Which of the following best describes the goals of nursing case ...

[arivle123]

Which of the following best describes the goals of nursing case management regardless of setting? (Select all that apply.)
 
  a. Ensure that all clients have a case manager
  b. Contain costs and control use of services
  c. Decrease duplication and fragmentation
  d. Enhance client's quality of life
  e. Focus on avoiding hospitalization or institutionalizatio n
  f.
  Maintain routine communication channels

Question 2

Which of the following functions are responsibilities of the states?? (Select all that apply.)
 
  a. Delegating power to localities and holding them accountable for results
  b. Creating managed health organizations to decrease state health care costs
  c. Establishing and managing local health departments
  d. Licensure of professional health care providers
  e. Overseeing all insurance programs
  f.
  Providing access to necessary health services

[momo1250]

Answer to Question 1

ANS: B, C, D
Case management programs aim to provide a service delivery approach to ensure the following: cost-effective care, alternatives to institutionalizatio n, access to care, coordinated services, and patient's improved functional capacity (Lyon, 1993). Not all clients need case managers if they have adequate financial resources and can navigate the health care system. Although hospitalization can often be avoided, in acute cases hospitalization would be the most appropriate use of resources.

Answer to Question 2

ANS: A, D, E, F
State governments focus particularly on financing and delivery of services and oversight of insurance. The state is responsible for addressing the mission of public healthassessment, policy development, and assurancethroughout the state. Tasks include assessment of health needs based on statewide data collection; establishment of statewide health objectives; and delegating power to localities as appropriate and holding them accountable. States license health professionals as part of the statewide effort to develop and maintain essential personnel. Creating managed health organizations and establishing and managing local health departments are not a main responsibility of the state.