Care Coordination
Ancillary services, Pharmacy, Nursing, Physicians and Case Management is a group in the hospital.
What is interdisciplinary team?
Information to the next level of care and ensure understanding.
What is Hand-over/hand-off?
Speed, Quality and Cost are reflected in.
What is efficiency?
Critical component of patient advocay.
____ should have a defined method for screening and evaluation.
What is Case Management?
Identify gaps in care.
What is post discharge follow up?
Promote and facilitate care delivery for the setting and duration of clinical need.
What is goal of utilization management?
___ is clinically appropriate and aligns with patient care goals, choice and available resources.
What is a plan of care?
Name top three areas that patients are screened for by CM.
What are Clinical, Psychosocial and Financial?
How issues can be controlled with transition management.
What is resource management?
Being an advocate for services needed with third party payor denies the benefits.
What is understanding appeals process?
should be individualized and open with background and demographic of the patient.
What is communication on patient?
Arranging services, development of plan, monitoring process and identifying barriers are all part of
All elements of transition plan to all stakeholders.
What is communicate?
Case management can proactively prevent___.
What is medical necessity denials?
Name three barriers that may negatively affect care.
What is clinical, psychosocial and operational barriers?
Screening, Assessment, Plan of Care then last step involves assure proper throughput of patient.
What is Sequencing?
Poor living arrangements, substance abuse, mental health issues and family problem influence are types of.
What is threats to treatment?
Providing IDT education, interfacing with payers and documenting relevant information are appropriate for
What is denials management?
Regarding injury, clinical and disease process.
What is patient education by MD?