Collaboration

Question 0

What is Case Management

Answer 0

facilitating expected outcomes within an appropriate length of stay

Question 1

Collaboration involves a team (RN, CNA, all Physicians) that…

Answer 1

1. Streamlines decision making process
2. Allows achievement of goals
3. Ensures continuity (only way we can ensure this is through the nurse. you ensure that everyone who goes in your patients room knows what everyone else is doing)

Question 2

Trends influencing CM (CIRRF)

Answer 2

1. Cost of HC
2. Information explosion (so many more services being offered and choices for consumers to consider)
3. Responsibility shift to consumer and to HCP to help consumers understand (this is the expectation and how we can keep costs down by educating consumers)
4. Reimbursement for providers
5. Fragmentation of HC delivery (many services being offered beyond the hospital walls)

Question 3

Principles of Case Management (CCAPP)

Answer 3

1. coordination of care through entire LOS
2. Planning care beyond hospital setting (Home health)
3. communication linking health care services
4. advocacy for client and organization
5. professional development stay current!

Question 4

CMs do not provide direct patient care, however because they are RNs, they are responsible for…

Answer 4

planning care (not advocating, coordinating or ensuring because planning is the only one out of these choices that is part of the nursing process. case managers are nurses!)

Question 5

What is the goal of case managment

Answer 5

achieving a balance between quality (quality of care has to be great, every time you see your patient you need to be making a difference. you do not want anyone readmitted in less than a month) and cost (when quality is improved cost is decreased)

Question 6

Is continuity of care and collaborative care the same?

Answer 6

no, continuity of care is care from preadmission, to discharge to follow up and collaboration of care is more current/whats happening now.

Question 7

How does CM impact our health care system?

Answer 7

Helps keep costs down, makes more jobs for APRNs, focus is on finding out if this patient will have compliance issues (will they end up back in the hospital and cost more money due to lack of compliance with treatment plan),focus towards preventing duplication of services

Question 8

Barriers to continuity of care?

Answer 8

1. attitude of HC worker (are you a tired out nurse? are you getting enough sleep? are you taking care of yourself? do not let yourself become overworked)
2. client motivation
3. lack of knowledge (about case managment, about continuity of care, professionals who let continuing education go to the wayside and haven’t learned about a new technique or something)
4. Communication barriers (written and spoken and time)
5. Trans cultural barriers
6. reimbursement issues
7. system failures (poor staffing, poor communication within system)

Question 9

Nurses role in case managment (CAFELIO)

Answer 9

1. coordinate
2. facilitate
3. improve efficient use of resources
4. enhance quality of care
5. limit unnecessary costs and LOS
6. advocate for client
7. optimize client self care

Question 10

documentation and communication

Answer 10

1. consultations (when you need a second opinion or help from specialists they come and they want to know why they are here and wants needs to be done so you need correct documentation for that and correct data so they know wha they have to do and so the patient is safe and getting the right care)
2. referrals (based on patient needs)
3. transfers (from one unit to the next. you gotta be sure that when your patient is leaving your unit to go down to radiology that everything is okay. for example, check your patients blood sugar before they go to make sure they will be okay while they are getting xrays done)
4. discharge planning (starts on admission in the ED)

Question 11

leadership

Answer 11

the ability to influence the behavior of others

Question 12

management

Answer 12

getting work done through others

Question 13

leader

Answer 13

1. part of every nurse’s responsibility
2. achieved role
3. informal role
4. influence over others
5. no real authority

Question 14

manager

Answer 14

1. formal role
2. authority over others
3. help others to develop
4. designated role
5. improved by developing leader ship skills

Question 15

Five Major Management Functions of the NURSE MANAGER (KNOW THESE. Page 293)

Answer 15

1. Planning (1st step of nursing process. where are you going to put most of your resources? effective planning has to coincide with the position and philosophy of the organization. What goals and objectives are you going to establish? long term vision?)
2. Organizing (using resources wisely, making correct assignments, coordinating activities with other departments, effective communication
3. Staffing ( staffing process is the most time consuming and challenging functions for the nurse manager. this is what makes a unit cohesive or not. key to employee satisfaction, recruitment, and retention
4. Directing (how are you going to get the job done? management by walking around in which the nurse manager literally walks around the unit with the primary purpose of interacting positively with the staff)
5. Controlling (ensuring that employees accomplish goals

Question 16

Positive reinforcement (part of direction)

Answer 16

in the form of a sincere thank you, you did a good job. this is one of the most powerful yet most often underused motivational resources available to the manager. for it to be effective it needs to be specefic, occurring as close as possible to the time of the achievement, be spontaneous and unpredictable and not routine, be given for genuine accomplishment

Question 17

role modeling (part of direction)

Answer 17

as a manger you should be walking around the unit and doing things like answering call bells and showing your staff how you are supposed to act

Question 18

Caring Work Environment (shopping list when looking for a job! this is what your deserve because of all the care you are going to give!)

Answer 18

1. Recognition
2. Gratitude
3. Camaraderie
4. Conflict resolution
5. Guidance and support
6. Confidence

Question 19

Roles of the NURSE MANAGER

Answer 19

1. Customer service provider
2. Team builder
3. Resource manager
4. Decision maker & problem solver
5. Change agent (manager first to adapt to change)