25. Case Management Flashcards
1
Q
4 changes to healthcare in recent years
A
- incentives provided for value-based care outcomes and not fee-for-service
- delivery of care now organized through network of providers
- management of care shifted from inpatient care to primary care
- case management proves for continuum of health
2
Q
the coordinated activities of multiple providers, payers, and settings through a client’ continuum of care
A
case management
3
Q
synchronization of activities and info to improve health outcomes
A
case coordination
4
Q
coordinate care from within and between services and levels of care
A
transitional care
5
Q
3 essential skills for case managers
A
- advocacy
- conflict management
- collaboration
6
Q
What does a nurse advocate place as their highest priority?
A
client’s rights (individual, family, or community)
7
Q
How does a nurse advocate help the client with autonomy and engage them to be involved with their health care?
A
- informing or providing knowledge about issues or choices
- verify client understands the knowledge that has been provided
- support the client in their decision
8
Q
4 parts to conflict management
A
- develop trust
- establish issues
- bargain and discover new solutions
- settling on the issues
9
Q
7 things required for collaboration
A
- awareness
- tentative exploration and mutual acknowledgment
- build trust
- collegiality (define tasks for group members)
- consensus
- commitment
- collaboration
10
Q
possible timeline of transitional care
A
- in-hospital visits/discharge planning
- home visit follow-ups/primary care office visits
- telephone follow-up for 1-3 months after discharge
11
Q
6 ethical issues involved in case management
A
- autonomy (may be taken away if pt is unsafe)
- beneficence (more concern in cost than care)
- fidelity (make sure goals match up w/ client)
- justice (following rules of insurance)
- nonmaleficence
- veracity (may not be what client wants to hear)
