for sufferers with a particular diagnosis
What are not unusual components of scientific pathways? (6) - ANS-1. Assessment
suggestions
2. Laboratory and diagnostic coaching
3. Medications
4. Activity
five. Diet
6. Teaching
What are post-acute offerings? - ANS-Services that are provided for sufferers after an acute
episode of care, whether in a facility placing or at home
What are preacute services? - ANS-Services which can be supplied to save you illness or
deterioration/adjustments inside the patient's fitness situation that can require acute care or
hospitalization
What are settings for acute services? (five) - ANS-1. Hospitals
2. Acute rehabilitation facilities
3. Postanesthesia devices
