ACRN ACRN Case Management & Care Coordination 1 — Questions and Answers
Question 1: The PRIMARY goal of HIV case management is to:
- Reduce healthcare costs by limiting services
- Coordinate comprehensive services to optimize health outcomes and retention in care (Correct answer)
- Manage only the medical aspects of HIV disease
- Monitor patients for treatment non-compliance
Correct answer: Coordinate comprehensive services to optimize health outcomes and retention in care
HIV case management aims to coordinate comprehensive medical, social, and supportive services to improve health outcomes and maintain patients in continuous care.
Question 2: Which component of the Ryan White HIV/AIDS Program funds AIDS Drug Assistance Programs (ADAPs)?
- Part A
- Part B (Correct answer)
- Part C
- Part D
Correct answer: Part B
Part B of the Ryan White HIV/AIDS Program provides grants to states, which administer ADAPs that supply medications to PLWH who cannot afford them.
Question 3: The HIV Care Continuum tracks patients through which sequential stages?
- Diagnosis → Linkage → Retention → ART → Viral Suppression (Correct answer)
- Exposure → Infection → Diagnosis → Death
- Screening → Treatment → Recovery → Discharge
- Testing → Hospitalization → Rehabilitation → Community
Correct answer: Diagnosis → Linkage → Retention → ART → Viral Suppression
The HIV Care Continuum tracks patients from diagnosis through linkage to care, retention in care, ART prescription, and achieving viral suppression.
Question 4: "Linkage to care" for a newly diagnosed HIV patient is best defined as:
- The patient signing consent for treatment
- The patient attending a first HIV care appointment within a defined timeframe (Correct answer)
- The patient receiving a CD4 count result
- The patient being referred to social services
Correct answer: The patient attending a first HIV care appointment within a defined timeframe
Linkage to care refers to a newly diagnosed person attending their first HIV medical care appointment, ideally within 30 days of diagnosis.
Question 5: Which indicator BEST measures the effectiveness of an HIV case management program?
- Number of patients enrolled in case management
- Viral suppression rates among case-managed patients (Correct answer)
- Average number of services provided per patient
- Reduction in emergency room visits alone
Correct answer: Viral suppression rates among case-managed patients
Viral suppression rates are the most meaningful outcome indicator reflecting the effectiveness of case management in supporting ART adherence and care engagement.
Question 6: A patient with HIV has been lost to follow-up for 6 months. The case manager's FIRST step should be:
- Close the case and document as non-compliant
- Attempt outreach through multiple channels including phone, mail, and community health workers (Correct answer)
- Notify the health department immediately
- Schedule a home visit without patient consent
Correct answer: Attempt outreach through multiple channels including phone, mail, and community health workers
Multi-channel outreach using all available contact methods is the appropriate first step to re-engage patients lost to follow-up before considering case closure.
ACRN ACRN Case Management & Care Coordination 1
The PRIMARY goal of HIV case management is to: