N684 Case Management and Home Health Services
Module 1 Discussion
Choose one of the following prompts to answer:
Review various definitions of “case management” as provided by your textbook and other internet sources. Differentiate between case management, disease management, and population health management. Describe how case management services affects the health and well-being of the patient and their future encounters with the health care system.
OR
A number of models of case management have been developed to identify and meet health care needs through quality, cost effective services. Explore the case management models discussed in your textbook and research a model of your choosing in the literature and provide an example of how this model benefits the client and the health care system.
N684 Case Management and Home Health Services
Module 2 Discussion
Choose one of the following prompts to answer:
Cultural competency and advocacy are listed as skills necessary for effective case management. Define cultural competence and advocacy and then provide an example from your practice that demonstrates your skill level in that area.
OR
As a case manager, you are responsible for assisting with care transitions. Outline a discharge plan from the hospital to home care services for the following client: Mr. Perez is a 72 year old Puerto Rican male being discharged from your hospital with an exacerbation of Congestive Heart Failure. He has been hospitalized three times in the past 90 days. He lives alone and has limited family support. He understands English; however, he prefers to communicate in Spanish. This is his first referral to home care services. Medicare is his primary payor source. As you develop your discharge plan, identify areas that you will focus on with the home health agency to decrease the likelihood of readmission to the hospital.
N684 Case Management and Home Health Services
Module 3 Discussion
Reimbursement challenges in healthcare increase the need for case management services to reduce the cost of care, but also to ensure care is delivered in a safe and efficient manner. Conduct a literature search focused on health promotion and illness and injury prevention; identify an article that addresses the effectiveness of case management on these priorities. Summarize the article.
N684 Case Management and Home Health Services
Module 4 Discussion
Identify a situational constraint that might prevent a client from following through on a referral to an outside agency. Discuss how the case manager can take action to eliminate or minimize the effect of the constraint so that the client can benefit from the intervention.
N684 Case Management and Home Health Services
Module 5 Discussion
The home and community are increasing in importance as the recommended point of care delivery. Identify a recent news article that supports this assertion. Summarize the article and discuss how this information will influence and support the patient and family in achieving the best possible outcomes while remaining in the community. Provide a link to the article you have chosen for this discussion post.
OR
You are a home health nurse and your agency has received a referral for an elderly male with congestive heart failure. Discuss how the determinants of health (biological, psychological, environmental, sociocultural, behavioral, and health system) can influence the client’s overall health status.
N684 Case Management and Home Health Services
Module 6 Discussion
Choose one of the following prompts:
Home health nurses, their organization, and the home health care industry have faced many challenges in the last several years. Research trends, issues, and opportunities related to the home health care industry; identify one area for discussion and present a summary of your findings.
OR
Discuss how pay-for-quality performance initiatives are influencing home health care delivery.
N684 Case Management and Home Health Services
Module 7 Discussion
Choose one of the following prompts:
Survey the literature and identify a research article that addresses one of the following areas of study:
• The use of advanced practice nurses in home health.
• Preventing rehospitalization among home health care clients.
• Fall risk identification, impact of falls, and interventions for the homebound client.
Read the article and provide a summary of the research for the chosen area of interest. Provide a link to the research article being summarized.
OR
Discuss how telehealth technology is influencing the practice of home health nurses and transforming home health agency operations.
N684 Case Management and Home Health Services
Module 8 Discussion
Choose one of the following prompts:
Changes to reimbursement and payment structures over the last few years have proven to be challenging to home health agencies. Discuss why home health agencies must examine their practices and payor mix to remain viable in today’s environment.
OR
As the Administrator of a Medicare certified home health agency you are responsible for analyzing and controlling cost variances to maintain agency viability. Identify three metrics you would use to analyze agency financial performance on a daily basis. Discuss why you have selected these metrics.
