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Patients have the right to autonomy and informed refusal. The role of the case manager is to ensure risks are explained and documented, not to coerce. Family or courts are not involved unless capacity or safety issues arise. This reflects CCMC’s Ethical, Legal and Practice Standards domain, which prioritizes respect for self-determination.

Value-based purchasing ties reimbursement to quality and efficiency outcomes, such as reduced readmissions or improved patient satisfaction. Fee-for-service and out-of-pocket models do not incentivize quality. This is covered in CCMC’s Reimbursement Methods domain, which highlights value-driven care models.

Speech-language pathologists (SLPs) specialize in swallowing disorders as well as communication. OT and vocational rehab serve other functions. This falls under CCMC’s Rehabilitation Concepts and Strategies domain, emphasizing interdisciplinary rehabilitation.

Psychosocial and palliative support addresses emotional and spiritual distress in serious illness. Ignoring or prematurely discontinuing treatment neglects holistic needs. This reflects CCMC’s Psychosocial Concepts and Support Systems domain, which integrates emotional health into case management.

Cost-benefit and cost-effectiveness analyses measure the economic value of interventions relative to outcomes achieved. Process evaluations, surveys, and workload measures provide useful data but not financial comparisons. This reflects CCMC’s Quality and Outcomes domain, which stresses financial accountability.