Case Management Basics
The primary goal of case management is to coordinate this
Patient care
Act that protects patient privacy
HIPPA
SDOH stands for Social ____ of Health
Determinants
Planning for this begins at admission
Discharge
Typically first point of care
Primary care
Case management begins the moment this happens
Admission
Document stating end of life wishes
Advance directive
Case Managers partner with local organizations also known as
Community resources
Care level between hospital and home
Skilled nursing/rehab
HMO stands for Health ___ Organization
Maintenance
Document that outlines goals and discharge planning
Care Plan
Emergencies allow this type of consent
Implied Consent
Low health literacy affects understanding of
instructions/plan of care
Follow up soon after discharge prevents this costly event
Readmission
National accrediting body
Joint Commission
Review Checking if hospitalization is medically necessary
Utilization Review
Act supporting disability rights
ADA
Investigating SDOH prevents these negative events
Readmissions
Common delay: Waiting for this payer approval
Insurance
Medical records are abbreviated as EMR or __
EHR
Aligning care with a patient's values and goals
Patient centered care
Duty to treat patients fairly
Justice
Lack of access due to cost/location is a ___
Healthcare disparity
Tool used for structured handoffs.
SBAR
Reducing unnecessary care is care __
coordination/management