A tool that many organizations use to identify individuals within their populations who have a diagnosis that may pose the greatest risk for preventable costs

Focus on symptom management and long term in duration

Once it has been determined that the patient has achieved his/her best level of function, the case manager will make decision to close the case

It's not linear but iterative or repetitive

This 1930's Act supported coordinated care for the aged, blind, children, and unemployed

Often referred as Obamacare, ensures that all patients receive the necessary health care and services at reasonable costs.

A rating level indicating the severity of an illness or disability

Outcome tracking is an essential activity of case management. Documentation of Outcomes occurs in what phase of the case management process?

Standards of Practice for Case Management are available through what professional organizations

Case Management uses communication and available resources to promote health, quality, and cost-effective outcomes in support of improving the experience of care; improving the health of populations and reducing per capita costs of health care. This is often referred as

Focuses on curing the illness and is short term in duration

Supports the goal of providing integrated health services that are cost-effective for complex patients with chronic conditions , providing them with greater access to services. Services can include acute care, ambulatory care, home care, extended care and wellness programs

The patient family or caregiver collaborates with case manager to develops a plan of care that is cost effective, promotes access to quality care with the best possible outcomes in what phase of the case management process

This Act past in 2000's mandated equal coverage & case management for mental health and/or substance use disorders.

The primary focus of Case Management for clients and their support systems is

A Payment method of reimbursement that uses a predetermined or fixed amount that is closely related to a classification system of services such as DRG's

Grouping used to classify patients based on their diagnoses, types of treatments and the presence or absence of comorbidities or complications

screening, assessing, stratification, planning, implementing care coordination, follow up, transitioning, communicating post transition and evaluation are

This Standard is used as a self-regulatory mechanism and may form the basis of legal judgments about practitioner performance

Health Risk Assessment, SF-36, PAM, PHQ9 are these type of tools

A group of health care professionals from different backgrounds, disciplines and professions with common goal of establishing an effective plan of care

Specific, Measurable, attainable, realistic and timely refer to

The case manager should review the plan of care to determine if the goals and desired outcomes have been achieved. This occurs in what phase of Case Management Process

This type of care management provides a comprehensive approach to chronic medical conditions & concurrent mental and social issues

Since the passage of this Act; healthcare providers are more aware of the impact case managers can have on saving healthcare dollars