Which of the following best describes how a case manager identifies people who would benefit from case management services? (Select all that apply.) a. Evidence-based criteria b. Families who express doubt that the patient is receiving adequate care c. Patient having setbacks from treatment d. Referrals from health care providers or agencies e. Risk identification […]
Which of the following activities are consistent with the conclusions of the report Crossing the Quality Chasm? (Select all that apply.) a. Increased emphasis on evidence-based practice b. Improved reimbursement schedules that allow primary care providers to spend more time with each individual client c. Increased attention to patients’ needs for health education and self-management […]
Which of the following best describes the new national health goals as seen in Healthy People 2020? (Select all that apply.) a. Achieve a plan for universal basic health care for citizens b. Create social and physical environments that promote good health c. Eliminate health disparities d. Eliminate preventable disease, disability, injury, and premature death […]
Which of the following conclusions were made when Congress asked for a report on the federal government’s quality enhancement process on the care the federal government gave? (Select all that apply.) a. A clear responsibility at the federal level is to lead by example. b. Computerized clinical data have enabled practice guidelines to be written. […]
Which of the following describe current legislation acts that limit what managed care organizations (MCOs) are allowed to do? (Select all that apply.) a. Allowing patients to see a specialist without having to obtain approval from their primary care provider b. Allowing patients to go to the emergency department without first telephoning for approval c. […]
Which of the following statements best describes a notable change of the Omnibus Budget Reconciliation Act? (Select all that apply.) a. Legislated a funding increase for RN staffing b. Changed from process evaluation to outcome evaluation when evaluating care c. Established guidelines for the use of restraints d. Created health maintenance organizations nationwide e. Added […]
Which of the following is one legally required to obey? (Select all that apply.) a. Directions to a destination provided by a police officer b. Court decisions related to legislative law c. Delegation of responsibility for a task by a physician d. Executive decisions, such as your employer requirements e. Laws passed by your state […]
Who may receive benefits under Medicare? (Select all that apply.) a. Federal employees b. Persons aged 55 to 65 years who have bought into the system c. Persons with end-stage renal disease d. Those over 65 years of age, if eligible for Social Security benefits e. Those who are dependents of elderly grandparents, usually because […]
Which of the following clients may be eligible for hospital-based, disease-specific case management support? (Select all that apply.) a. Those who have high-cost conditions b. Those with physicians who request such intervention for their patients c. Those who may be maintained in a stable condition in their home environment d. Those who have access to […]
Which of the following best describes how eligibility for Medicaid services is determined? (Select all that apply.) a. Anyone over age 65 years who is eligible for Social Security benefits may apply for Medicaid. b. Baseline eligibility is established by the federal government, but states may be more lenient. c. Children in low-income families are […]
