Nokea
Diagnosis-related groups (DRGs) are classifications of illnesses or procedures used to
- A. perform quality-of-care research.
- B. identify patients at high risk who will benefit from case management.
- C. determine the appropriate level of care.
- D. standardize the amount the government will pay for a specific illness.
Correct Answer: D
Rationale: DRGs standardize Medicare payments for specific illnesses.
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Fill in the blank with the correct Key Term(s) or italicized words from your text: Empowering the patient to take control of and manage his or her care is called
- A. Case management
- B. Client-centered care
- C. Team nursing
- D. Primary care
Correct Answer: B
Rationale: Client-centered care empowers patients to manage their own care.
Fill in the blank with the correct health-care practitioner: The personnel who help diagnose swallowing difficulties are called
- A. Occupational therapists
- B. Physical therapists
- C. Speech therapists
- D. Social workers
Correct Answer: C
Rationale: Speech therapists diagnose and treat swallowing difficulties.
Multidisciplinary teams work especially well for patients with multiple and complex health problems.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Multidisciplinary teams are effective for addressing complex health issues.
Match the following Key Term(s) or italicized words from your text with the correct description: Case management
- A. Patient care approach aimed at coordinating the care of patients who are vulnerable, at risk, or cost intensive so that their specific needs are met in the most cost-effective manner while still bringing them to optimum health
- B. A federally and state-funded health insurance program for individuals who are poor and medically indigent, pregnant women, individuals with disabilities, and children meeting income level requirements
- C. A system of health-care delivery aimed at managing the cost and quality of access to health care
- D. The insurance company that finances health care provided to a beneficiary
- E. A cost-containment program featuring a primary care physician (PCP) as the gatekeeper to eliminate unnecessary testing and procedures
- F. A classification of illnesses and diseases that is then used to determine the amount of money paid to a hospital by Medicare
- G. A group of health-care providers who contract with a health insurance company to provide services to a specific group of patients on a discounted basis
Correct Answer: A
Rationale: Case management coordinates care for vulnerable or high-cost patients to ensure cost-effectiveness and optimal health outcomes.
Give one reason why patients are cared for by a team of health-care professionals from different specialty areas.
- A. To provide comprehensive care addressing multiple health needs.
- B. To reduce the workload of individual providers.
- C. To increase hospital revenue.
- D. To simplify patient care processes.
Correct Answer: A
Rationale: A team of specialists ensures comprehensive care for complex health needs.