Practice Quiz

Managed Care Nursing

Category - Overview

Start a Study Session Sign up for Question of the Day
Individuals aged 85 and older spend the most per capita on health care related to nursing home facility care.

The largest line item is Alzheimer’s and stroke care. The largest line item for emergency visits is related to falls.

What is an appropriate action for the role of the CMCN toward managing health care costs for this population?
  1. Monitor and track preventable symptoms, conditions and emergencies related to Alzheimer’s, strokes and falls. Analyze data monthly using process and performance improvement methodologies and SMART goals.
  2. Review HEDIS standard for falls and tell the nursing care facilities administration to prevent patient falls.
  3. Offer a WebEx to staff nursing facilities on preventable symptoms, conditions and emergencies. Let them know it is better to concentrate on prevention and to complete falls incident reports of actual falls, not “near miss” falls for statistics and tracking.
  4. All of the above
Explanation
Answer: A - The CMCN can impact health care costs of the elderly population through monitoring and tracking preventable symptoms, conditions and emergencies related to Alzheimer’s, strokes and falls. Analyze data monthly using process and performance improvement methodologies and SMART goals.

This method allows for comprehensive review of the problem based on findings. In order to ensure accurate findings, data must be submitted per process and standards to assess opportunities for improvement. This includes reporting “near miss” falls.
Was this helpful? Upvote!
Login to contribute your own answer or details
Start a Study Session Sign up for Question of the Day

Top questions

Related questions

Most popular on PracticeQuiz