Free Case Management Quiz

Correct Answer:

An integrated delivery system (IDS), or integrated delivery network (IDN), are health systems that include physicians, hospitals, post-acute services, and sometimes offer health insurance. The most well-known example of an IDS is Kaiser Permanente. A benefit of an IDS is that it improves access to other providers and support systems across settings in the healthcare continuum. A point-of-service plan (POS) allows members to choose between participating and nonparticipating providers with different benefit levels. A preferred provider organization (PPO) offers enhanced benefits for services obtained from preferred providers. An exclusive provider organization (EPO) that offers reduced rates for using in-network of providers.

Correct Answer:

Any individual who is currently hospitalized with a new disability, or an exacerbation of an existing disability, is an appropriate candidate for acute rehabilitation services. The 50-year-old who is hospitalized for a cerebrovascular accident (CVA; stroke) is the most appropriate candidate for acute care rehabilitation to regain function after the stroke. If the client has already been discharged home, they do not qualify for acute care rehabilitation. Mitral valve prolapse, a faulty valve that allows backflow into the left atrium of the heart, would not warrant inpatient rehabilitation services as this condition is managed with medications and sometimes surgery.

Correct Answer:

Determining those approved to receive protected health information is an important consideration when planning a family conference. The presence of immediate next of kin is not a consideration. A consistent family spokesperson may be helpful, but it is unrelated to the issue. Having the client present for the conference may not be feasible.

Correct Answer:

Stating a reason for the inability to change, such as being too stressed, is “sustain talk.” Reflecting on being free from smoking and feeling better as a result, as well as planning a date to quit in the near future are examples of “change talk.”

Correct Answer:

Outcome measures are a change in the health of an individual or a group of individuals that are attributable to an intervention. In this scenario, fall rates are outcomes indicators. Process measures capture aspects of care provision, such as performing the fall risk assessment for patients at the time of admission. Time of admission is not a performance measure.