Chapter 9 - Case Management Overview

Charlotte, Mason, and William are discussing Chapter 9 in their study group. Which statement best defines case management as presented in their textbook?

• A linear process focused on billing and documentation

• A collaborative process involving assessment, planning, facilitation, coordination, and advocacy

• An independent clinical service performed only by physicians

• A short-term intervention limited to hospital discharge planning

Grace, Evelyn, and Oliver are learning about case management! Which of the following goals should they focus on to become case management superstars? Select all that apply.

• Promote patient safety

• Increase provider autonomy regardless of outcomes

• Ensure quality care

• Achieve cost-effective outcomes

• Prioritize system metrics over patient needs in every case

Grace and David are discussing case management in their healthcare class. Grace thinks it focuses only on patient-centered care, while David believes it’s all about system-centered care. Ethan wonders if both are right! Who do you think is correct about the perspectives of care that case management focuses on?

• Only patient-centered care

• Only system-centered care

• Both patient-centered and system-centered care

• Neither patient- nor system-centered care

Imagine Harper, William, and James are all training to become superstar case managers! Which set of activities would they need to master as part of their new roles?

• Diagnosis, surgery, and prescribing medication

• Assessment, planning, facilitation, advocacy, collaboration

• Human resources, budgeting, and marketing

• Laboratory testing, imaging, and pharmacy dispensing

Imagine Harper is a case manager at a busy hospital. What is Harper's key responsibility when it comes to making sure patients get the care they need on time?

• Ensure patients receive appropriate and timely care

• Delay care until all paperwork is complete

• Focus only on long-term outcomes, not immediate needs

• Leave scheduling to patients without guidance

Zoe and Mason are learning about the key responsibilities of case managers. Which outcome-related duty should they focus on?

• Monitor progress and outcomes

• Negotiate provider salaries

• Authorize new medical devices

• Conduct randomized clinical trials

Imagine Evelyn, Harper, and Michael are discussing what "policy" really means in their health class. Which statement best captures the definition of policy as presented?

• A set of informal traditions that guide behavior

• Decisions and actions designed to achieve health goals

• Only laws enacted by the legislature

• Clinical protocols used solely in hospitals

Grace and Aiden are working on a history project about nurses who made a big impact on policy. Can you help them identify which of these historical nurses are famous for influencing policy? Select all that apply.

• Florence Nightingale

• Lillian Wald

• Clara Barton

• Virginia Henderson

Imagine David, Scarlett, and Aria are discussing health policy in class. Which area do you think health policy mainly shapes?

• Nurse licensure exams

• Care delivery and access

• Biomedical research funding only

• Hospital architecture

Isla, Elijah, and Olivia are working on a school project about the U.S. government. Can you help them out by choosing the list that correctly names the three branches of the U.S. government?

• Legislative, Executive, Judicial

• Federal, State, Local

• Congress, President, Constitution

• House, Senate, Cabinet