Case Manager Certification Exam Prep Questions and Answers

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.