Advanced Professional Practice Flashcards

A client with a complex chronic condition is enrolled in a disease management program. What differentiates disease management from traditional case management?

Answer: Disease management focuses on population-level interventions for a specific condition

Disease management uses population-based strategies targeting individuals with a specific chronic condition, while case management is typically individualized and holistic.

Which of the following BEST describes a 'care gap' in the context of population health management?

Answer: A missed or delayed evidence-based service that a patient should have received

A care gap is an instance where a patient has not received a recommended, evidence-based preventive or chronic care service.

Under the Americans with Disabilities Act (ADA), what obligation does a healthcare organization have toward a client with a mobility impairment?

Answer: Make reasonable accommodations to ensure equal access to services

The ADA requires organizations to make reasonable accommodations to ensure individuals with disabilities have equal access to programs and services.

A case manager is facilitating a multidisciplinary team meeting for a complex client. What is the case manager's PRIMARY role in this setting?

Answer: Coordinating communication and ensuring the client's goals are central to the plan

In multidisciplinary meetings, the case manager facilitates communication among providers while keeping the client's goals and preferences at the center of care planning.

Which of the following is an example of secondary prevention in care management?

Answer: Early screening of high-risk individuals to detect diabetes before symptoms appear

Secondary prevention involves early detection of disease in at-risk individuals before the onset of symptoms to reduce severity and progression.

A case manager suspects elder abuse in a homebound client. What is the MOST appropriate course of action?

Answer: Report the concern to Adult Protective Services as required by law

Case managers are mandated reporters and must report suspected elder abuse to Adult Protective Services according to state law.

Which framework guides case managers in ensuring that care decisions are based on the best available scientific evidence combined with clinical expertise and patient values?

Answer: Evidence-based practice

Evidence-based practice integrates the best research evidence with clinical expertise and patient values to guide care decisions.