Chapter 16: Case and Population Health Management
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. The core element common to all provider interventions in case management (CM), disease
management (DM), and population health management (PHM) is: a. disease preventative care.
b. care coordination.
c. client-centered.
d. population-focused.
ANS: B
Care coordination is the core element common to all provider interventions in CM, DM, and
PHM.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. The nurse who uses collaboration to coordinate care for an individual’s and family’s
comprehensive health needs through communication and available resources to promote patient
safety and quality, cost-effective outcomes is performing: a. population health management.
b. managed care.
c. disease management.
d. case management.
ANS: D
Case management (CM) is “a collaborative process of assessment, planning, facilitation, 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 patient safety, quality cost-effective outcomes” (Case Management Society of
America, 2016a).
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. The brokerage model and the comprehensive service center model are examples of which type
of care model?
a. Collaborate
b. Inter-professional
c. Interdisciplinary
.
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d. Social work
ANS: D
The brokerage model, the primary therapist model, the interdisciplinary team model, and the
comprehensive service center model are all examples of social work models.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. A concept involving a system that guides and tracks patients over time through a comprehensive
array of health services to span all levels of intensity of care is known as: a. transition of care.
b. continuum of care.
c. rounds.
d. disease management strategies.
ANS: B
Continuum of care is a concept involving a system that guides and tracks patients over time
through a comprehensive array of health services to span all levels and intensity of care
(Young et al., 2014). The services incorporated in each patient’s unique continuum vary based
on the individualized health and/or behavioral health needs of each person.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. _____ has garnered considerable attention in health care in part because of the publication
Crossing the Quality Chasm, a health care quality initiative of the Institute of Medicine (IOM,
now called the National Academies of Sciences, Engineering, and Medicine, Health and
Medicine Division).
a. Disease management
b. Development research groups
c. Case management
d. Diagnosis-related groups
ANS: A
Two major forces triggered the rise of a DM perspective: (1) the abundance of managed care
systems as a prevailing form of organized health care delivery (the influence of health plans),
and (2) the national attention generated by Crossing the Quality Chasm, a health care quality
initiative of the Institute of Medicine (IOM, now called the National Academies of Sciences,
Engineering, and Medicine, Health and Medicine Division).
.