Deck 9: Case Management

Question 1

Interview case management program directors. Ask them about their program's structure and process, the program's acceptance criteria, and their referral sources.

Answer 1

NO ANSWER

Question 2

Discuss the philosophy and guiding principles of case management.

Answer 2

Case management is a combined procedure of planning, assessment, care coordination, facilitation, assessment, and support for services and choices to come across the families and individual's complete health requirements. This is done through existing resources and communication to encourage quality worthwhile consequences.
According to CMSA (The Case Management Society of America) the philosophy of a case management is a fundamental principle. It is centered on the fact that when an individual touches the functional capability and the most favorable level of wellness, everyone is profited.
The persons are aided with the health care delivery methods, their support methods, and the numerous settlement sources. Case management functions as a mean for attaining self-sufficiency through support and client wellness, identification of the service assistance, communication, and education.
The Case Management Adherence Guide has been published by CMSA. The aim of this guide is to give a facility to each case manager in attracting patients in active involvement in the following:
1. Patient involvement in care.
2. Patient knowledge.
3. Improved adherence.
4. Patient authorization.
5. Improved management of care.

Question 3

Ask the directors what data they collect on their clients and what is reported to their administration.

Answer 3

NO ANSWER

Question 4

Identify the origin and purpose of case management.

Question 5

Ask the directors about their program's required education and experience levels for case managers.

Question 6

Identify the case management process.

Question 7

Spend a day with a case manager, and ask about his or her various roles and services.

Question 8

Discuss the roles and characteristics of case management in a reformed health care environment.

Question 9

Participate in a client/family interview.

Question 10

Incorporate case management concepts into clinical practice settings.

Question 11

Identify educational preparation and skills recommended for case managers.

Question 12

There are several ethical issues that a case manager should take into consideration when working with populations. Examples are as follows:
1. Right to privacy. Confidentiality of clients served must be maintained. Communicating patient information to others who are involved with the client's care must be done only with the client's knowledge and permission.
2. Health care resources are expensive and limited. The case manager must use appropriate, reliable, and accessible resources for individual clients or groups of clients with the same identified needs.
3. Respect for the client's rights to be informed about his or her care and services and to choose to receive services or not.
4. Clients have the right to know what resources are available to them and have the right to select providers of the resources.

Question 13

Contact case management programs in the community and acute care setting.

Question 14

Define case management and care management, and compare the differences.