Core care coordination models and the case manager's role across the care continuum tested on the CCM certification exam.
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- What professional organization publishes the Standards of Practice for Case Management?
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Case Management Society of America (CMSA)- Which body administers the CCM (Certified Case Manager) credential?
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Commission for Case Manager Certification (CCMC)- What is the core goal of care coordination?
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To organize patient care activities and share information among everyone involved to achieve safer, more effective care- According to CMSA, case management is a collaborative process of ____, planning, facilitation, care coordination, evaluation, and advocacy to meet an individual's health needs.
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assessment- What is a caseload in case management?
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The number of clients a case manager is actively managing at one time- In the case management process, what does the planning phase involve?
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Developing goals and an action plan for the client's care- In the case management process, what does implementing involve?
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Putting the care plan into action- In the case management process, what does coordinating involve?
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Organizing and sequencing services among multiple providers- In the case management process, what does monitoring involve?
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Ongoing tracking of the client's progress and response to the care plan- In the case management process, what does evaluating involve?
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Assessing whether the care plan's goals and outcomes were achieved- What is transitional care?
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Actions that ensure coordination and continuity of care as a patient moves between different care settings- Who developed the Care Transitions Intervention model, which uses a trained transition coach?
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Dr. Eric Coleman- What is the name of the transitional care model developed by Mary Naylor for high-risk older adults?
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The Transitional Care Model (TCM)- What is the Chronic Care Model, developed by Edward Wagner?
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A framework for improving chronic disease care through productive interactions between an informed patient and a prepared care team- Patient-Centered Medical Home
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PCMH
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