Science Medicine Nursing
Case Manager Certification Exam
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case management the dynamic and systematic collaborative
approach to providing and coordinating health
care services to a defined population.
- participative process to identify and facility
options and services for meeting individual
healthcare needs while decreasing fragmentation
and duplication of care and increasing quality and
cost effective clinical outcomes.
standards of care parameters to measure the quality of healthcare
clinical guidelines statements to help make decisions about health
specific circumstances.
clinical pathway structured multi-disciplined plan of care to support
clinical guidelines and protocol to improve
continuity and coordination.
4 parts of clinical pathway 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
,decision tree used to select the best course of action in
decisions where there is no clear decisions.
descriptive screening tool identifies characteristics about a population to
show health prevention.
predictive screening tool shows what may happen to a specific population.
evaluative screening tool evaluates the understanding/effectiveness
SF-36 predictive screening tool to assess functional
health and well being. Assesses physical and
mental health.
- used in health economics, cost-effectiveness of
health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure 13 item predictive screening tool to evaluate
patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication
adherence and ER visits.
health risk assessment predictive screening tool: patient's self assessment
of their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness
to a worse condition.
- examples: PHQ-9, etc.
,rose Q health risk assessment for angina, MI, coronary
heart disease.
defined angina pectoris as, "a chest pain or
discomfort with these characteristics:
(a) the site must include either the sternum (any
level) or the left arm and left anterior chest
(defined as the anterior chest wall between the
levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or
walking uphill (or by walking on the level, for those
who never attempt more),
(c) when it occurs on walking it must make the
subject either stop or slacken pace, unless
nitroglycerin is taken, (d) it must disappear on a
majority of occasions in 10 min or less from the time
when the subject stands still."
Possible myocardial infarction1 was defined as,
"one or more attacks of severe pain across the
front of the chest lasting for 30 min or longer."
seattle angina questionnaire 19-item self-administered health risk assessment for
angina and functional artery disease measuring five
dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal
frequency, 4 treatment satisfaction and 5 disease
perception.
-score of 0 to 100, where higher scores indicate
better function (eg, less physical limitation, less
angina, and better quality of life).
, arthritis impact measurement scales health risk assessment: Disease-specific measure of
physical, social, and emotional well-being
designed as a measure of outcome in arthritis.
-scales: mobility, physical activity (walking,
bending, lifting), dexterity, household activity
(managing money and medications, housekeeping),
social activities, activities of daily living, pain,
depression, and anxiety.
Score range: Range is 0-10 for each section. Total
health score 0-60.
--> Zero represents good health status, 10 and 60
represent poor health status.
functional living index-cancer health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being
and ability, emotional state, sociability, family
situation, nausea
- Higher score indicates better quality of life.
BASIS-32 health risk assessment: 32-item Behavior and
Symptom Identification Scale. behavioral health
assessment tool.
- measures the change in self-reported symptom
and problem difficulty over the course of
treatment.
- assesses: Relation to Self and Others, Depression
and Anxiety, Daily Living and Role Functioning,
Impulsive and Addictive Behavior, Psychosis.
- higher score poorer outcome
Case Manager Certification Exam
Save
case management the dynamic and systematic collaborative
approach to providing and coordinating health
care services to a defined population.
- participative process to identify and facility
options and services for meeting individual
healthcare needs while decreasing fragmentation
and duplication of care and increasing quality and
cost effective clinical outcomes.
standards of care parameters to measure the quality of healthcare
clinical guidelines statements to help make decisions about health
specific circumstances.
clinical pathway structured multi-disciplined plan of care to support
clinical guidelines and protocol to improve
continuity and coordination.
4 parts of clinical pathway 1. timeline
2. categories of care/activities and interventions
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
,decision tree used to select the best course of action in
decisions where there is no clear decisions.
descriptive screening tool identifies characteristics about a population to
show health prevention.
predictive screening tool shows what may happen to a specific population.
evaluative screening tool evaluates the understanding/effectiveness
SF-36 predictive screening tool to assess functional
health and well being. Assesses physical and
mental health.
- used in health economics, cost-effectiveness of
health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. disability
patient activation measure 13 item predictive screening tool to evaluate
patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication
adherence and ER visits.
health risk assessment predictive screening tool: patient's self assessment
of their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness
to a worse condition.
- examples: PHQ-9, etc.
,rose Q health risk assessment for angina, MI, coronary
heart disease.
defined angina pectoris as, "a chest pain or
discomfort with these characteristics:
(a) the site must include either the sternum (any
level) or the left arm and left anterior chest
(defined as the anterior chest wall between the
levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or
walking uphill (or by walking on the level, for those
who never attempt more),
(c) when it occurs on walking it must make the
subject either stop or slacken pace, unless
nitroglycerin is taken, (d) it must disappear on a
majority of occasions in 10 min or less from the time
when the subject stands still."
Possible myocardial infarction1 was defined as,
"one or more attacks of severe pain across the
front of the chest lasting for 30 min or longer."
seattle angina questionnaire 19-item self-administered health risk assessment for
angina and functional artery disease measuring five
dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal
frequency, 4 treatment satisfaction and 5 disease
perception.
-score of 0 to 100, where higher scores indicate
better function (eg, less physical limitation, less
angina, and better quality of life).
, arthritis impact measurement scales health risk assessment: Disease-specific measure of
physical, social, and emotional well-being
designed as a measure of outcome in arthritis.
-scales: mobility, physical activity (walking,
bending, lifting), dexterity, household activity
(managing money and medications, housekeeping),
social activities, activities of daily living, pain,
depression, and anxiety.
Score range: Range is 0-10 for each section. Total
health score 0-60.
--> Zero represents good health status, 10 and 60
represent poor health status.
functional living index-cancer health risk assessment: Cancer-specific,
functionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being
and ability, emotional state, sociability, family
situation, nausea
- Higher score indicates better quality of life.
BASIS-32 health risk assessment: 32-item Behavior and
Symptom Identification Scale. behavioral health
assessment tool.
- measures the change in self-reported symptom
and problem difficulty over the course of
treatment.
- assesses: Relation to Self and Others, Depression
and Anxiety, Daily Living and Role Functioning,
Impulsive and Addictive Behavior, Psychosis.
- higher score poorer outcome
