Managed Care Nursing

Category - Patient Issues

The CMCN team is charged with determining how many “day outliers” they have had on their caseload in the last quarter.

Select option that accurately describes a “day outlier.”
  1. Inpatient days extended outside of the average patient with same diagnosis
  2. Use of inpatient days related to social needs that delay discharge
  3. Inpatient days extended outside of necessary medical need due to patient refusal
  4. All of the above
Explanation
Answer: C -The term “day outliers” refers to inpatient days extend outside of the average of patients with the same diagnosis.

Other factors may delay discharge, but are not included in the calculation.
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