Case Management for the CHW
Case mangement - answerscollaborative process of assessment, planning, facilitations, care coordination,
evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health
needs through communication and available resources to promote quality, cost-effective outcomes.
team-based healthcare - answersprovision of
health services
to individuals,
families, and/or
their communities by at least
two health providers who work
collaboratively
with patients
and their caregivers to accomplish shared
goals within and
across settings
to achieve coordinated, high-
quality care."
holistic - answersdealing with/treating the whole of something or someone and not just a part; in health,
healthcare providers focus on a person's overall state of well-being such as their physical, mental, emotional,
and social aspects.
healthcare multidisciplinary team - answersgroup of healthcare professionals from diverse fields who work
together to improve the patient's overall health; may contain people such as doctors, CHWs, pharmacists,
social worker case manager, etc.
soft skills - answersinterpersonal, language, and social skills a person needs to function effectively as a
member of a team
, case manager - answersa healthcare professional who assists in the planning, coordination, monitoring, and
evaluation of medical care and services; focusing on improving quality, outcomes, and costs controls.
invasive - answersintrusive treatment, such as surgery
Federally Qualified Health Centers (FQHC) - answerscommunity-based healthcare providers that receive funds,
from HRSA Health Center Program, to provide primary care services in underserved areas
patient-centered medical home (PCMH) - answersmodel of care that aims to transform the delivery of
comprehensive primary care to children, adolescents, and adults
moral hazard - answersoccurs when patients do not assume any responsibility for the costs associated with
their medical care
Emergency department - answerspart of the hospital that treats patients with serious, often life-threatening
conditions. These departments have become overcrowded and overused due to a mixture of lack of physician
access, non-life threatening visits, primary care physician shortage, sense of moral hazard, etc.
Potential Multidisciplinary Team Members - answers-primary care physician
-nurse case manager
-social worker case manager
-substance abuse and behavioral disorder counselor
-pharmacist
-psychiatrist
-physician specialist/surgeon
-community health worker
-podiatrist
-chiropractor
-etc.
primary care physician - answersresponsible for managing the overall care of their/the patient. Serving as the
"gatekeeper" to other medical services by referring patients to certain specialists the patient needs. Less
expensive to approach a primary care physician compared to a visit to the emergency department
Case mangement - answerscollaborative process of assessment, planning, facilitations, care coordination,
evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health
needs through communication and available resources to promote quality, cost-effective outcomes.
team-based healthcare - answersprovision of
health services
to individuals,
families, and/or
their communities by at least
two health providers who work
collaboratively
with patients
and their caregivers to accomplish shared
goals within and
across settings
to achieve coordinated, high-
quality care."
holistic - answersdealing with/treating the whole of something or someone and not just a part; in health,
healthcare providers focus on a person's overall state of well-being such as their physical, mental, emotional,
and social aspects.
healthcare multidisciplinary team - answersgroup of healthcare professionals from diverse fields who work
together to improve the patient's overall health; may contain people such as doctors, CHWs, pharmacists,
social worker case manager, etc.
soft skills - answersinterpersonal, language, and social skills a person needs to function effectively as a
member of a team
, case manager - answersa healthcare professional who assists in the planning, coordination, monitoring, and
evaluation of medical care and services; focusing on improving quality, outcomes, and costs controls.
invasive - answersintrusive treatment, such as surgery
Federally Qualified Health Centers (FQHC) - answerscommunity-based healthcare providers that receive funds,
from HRSA Health Center Program, to provide primary care services in underserved areas
patient-centered medical home (PCMH) - answersmodel of care that aims to transform the delivery of
comprehensive primary care to children, adolescents, and adults
moral hazard - answersoccurs when patients do not assume any responsibility for the costs associated with
their medical care
Emergency department - answerspart of the hospital that treats patients with serious, often life-threatening
conditions. These departments have become overcrowded and overused due to a mixture of lack of physician
access, non-life threatening visits, primary care physician shortage, sense of moral hazard, etc.
Potential Multidisciplinary Team Members - answers-primary care physician
-nurse case manager
-social worker case manager
-substance abuse and behavioral disorder counselor
-pharmacist
-psychiatrist
-physician specialist/surgeon
-community health worker
-podiatrist
-chiropractor
-etc.
primary care physician - answersresponsible for managing the overall care of their/the patient. Serving as the
"gatekeeper" to other medical services by referring patients to certain specialists the patient needs. Less
expensive to approach a primary care physician compared to a visit to the emergency department
