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Questions and Answers of
Management And Leadership
List the dilemmas that case managers face when working with managed care organizations.
List the considerations for the case manager when giving duty-to-warn information to the interdisciplinary team.
Describe how the case manager can experience conflict between the duty to warn and the requirement of confidentiality.
How does the duty to warn relate to confidentiality?
List the steps case managers can follow to confront potential violence.
Why is violence so prevalent in human services today?
List ways that case managers can include family members in the case management process.
Describe the main issue that arises when families disagree about treatment for clients.
How do interpreters influence confidentiality?
Describe how technology has affected confidentiality.
How does confidentiality change when working with minors?
How does confidentiality affect recordkeeping?
Explain the importance of confidentiality in the case management process.
What pressures make it difficult for case managers to confront ethical issues?
Describe case management issues of liability
Explain the term malpractice.
Define standards of care and standards of case management practice.
Determine when and how to advocate rather than break a rule.LEGAL RESPONSIBILITIES
List the sources of rules and regulations.
Describe how case managers can support autonomous end-of-life decisions.
Explain how guidelines can help a case manager who faces issues of autonomy.
Describe the difficulties that arise with regard to granting client preferences.
Demonstrate how the case manager works with a team on issues involving the duty to warn.AUTONOMY
Define the duty to warn.
List three ways that case managers might respond to these situations.DUTY TO WARN
Identify two difficult dilemmas case managers encounter working with managed care organizations.
Apply the steps in addressing issues of violence in the workplace to a specific case management situation.WORKING IN THE MANAGED CARE ENVIRONMENT
Describe why violence is becoming more prevalent in modern society.
List guidelines to follow to encourage positive participation by families.WORKING WITH POTENTIALLY VIOLENT CLIENTS
Describe what happens when family members disagree about the care of a family member.
Identify the ways that technology affects client confidentiality.FAMILY DISAGREEMENTS
Describe guidelines for confidentiality and working with interpreters.
Identify guidelines for confidentiality and working with minors.
Describe guidelines for discussing confidentiality with clients.
Define ways in which managed care and technology have affected confidentiality.
List reasons why the issue of confidentiality is so difficult.
Choose two of the eight topics regarding case managers’ responsibilities. Discuss why each topic is important in understanding methods of case management service delivery and roles used in case
Why do you think so many roles are involved in case management? Cite an example to illustrate your answer.
If you were working as a case manager in children’s protective services, how would you determine which case management roles would be needed?
Suppose you wanted to use case management to deliver services to elderly people in your community.How would you determine how services might be organized? Who might serve as a case manager?
Now that you have completed your reading about the ways case management is delivered, what can you conclude about the definition of case management?
Describe the eight topics that describe how case managers talk about their jobs. Provide descriptions about how case managers experience each topic.Questions for Discussion
Describe situations in an agency setting in which you might function in the following roles: planner, advocate, broker, problem solver, and recordkeeper.
Compare and contrast the roles of case managers and clients in several of the descriptions provided in this chapter.
Use one of the descriptions of case management provided in the text or use another example from your study and explain how services are delivered and who is functioning as the case manager. Describe
Why is it important to understand the different ways case management is delivered and who delivers case management services?
Who delivers the case management services in the Wisconsin method?
Maybe the Wisconsin method uses other methods of delivering services. If so, what are they?
Does the Wisconsin method delivery service use a comprehensive one-stop center, an interdisciplinary team, a psychosocial rehabilitation center, or a crisis response?
List three personal qualities that help case managers perform their jobs.
Describe the use of decision making and critical thinking skills in case management.
Illustrate why communication is important in case management.
Define what case managers mean by a Jack or Jill of all trades.
List the topics that case managers identify when they talk about their professional work.
Identify the roles in the case management process. Provide an example of how a case manager might perform each of the roles.TOPiCS in CASE MAnAgEMEnT TODAY
Illustrate what case management looks like when different individuals assume the role of case manager.
Illustrate four ways that case management services are delivered (e.g., comprehensive services.
List reasons why it is important to understand the different methods that helpers use to deliver case management services.
What do you predict will be the future of case management in the United States?
If you could choose a managed care organization with which to work, what criteria would you use to make your decision?
Why do you think case management developed in the United States over the past century?
What part of the history of case management most influences the process today? Cite the reasons for your answer.
Describe the professionalization of the case management function.Questions for Discussion
Define the purpose and components of a patient bill of rights for those involved in the managed care system.
Identify and describe the various models of managed care.
Explain the various ways the term managed care is defined.
Trace the development of managed care in the twentieth century.
How did federal legislation contribute to the evolution of case management?
Describe the case management functions of the American Red Cross.
How did immigrant populations benefit from the form of case management practiced in the settlement houses?
What emerging case management functions do Hull House and the Henry Street Settlement House illustrate?
Describe the influence on case management of the early organization of the Massachusetts School for Idiotic and Feebleminded Youth.
How has the managed care movement influenced case management?
Why have service coordination and care coordination become common terms for case management?
Describe the shift in the meaning of the term case management that occurred in the 1980s.
Trace the development of the case management function since the 1970s.
Explain the strengths and weaknesses of managed care.
Trace the shift in emphasis in case management.
Differentiate between the various types of managed care organizations: Pharmacy Benefits Management, HMOs, PPOs, POSs, Health Savings Accounts, Health Reimbursement Arrangements, and plans offered
Summarize the impact of managed care on human service delivery.
List the goals of managed care.
Name the key pieces of federal legislation that spurred the development of case management.
Using the Red Cross as an example, describe casework during World War I and World War II.
Assess the contributions of the pioneers in the areas of advocacy, data gathering, recordkeeping, and cooperation.
Describe the impact of managed care organizations on case management and service delivery
Trace the evolution of case management.
Identify four perspectives on case management.
What do you think Sharon Bello would say about her experience with the case management process beyond what she shares in her entries?
If you were a case manager, what three principles would guide your work? Provide a rationale for your choices.
From your own work and study of human services, what evidence do you have of the importance of assessment and planning?
Why do you think that case management as a method of service delivery is changing?
How will a client’s resistance affect his or her participation in the service coordination process?Questions for Discussion
How can the case manager promote client participation?
Why is documentation important in service coordination?
List the three keys to successful case review.
Define case review.
Why is flexibility so important during the implementation phase?
What questions guide implementation?
Describe Tom Chapman’s (the case manager) activities during the planning phase.
Using the case of Sharon Bello, discuss the advantages of a partnership between the case manager and the client.
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