Page 188 - Saunders Comprehensive Review For NCLEX-RN

CHAPTER 7

Prioritizing Client Care: Leadership,

Delegation, and Emergency Response

Planning

http://evolve.elsevier.com/Silvestri/comprehensiveRN/

Priority Concepts
Leadership; Health Care Organizations

I. Health Care Delivery Systems
A. Managed care
1. Managed care is a broad term used to describe
strategies used in the health care delivery system that
reduce the costs of health care.
2. Client care is outcome driven and is managed by a
case management process.
3. Managed care emphasizes the promotion of health,
client education and responsible self-care, early
identification of disease, and the use of health care
resources.

B. Case management

1. Case management is a health care delivery strategy
that supports managed care; it uses an
interprofessional health care delivery approach that
provides comprehensive client care throughout the
client’s illness, using available resources to promote
high-quality and cost-effective care.
2. Case management includes assessment and
development of a plan of care, coordination of all
services, referral, and follow-up.
3. Critical pathways are used, and variation analysis is
conducted.
4. The core functions of case management are
assessment, treatment planning, linking, advocacy,
and monitoring.

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