Care/Case Management and Home Healthcare

Question 1

what is care management

Answer 1

coordination of a plan to bring health services together in a cost effective way

Question 2

what is continuity of care

Answer 2

goal of nursing practice in the community , linking services to improve clients health status

Question 3

what is case mgmt

Answer 3

development and coordination of care for a client/family

Question 4

what is advocacy

Answer 4

protecting the rights of others while supporting the clients responsibility for self-determination

Question 5

what is home care

Answer 5

a continuum of care where clients live and move through sub-acute, chronic and end-of-life care
managed by RN
interdisciplinary in nature

Question 6

to qualify for medicare you must meet these requirements

Answer 6

over 65 or permanently disabled
under care of an MD
confined to home (home-bound)
in need of skilled nursing

Question 7

reimbursement by medicare is based on

Answer 7

episodic/skilled care
not for prevention of illness/injury
HCFA serves as the plan of care

Question 8

when working in a clients home nurses practice is effected by this

Answer 8

lacks resources

practice autonomously w/little structure; competence and creativity are necessary

Question 9

types of home care agencies

Answer 9

private/voluntary (not for profit)
hospital based
proprietary (for-profit)
official

Question 10

home care models (3)

Answer 10

assisted living
home visits to the homeless
parish/faith community nursing

Question 11

home visit steps

Answer 11

initiate the visit
prepare (equipment, directions, safety)
actual visit
assess for medication errors
assess for falls risk
assess for risk of abuse/neglect
terminate the visit
post-visit planning

Question 12

caregivers are considered

Answer 12

members of the team, offered support if care is to be successful

Question 13

telehealth is used to deliver

Answer 13

acute care/specialty consults
home telenursing
electronic referrals