Podcast
Questions and Answers
Which is true about the case management definition?
Which is true about the case management definition?
True (A)
In 1990, how did Yee define case management?
In 1990, how did Yee define case management?
the process of getting the right service to the right client
The differences between case management and managed care include:
The differences between case management and managed care include:
- Case management is people-oriented. (correct)
- Managed care is system-oriented. (correct)
- Case management is system-oriented.
- Managed care is people-oriented.
What do definitions of managed care typically include?
What do definitions of managed care typically include?
What milestone does case management evolution include?
What milestone does case management evolution include?
During the late 1990s to early 2000s, case management was practiced in every setting across the healthcare continuum.
During the late 1990s to early 2000s, case management was practiced in every setting across the healthcare continuum.
The case management training methods are included in the factors that impact models of case management.
The case management training methods are included in the factors that impact models of case management.
What is the 'Acute Care Case Management Model' typically characterized by?
What is the 'Acute Care Case Management Model' typically characterized by?
Patients requiring short- or long-term management services are included in the?
Patients requiring short- or long-term management services are included in the?
What do 'Disease Management Model' case managers apply?
What do 'Disease Management Model' case managers apply?
For a foster child target population, who is the best choice for a case manager?
For a foster child target population, who is the best choice for a case manager?
How do social worker case managers differ from nursing case managers?
How do social worker case managers differ from nursing case managers?
For over five years, what was recommended regarding the nurse case manager-social worker team?
For over five years, what was recommended regarding the nurse case manager-social worker team?
Strategies to ensure effectiveness of the case management model include all of the following except:
Strategies to ensure effectiveness of the case management model include all of the following except:
When a case management model is not adequate, what should be evaluated?
When a case management model is not adequate, what should be evaluated?
What should be assessed when collecting and analyzing data for case management model effectiveness?
What should be assessed when collecting and analyzing data for case management model effectiveness?
For evaluation of a model, metrics should be determined based on what?
For evaluation of a model, metrics should be determined based on what?
What is telehealth?
What is telehealth?
Examples of telehealth management include all of the following except:
Examples of telehealth management include all of the following except:
Which is true about the use of current information systems with case management?
Which is true about the use of current information systems with case management?
Flashcards
What is case management?
What is case management?
A process of connecting clients with the right services they need.
What's the core focus of case management?
What's the core focus of case management?
Putting a strong focus on individual needs and prioritizing personalized care plans.
How is Case Management DIFFERENT from Managed Care?
How is Case Management DIFFERENT from Managed Care?
Case management emphasizes individual needs, while managed care prioritizes efficiency and cost control for a larger group.
What is 'Managed Care'?
What is 'Managed Care'?
Signup and view all the flashcards
How did case management evolve?
How did case management evolve?
Signup and view all the flashcards
When did case management become widespread?
When did case management become widespread?
Signup and view all the flashcards
What is the 'Acute Care Case Management Model'?
What is the 'Acute Care Case Management Model'?
Signup and view all the flashcards
What is the 'Large Case Management Model'?
What is the 'Large Case Management Model'?
Signup and view all the flashcards
What is the 'Disease Management Model'?
What is the 'Disease Management Model'?
Signup and view all the flashcards
Who is the best case manager for a foster child?
Who is the best case manager for a foster child?
Signup and view all the flashcards
Why are social workers preferred case managers for foster children?
Why are social workers preferred case managers for foster children?
Signup and view all the flashcards
What sets social worker case managers apart from nursing case managers?
What sets social worker case managers apart from nursing case managers?
Signup and view all the flashcards
How should nurse case managers and social worker case managers be integrated in a hospital?
How should nurse case managers and social worker case managers be integrated in a hospital?
Signup and view all the flashcards
What should case managers NOT prioritize?
What should case managers NOT prioritize?
Signup and view all the flashcards
How do you evaluate the effectiveness of a case management model?
How do you evaluate the effectiveness of a case management model?
Signup and view all the flashcards
What is essential for effective evaluation of case management?
What is essential for effective evaluation of case management?
Signup and view all the flashcards
What is Telehealth in the context of Case Management?
What is Telehealth in the context of Case Management?
Signup and view all the flashcards
What are examples of Telehealth practices in case management?
What are examples of Telehealth practices in case management?
Signup and view all the flashcards
What potential does information technology hold for case management?
What potential does information technology hold for case management?
Signup and view all the flashcards
Study Notes
Case Management Overview
- Numerous definitions of case management exist, formulated by various professionals and organizations.
- Yee (1990) defined case management as "the process of getting the right service to the right client."
Case Management vs Managed Care
- Case management is people-oriented, focusing on individual needs, whereas managed care is system-oriented, concentrating on efficiency and cost containment.
Managed Care Definitions
- Managed care includes terms related to insurance benefits, limitations, and exclusions.
Historical Context of Case Management
- Post-World War II, insurance companies began coordinating services for soldiers, marking a significant milestone in case management evolution.
- By the late 1990s to early 2000s, case management practices expanded across all healthcare settings.
Factors Influencing Case Management Models
- Training methods for case managers are not considered a factor impacting models of case management.
- The "Acute Care Case Management Model" typically involves episodic, time-limited care within hospital environments.
Case Management Models
- The "Large Case Management Model" is tailored for patients with chronic illnesses, disabilities, or catastrophic conditions needing ongoing management.
- In the "Disease Management Model," case managers utilize evidence-based guidelines or protocols to inform care.
Role of Case Managers
- For a foster child target population, a social worker is identified as the most suitable case manager.
- Social worker case managers differ from nursing case managers by emphasizing complex discharge planning and addressing financial needs of patients.
Team Dynamics in Case Management
- Recommendations arising from legal actions involving nurse case managers and social workers suggested integrating both roles under a single department to enhance collaboration.
Effectiveness of Case Management
- Strategies for case management effectiveness exclude prioritizing goals based solely on the patient family's reimbursement needs.
- Evaluating an inadequate case management model involves assessing the organization's geographic location and the impact of recidivism.
Metrics for Evaluation
- Metrics for evaluating a case management model must align with the specific goals and expectations set for that model.
Telehealth in Case Management
- Telehealth refers to the distance-based provision and management of healthcare services.
- Telehealth management examples do not include delivering direct patient care in traditional office or hospital settings.
Information Systems in Case Management
- McGonigle and Mastrian assert that current information technology systems will offer solutions to enhance case management practices.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers key concepts from Chapter 1 on Case Management. It explores various definitions and distinctions between case management and managed care. Test your understanding of the fundamental aspects of case management as defined by professionals in the field.
