the hospital administrator approves a case management position

Healthcare organization XYZ provides womens health services on an inpatient basis (average stay of less than 30 days). It would now be best to: 5. SOLUTION: Supervisory Management - Studypool Solved Read Case "Coach X: Effective | Chegg.com 23. The tension between the two begins to affect other staff members, who are drawn into the conflict; eventually, the team becomes polarized toward either the RN or the LPN. 7. A hospital and a nursing education program form a partnership to recruit more nurses to the region. (2019). More. The RNs on the staff have always practiced in a primary nursing-delivery system and are very resistant to this idea. This system emphasizes compassionate, faith-based care. As a result of the Joint Commission assessment, a healthcare facility loses it accreditation. This exemplifies: 22. 16. After reflection and discussion with others, Joan recognizes that she also feels threatened by his behavior. The manager responds that. Your actions indicate that you are acting in what role? In developing the job description, the nurse manager understands that a key element of case management is: Click the card to flip b. 11. You overhear a newly graduated RN telling one of your colleagues that leadership and management belong to the unit manager and not to her. at high risk for violence in the workplace? 5. Iwa Rahmat Sunaryo Arinda Fathya View Show abstract . In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital reduces the number of its managers and flattens its organizational structure. With input from the patient and family, the home healthcare case manager develops that patients plan of care and presents it to the patients physician for final approval. Hospital Manager Salary. 18. In developing the job description, the nurse manager understands that a key element of case management is: The local health department nurse manager has developed and implemented a disaster readiness plan as part of a community service. As a nurse manager, you embrace the usefulness of resources such as Smart Bed. Top Six Hospital Outpatient and Inpatient CAM Therapies. Because you believe yourself to be a transformational leader, you will approach this problem by: 2. What Are Diagnostic-Related Groups (DRG)? At Orangetown, the nursing department provides caring services that recognize the diversity of clients and promote optimal health with clients through partnership and education and in close partnership with other disciplines.. They question its value in, REF: Page 63 | Page 64 TOP: AONE competency: Leadership. Privately Owned Vehicle (POV) Mileage Reimbursement Rates. National Association of Social Workers. A local hospital has formed a corporate partnership with a reputable HMO (health maintenance organization). Which of the following groups is considered to be at high risk for violence in the, REF: Page 60 TOP: AONE competency: Knowledge of the Health Care, 9. The nurse managers decision and actions are based on: 14. With the merger, the healthcare organizations changes are: Creating more jobs in the community for registered nurses. GSA has adjusted all POV mileage reimbursement rates effective January 1, 2023. In a 2-3 page paper answer the following questions:Would X be someone you would consider as a viable potential candidate for the hospital administrator position, despite his limited . As the leader on the unit, which of the following examples best demonstrates your effective leadership style? This view of decision making and leadership is consistent with: 21. During review of back injuries, it is determined that mechanical lifts and transfer belts are not being properly used. Budgetary decision making at the point of service (POS). Read our. Traditional approaches to ensuring patient safety have focused on: 3. 2. (2019). Need great CM training? Ceridian. Elizabeth Davis, RN, is a health insurance expert and patient liaison. As the nurse manager who wants to increase motivation by providing motivating factors, which action would you select? The Role of Disease Management in Healthcare. Which behavior by the charge nurse best illustrates refined leadership skills in an emotionally intelligent practitioner? 3. In developing the job description, the nurse manager understands that a key element of case management is: A. managing of care by nurse managers. The HCM leader practices positive leadership techniques that benefit the leader, the HCM, and most importantly the patient. This is an example of (select all that apply): 1. coordination of resources for effective outcomes. To prepare for the orientation of newly hired nurses, the nurse manager plans a presentation outlining the concept of healthcare networks. A merger has occurred between a hospital and a local home health agency, creating new roles for the nursing staff in both agencies. Kari, a head nurse on the dialysis unit, has been informed during budget planning meetings that budget cuts are likely. This button displays the currently selected search type. managing of care for outpatient clients only. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. The new leader is: 3. Hospital Administrator Jobs in Mumbai, Maharashtra, India. 21. Opium has influenced much of the world's most popular literature. A nursing informatics specialist hired by Blue Cross/Blue Shield (a form of third-party payers benefit packages that uses specific standards to approve a period of time for the use of inpatient and community health services) is participating in: 6. For example, the person providing case management services in a substance abuse rehab facility might have a background in substance abuse counseling. 13. Hospital case managers are sometimes referred to as care coordinators or patient advocates, depending on their specific role. official website and that any information you provide is encrypted This may be attributable to: 2. During staff meetings, you make it a regular practice to encourage shared problem solving and to recognize those who go beyond basic roles and responsibilities to contribute to a positive team environment and to quality patient care. Disclaimer. Patients pay fixed annual fees for ambulatory care services, regardless of actual utilization of health services. They. Case, management involves components such as case selection, multidisciplinary, assessment, collective planning, coordination of events, negotiation, and, evaluation and documentation of the outcomes of patient status in measures of. 3. PDF The Hospital Case Management Orientation Manual The hospital administrator approves a case management position for a new rehabilitation unit to reduce costs. The adage leaders are born and not made reflects which of the following ideas around leadership? 12. In complying with Crossing the Quality Chasm, you ensure that: 7. Your initial focus is on the two encounters that the Chasm series identified as most likely to generate concerns about patient safety. 1. His doctor explains about the colostomy. January 1, 2023. In reviewing them, the chief nursing officer understands that they should be reflected in: 10. 6. Which behavior by the staff development coordinator is most appropriate in this situation? A nurse manager in a for-profit environment finds it difficult to recruit staff. (PDF) hospital administration - ResearchGate Learn more in our Cookie Policy. 2021 Jan/Feb;26(1):27-33. doi: 10.1097/NCM.0000000000000425. The hospital administrator approves a case management position for a new rehabilitation unit to help reduce costs. Using complexity principles, what would be the best approach to take in making this change? First, you should know that what a case manager does depends on the setting in which they work. An appropriate action in this situation would be: 23. Which of the following examples exemplifies leadership? 10 ways to stay positive during tough times. Programming that builds individual nurse competency into smoking cessation. 16. Which of the following styles would a nurse manager be most likely to follow when redesigning the staffing schedule? 2003-2023 Chegg Inc. All rights reserved. LinkedIn and 3rd parties use essential and non-essential cookies to provide, secure, analyze and improve our Services, and to show you relevant ads (including professional and job ads) on and off LinkedIn. Her predominant method of problem solving and communication is through meetings, which can go over the allotted time. 12. As a result, you initiate which of the following? Marketing brochures should address the leadership and vision of the healthcare agency. Would you like email updates of new search results? 4. 10. 2011 Dec;9(4):388-402. doi: 10.1111/j.1744-1609.2011.00239.x. Privately Owned Vehicle (POV) Mileage Reimbursement Rates Particularly for chronic medical conditions, case management can result in better patient outcomes, better compliance with medical advice, and better patient self-management, although there are limits to the impacts that case management can have. The chief nursing officer is aware that professional nursing departments of the future will: Be designed to maintain nursing standards of practice. Healthcare networks are: Units that provide a full spectrum of services. If the This problem has been solved! The key to effective case management is proactive coordination of care from the, point of admission to accomplish appropriate and effective outcomes. Encourage her to ask the patient if he has questions or concerns about the procedure. Which of the following patients would be most likely to be covered under Medicare? 10+ million students use Quizplus to study and prepare for their homework, quizzes and exams through 20m+ questions in 300k quizzes. On the basis of a review of increased falls with injury and increased restraint use during evening hours, as the unit manager, you most likely would: 19. The hospital administrator approves a case management position for a new rehabilitation unit to help reduce costs. To achieve nurse-sensitive care standards developed by the NQF, you advocate for which of the following in your health facility? In the Unity Healthcare organization, communication flows: 23. a. Humanistic b. Authoritarian c. Flexibility d. Participative d. 8. Reflect to gain insight into how the situation could be handled differently in the future. In addition, the case manager coordinates the services of other members of the healthcare team and caregivers, communicates with the health insurance company, communicates with the patients physician, and supervises visiting nurses and other home health aides who provide support. You pull staff together to assess a situation in which the family of a seriously ill patient is anxious and is absorbing a great deal of staff time in consultation, discussion, and questioning of treatment decisions. As the clinical director of 24 employees, you have been asked to explain to staff members why they are not getting a raise this year, even though they have been working short-handed for many months and patient satisfaction scores have never been higher. Unauthorized use of these marks is strictly prohibited. According to complexity theory, you are engaging which principle? It offers advice for locating community resources and includes examples of how to document information. To leverage your ideas, you: Identify influential members of your nurse manager group with similar ideas and request an opportunity to meet with administration to discuss options. Findings/conclusions: One of the key roles of a hospital case manager is to assess the patient's health insurance plan and to work with the insurer and multiple providers to ensure that the best care is delivered with the least financial burden. 203 cards Sean S. Nursing Fundamentals Of Nursing Practice all cards A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. Suggest that an interpreter explain the procedure to the client and answer any questions. As a manager with a high percentage of young professionals, you increase job satisfaction among this young staff by: Establishing opportunities to self-schedule. As an effective leader, John: Points out the contributions of his staff to the outcomes and shares the praise with his staff. It is up to the manager to sell the staff on this care concept. 21. 3. The hospital administrator approves a case management position for a new rehabilitation. During a called staff meeting, the nurse manager asks the disgruntled staff to meet as a group and determine the best staffing practices. He is obviously very upset and after you speak with him regarding his behavior, you determine that he has not slept for three nights because of unrelieved pain levels. 11. Thomas has many ideas, and his manner of presenting them irks Joan. Here are some examples of what a case manager does in different settings. Shift of patients to outpatient and home health services. If you're a social worker, your certification might be as a Certified Social Work Case Manager (C-SWCM) or a Certified Advanced Social Work Case Manager (C-ASWCM), which can be obtained from the National Association of Social Workers. This is an example of: 15. As the unit manager, you meet with the staff to discuss audit findings and to find approaches that will address the gaps in charting and achieve desired goals. You can consider it to be a big step forward toward your goal. Electronic health records (EHRs) are being instituted at Pleasant Valley, Hospital. You recently acquired a position as a unit manager. Prof Case Manag. d. Claude is booked for bowel surgery. Staff members complain that the primary concerns of the facility include applying policy, saving money, and ensuring that lawsuits are avoided. What level of consolidated system is represented in this example? However, there are certain things consistent across all case management roles. Purpose/objectives: Within this context, any shortcoming in case management can have direct and potentially dire consequences for the patient. Your case manager can help coordinate your care and health insurance coverage. You speak with the distant family members and suggest that you are going to refer them to the hospital social worker, whose role is to work with such situations. This site needs JavaScript to work properly. The staff nurse is aware that leadership begins: 6. She discusses this at the next unit meeting and tells staff members that unless they do their jobs well, their positions may be terminated, and there will be no replacement.

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