Coordination of Care Flashcards
7 cards from real CBHCM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Coordination of Care flashcards as text
A behavioral health case manager is working in an accountable care organization (ACO). The primary goal of the ACO model in relation to care coordination is to:
Answer: Improve quality and reduce costs by holding providers jointly accountable for client outcomes
ACOs align provider incentives to improve care coordination, quality, and cost efficiency through shared accountability for patient outcomes.
Which documentation element is MOST critical for ensuring continuity of care when a client transitions between a case manager leaving the agency and a new case manager taking over?
Answer: A comprehensive transition summary including current goals, active referrals, and provider contacts
A comprehensive transition summary ensures the incoming case manager has all actionable information needed to maintain care continuity without gaps.
A case manager receives conflicting information from a client and the client's family about the client's medication adherence. The MOST appropriate response is to:
Answer: Address the discrepancy directly with the client, respecting their autonomy as the primary stakeholder
The client remains the primary stakeholder in their care, and conflicting accounts should be addressed collaboratively with the client first.
A behavioral health case manager is coordinating care for a veteran with PTSD. Which agency is the PRIMARY federal resource for this population's behavioral health services?
Answer: The Department of Veterans Affairs (VA) mental health system
The Department of Veterans Affairs operates the largest integrated behavioral health system in the US, specifically designed for veterans with conditions like PTSD.
A client with schizophrenia repeatedly misses medication appointments, leading to symptom relapse and ER visits. The case manager's MOST effective coordination intervention is to:
Answer: Implement assertive community treatment (ACT) with proactive outreach and in-vivo support
Assertive Community Treatment (ACT) provides intensive, proactive, community-based support that reduces hospitalization for clients who struggle with traditional outpatient engagement.
When coordinating care across behavioral health and primary care settings, a case manager identifies that the client's electronic health records (EHR) are not interoperable. The BEST immediate strategy is to:
Answer: Request a summary care document from each provider and manually reconcile information
Requesting summary care documents from each provider allows the case manager to manually reconcile information when EHR systems cannot communicate directly.
A case manager is coordinating care for an adolescent client. In addition to the client's consent, which additional consent consideration is MOST important?
Answer: Parental or guardian consent, with attention to minor consent laws for specific services
Minors typically require parental or guardian consent for treatment, though many states have specific minor consent laws for mental health, substance use, and reproductive services.