NURS 415 Exam 3 Study Guide (A+ GUARANTEED)

What is care management? correct answers Coordination of a plan or process to bring health services together as a common whole in a cost-effective way What is a synonym for care management? correct answers Utilization management What is case management? correct answers Development and coordination of care for a selected client and family - An integrated collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's health needs through communication and available resources to promote quality cost-effective outcomes What are some of a case manager's roles and responsibilities? correct answers - Advocacy and education—ensuring that the client has a representative who can speak up and represent their needs for needed services and education - Clinical care coordination/facilitation—coordinating multiple aspects of care to ensure that the client progresses - Continuity/transition management—transitioning of the client to the appropriate level of care needed - Utilization/financial management—managing resource utilization and reimbursement for services - Performance and outcomes management—monitoring and, if needed, intervening to achieve desired goals and outcomes for both the client and the hospital - Psychosocial management—assessing and addressing psychosocial needs, including individual, familial, and environmental - Research and practice development—identifying practice improvements and using evidence-based data to influence needed practice change What is home healthcare? correct answers Home care is part of a continuum of care where clients have the opportunity to live and move through the experiences of subacute, chronic, and end-of-life care - Caring for patients and their families wherever they may call "home," regardless of economic and class divisions Who often manages and directs the care given in home care settings? correct answers Registered nurse What is the nature of care given in the home care setting? correct answers Interdisciplinary What approach are many aspects of care in both generic and hospice home care part of? correct answers A larger care management plan that is individualized using a case management approach Who are candidates for home healthcare? correct answers People facing an acute or chronic illness or a new health-related situation may be candidates for home healthcare