Which statement best describes CM's goal regarding setting?

• A. To maximize hospital-based care regardless of cost
• B. To ensure quality, cost-effective, safe care in the least restrictive setting
• C. To minimize patient involvement
• D. To increase use of high-cost services

Answer: (B)

The main idea here is choosing the least restrictive setting that still provides quality, safe, and cost-efficient care. Case managers aim to deliver the right level of care in the most appropriate place, often moving care from inpatient to home or community-based services when medically feasible, while maintaining safety and quality.

This is why the statement about ensuring quality, cost-effective, safe care in the least restrictive setting is the best fit. It captures the balance CM seeks: protect patient safety, avoid unnecessary hospital use, and control costs by using the most appropriate environment for care.

The other options don’t fit that balance. Focusing on hospital-based care regardless of cost ignores the benefits and safety of less restrictive settings when appropriate. Minimizing patient involvement goes against patient-centered care and shared decision-making. Increasing use of high-cost services elevates expense without necessarily improving outcomes when less costly, appropriate options exist.