case management role
management and implementation of coordination of care for INDIVIDUAL clients
what are primary drivers of prioritization in case management care
complexity
HIGH COST CHRONIC DISEASE
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NSG 440 Exam 3 with 100%
correct answers
case management role - answer management and implementation of
coordination of care for INDIVIDUAL clients
what are primary drivers of prioritization in case management care -
answer complexity
HIGH COST CHRONIC DISEASE
due to ___ and ___ case management is provided based on
prioritization... - answer staffing; time constraints
case management assessment includes - answer case finding and
eligibility determination
role of BROKER/facilitator - answer ensuring that required services
meet insurance coverage and limits
Medicaid - answer Federal program that provides medical benefits
for low-income persons.
Medicare - answer A federal program of health insurance for
persons 65 years of age and older
medicare also covers - answer certain chronic conditions and
disabilities
a care plan consists of - answer -individual
, -multidisciplinary pt
life care planning is used for - answer CATASTROPHIC INJURY or
malpractice
critical pathway and disease management protocols - answer
management plans that display goals for patients and provide the
sequence and timing of actions necessary to achieve these goals
with optimal efficiency
poor coordination of care may cause - answer fragmentation and
duplication
advocacy - answer promotion of pt rights and self determination
advocacy is related to - answer nursing process implementation
example of advocacy - answer case manager involving pt in their
plan of care to elicit their input
Risk Mitigation Strategies - answer -document interdisciplinary
communication
-confirm credentials and capabilities
-referrals
-inform pt of their rights
Referrals - answer vetting credentials and capabilities (making sure
the person will be able to perform a procedure. will insurance cover
it?)
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