The nurse case manager is explaining to a group of health care providers how insurance expenditures for health spending led to the development of diagnosis-related groups (DRGs) in efforts to control spending
What should the case manager emphasize as the driving force for directing health efforts with DRGs?
1. Organize services to be more cost-effective.
2. Decreasing length of stays for hospitalizations.
3. Placing the emphasis on the community to improve population health status.
4. Emphasizing health promotion to decrease hospitalizations and medical costs.
Answer: 4
Explanation: 4. The effect of DRGs has shifted emphasis to health promotion of populations rather than medical care for conditions preventable by health promotion efforts. DRGs have not been proven to make services more cost-effective, though that has been one of its objectives. DRGs pay a flat fee in advance for client diagnosis, which may not benefit the client health status during hospitalizations. DRGs have not emphasized the community as a whole to improve a population's health status. That is achieved through a variety of methods, not solely DRGs.
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