Ch. 16: Case and population health management || 100%
Correct Solutions
1. The core element common to all provider interventions in case management (CM), disease
management (DM), and population health management (PHM) is:
a.
disease preventative care.
b.
care coordination.
c.
client-centered.
d.
population-focused. correct answers ANS: B
Care coordination is the core element common to all provider interventions in CM, DM, and
PHM.
2. The nurse who uses collaboration to coordinate care for an individual's and family's
comprehensive health needs through communication and available resources to promote
patient safety and quality, cost-effective outcomes is performing:
a.
population health management.
b.
managed care.
c.
disease management.
d.
case management. correct answers ANS: D
Case management (CM) is "a collaborative process of assessment, planning, facilitation, care
coordination, evaluation, and advocacy for options and services to meet an individual's and
family's comprehensive health needs through communication and available resources to
promote patient safety, quality cost-effective outcomes" (Case Management Society of
America, 2016a).
3. The brokerage model and the comprehensive service center model are examples of which
type of care model?
a.
Collaborate
b.
Inter-professional
c.
Interdisciplinary
d.
Social work correct answers ANS: D
The brokerage model, the primary therapist model, the interdisciplinary team model, and the
comprehensive service center model are all examples of social work models.
4. A concept involving a system that guides and tracks patients over time through a
comprehensive array of health services to span all levels of intensity of care is known as:
a.
, transition of care.
b.
continuum of care.
c.
rounds.
d.
disease management strategies. correct answers ANS: B
Continuum of care is a concept involving a system that guides and tracks patients over time
through a comprehensive array of health services to span all levels and intensity of care
(Young et al., 2014). The services incorporated in each patient's unique continuum vary
based on the individualized health and/or behavioral health needs of each person.
5. _____ has garnered considerable attention in health care in part because of the publication
Crossing the Quality Chasm, a health care quality initiative of the Institute of Medicine
(IOM, now called the National Academies of Sciences, Engineering, and Medicine, Health
and Medicine Division).
a.
Disease management
b.
Development research groups
c.
Case management
d.
Diagnosis-related groups correct answers ANS: A
Two major forces triggered the rise of a DM perspective: (1) the abundance of managed care
systems as a prevailing form of organized health care delivery (the influence of health plans),
and (2) the national attention generated by Crossing the Quality Chasm, a health care quality
initiative of the Institute of Medicine (IOM, now called the National Academies of Sciences,
Engineering, and Medicine, Health and Medicine Division).
6. A disease management program usually focuses on patients with:
a.
chronic conditions.
b.
mental health issues.
c.
outpatient procedures.
d.
surgical diagnoses. correct answers ANS: A
While CM programs serve a smaller percentage of the overall population, enrollees are
complex from a medical-behavioral, health-social vulnerability perspective. DM programs
serve a larger percentage of patients whose main problem is one or more chronic
condition(s). These individuals generally have similar primary needs regarding health
condition education and accommodation strategies
7. Nursing outreach programs are the core element of:
a.
population health management.
b.
disease management.
Correct Solutions
1. The core element common to all provider interventions in case management (CM), disease
management (DM), and population health management (PHM) is:
a.
disease preventative care.
b.
care coordination.
c.
client-centered.
d.
population-focused. correct answers ANS: B
Care coordination is the core element common to all provider interventions in CM, DM, and
PHM.
2. The nurse who uses collaboration to coordinate care for an individual's and family's
comprehensive health needs through communication and available resources to promote
patient safety and quality, cost-effective outcomes is performing:
a.
population health management.
b.
managed care.
c.
disease management.
d.
case management. correct answers ANS: D
Case management (CM) is "a collaborative process of assessment, planning, facilitation, care
coordination, evaluation, and advocacy for options and services to meet an individual's and
family's comprehensive health needs through communication and available resources to
promote patient safety, quality cost-effective outcomes" (Case Management Society of
America, 2016a).
3. The brokerage model and the comprehensive service center model are examples of which
type of care model?
a.
Collaborate
b.
Inter-professional
c.
Interdisciplinary
d.
Social work correct answers ANS: D
The brokerage model, the primary therapist model, the interdisciplinary team model, and the
comprehensive service center model are all examples of social work models.
4. A concept involving a system that guides and tracks patients over time through a
comprehensive array of health services to span all levels of intensity of care is known as:
a.
, transition of care.
b.
continuum of care.
c.
rounds.
d.
disease management strategies. correct answers ANS: B
Continuum of care is a concept involving a system that guides and tracks patients over time
through a comprehensive array of health services to span all levels and intensity of care
(Young et al., 2014). The services incorporated in each patient's unique continuum vary
based on the individualized health and/or behavioral health needs of each person.
5. _____ has garnered considerable attention in health care in part because of the publication
Crossing the Quality Chasm, a health care quality initiative of the Institute of Medicine
(IOM, now called the National Academies of Sciences, Engineering, and Medicine, Health
and Medicine Division).
a.
Disease management
b.
Development research groups
c.
Case management
d.
Diagnosis-related groups correct answers ANS: A
Two major forces triggered the rise of a DM perspective: (1) the abundance of managed care
systems as a prevailing form of organized health care delivery (the influence of health plans),
and (2) the national attention generated by Crossing the Quality Chasm, a health care quality
initiative of the Institute of Medicine (IOM, now called the National Academies of Sciences,
Engineering, and Medicine, Health and Medicine Division).
6. A disease management program usually focuses on patients with:
a.
chronic conditions.
b.
mental health issues.
c.
outpatient procedures.
d.
surgical diagnoses. correct answers ANS: A
While CM programs serve a smaller percentage of the overall population, enrollees are
complex from a medical-behavioral, health-social vulnerability perspective. DM programs
serve a larger percentage of patients whose main problem is one or more chronic
condition(s). These individuals generally have similar primary needs regarding health
condition education and accommodation strategies
7. Nursing outreach programs are the core element of:
a.
population health management.
b.
disease management.
