Case Management Process Practice Questions and Answers from courses 2023 with complete solution

Case Management Process Practice Questions and
Answers from courses 2023 with complete solution
Case management plans are one way to
deliver:
a. Increased filtration of managed care
b. A continuum of care
c. More rapid reimbursement
d. Best practice care
D
A strategy for quality of care improvement
is:
a. Multidisciplinary action plans
b. Practice guidelines
c. Risk management
d. Clinical pathways
B
Problem-based procedures of care that
are developed as consensus statements to delineate processes for caring for an
individual with a specific health problem are known as:
a. Protocols
b. Clinical guidelines
c. Algorithms
d. Procedure books
C
What type of case management plan is
described below?

This is a detailed plan with allowances for documentation and medical orders. It
demonstrates evidence of a collaborative approach to care. The plan specifies the
necessary interventions and the related and expected outcomes in relation to the
patient's progression toward recovery. Because they are outlined prospectively,
sequences of events, specific timeframes, and patient outcomes are identified. This
specificity lets practitioners easily evaluate the patient's condition and determine the
next appropriate step in her or his care.

a. Clinical/critical pathways
b. Multidisciplinary action plan
c. Algorithm
d. Issue-specific recommendation
B
Case management plans are ____________
developed as statements, guidelines, and strategies for patient care management.
a. loosely
b. independently

, c. retrospectively
d. systematically
D
Algorithms are best described as:
a. Problem-based procedures that are developed by health care providers as
consensus statements to delineate the processes of caring for a patient with a specific
medical condition. They include a step-by-step guide to care and typically focus on the
clinical decision-making process. Typically, they are written in an "if...then" format that is
systematic, stepwise, chronological, and outcomes-driven.
b. Preprinted order sets that are prospectively prepared to delineate a standardized
process for patient care based on research outcomes and the latest recommendations
of professional organizations.
c. Narratives or outlines that rely on expert opinions, consensus statements, and
research outcomes. They refer to specific timeframes in appropriate patient care and
tend to be based on nationally acceptable levels of care.
d. none of the above
A
All the following are focuses when
developing and implementing case management plans except __________.
a. innovating and developing new practices
b. ensuring consistency and continuity of care
c. developing and implementing national standards of care to be applied to all
diagnosis-related groups, where appropriate for the individual patient
d. modifying current methods by integrating the outcomes of research and clinical trials
C
Patient and family case management plans
are used primarily to facilitate __________.
a. nationwide standardization of patient care in university-based teaching hospitals
b. communication and education regarding realistic expectations of future care and
treatment
c. tracking of hospital admissions, length of stay, and discharge data regarding patients
in specific diagnosis-related groups
d. nationwide standardization of patient care in private, non-university-based teaching
hospitals
B
If the interdisciplinary case management
plan development team finds no consistency in treatment when reviewing the practice
patterns of providers and a sample of patient medical records, _________________.
a. no further planning is attempted, and the institution instead adopts the plan of a
nearby facility
b. the team reviews the records and practice patterns of nearby facilities
c. no further planning is attempted until additional patients are treated and a consistent
pattern is established
d. the team reviews and evaluates the related literature
D