Case Management & Discharge

8 Questions | By GreenKRN | Last updated: Mar 20, 2022 | Total Attempts: 152

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The clinical case manager has a leading role in safe effective patient discharges to the appropriate level of care, while taking into considering cost effectiveness, quality and safety, and evidenced-based patient outcomes, while adhering to regulatory requirements.

Questions and Answers

1.

The case management assessment should be completed:
- A.
  
  Within 24 hours to 48 hours.
- B.
  
  As soon as convenient, just as long there is documentation in the chart.
- C.
- D.
  
  Up to 72 hours.
2.

The discharge assessment usually indicates the expected level of care the patient will require upon discharge. This assessment should be done:
- A.
  
  Simultaneously with the admission assessment.
- B.
  
  Within 24 hours.
- C.
  
  Within 24 hours and update throughout the hospital stay.
- D.
  
  Only if there is a firm discharge plan identified.
3.

An in depth case management assessment is basic to understanding the patient's previous and current response to treatment and how effective (or not ) the utilization of services are meeting the patient's needs.
- A.
  
  True
- B.
  
  False
4.

Discharge rounds are essential to collaboration among the healthcare team and sharing of informatin of the patient's response to the treatment plan. It should include all of the following:
- A.
  
  Physical, mental, behavioral status
- B.
  
  Family gossip
- C.
  
  The patient progressing/responding to treatment plan
- D.
  
  Should reflect an interdisciplinary approach
- E.
  
  Should never be documented, because it was a verbal interchange.
- F.
  
  Discuss discharge readiness and appropriate level of care (ICU, SDU, RNF)
5.

The case manager looks for previous admissions and completes the readmission assessment only on patients that returned within 30 days to the same hospital.
- A.
  
  True
- B.
  
  False
6.

In the last 5 years, only 20% of the U.S, population used 80% of the total healthcare spending of $2.9 trillion dollars by some estimates. Forty-percent of hospitalized patients return within 30 days of discharge and cost Medicare an estimated $17.4 billion dollars An effective case management program aids in reducing readmission rates.
- A.
  
  True
- B.
  
  False
7.

Case scenario: the case manager reviews a post-operative patient chart and finds that anti-coagulation is not ordered. Also, there is a completed PT evaluation, the OT evaluation was ordered but not seen in the chart. The patient has a commercial insurance product. What should he/she consider?
- A.
  
  Leave a note on the chart for the physician to address the anti-coagulation requirement of SCHIP/post-op patients.
- B.
  
  Page the OT on duty to find out when the evaluation will occur.
- C.
  
  Wait for the PT therapist to tell the OT therapist.
- D.
  
  Ask the hospital's Utilization Department to arrange for a skilled nursing facility precertification.
8.

The case manger proactively evaluates patients at risk of readmission, or in need of post-acute referrals. A critical review of the following is taken into consideration: the medical history, medications taken, re hospitalizations consultant evaluations, test/procedure results, and input from the patient/family.
- A.
  
  True
- B.
  
  False