ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Case management programs have emerged in a variety of models. Current literature about the structure and process of case management programs has not always clearly described linkages with outcomes. Therefore, the purpose of this article is to describe a case management program, apply the model with oncology patients, and then to clarify the structure and process that the authors believe are correlated strongly with both clinical and financial indicators of quality. Planning for the case management program involved interdisciplinary inpatient staff and personnet from the ambulatory oncology clinics. After program implementation, data on patients with a diagnosis of chemotherapy without acute leukemia (DRG 410) were collected throughout 1 year (March 1995-February 1996). Results indicated a reduction in length of stay and side effects of chemotherapy linked to the improvement in process. The primary recommendation to nurse managers who are considering a case management program is to carefully decide on a structure and process that can be formalized before the program is implemented.

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Multiple transfers, multiple specialists, and an unpredictable hospital course can result in ineffective communications among patients and the health care team. Complex care requirements easily become fragmented and lack coordination, thus overwhelming a family and even a well-intended multidisciplinary care delivery team. Because of this concern, the Greater Kansas City Fetal Board originated and implemented a new nursing case management model for high-risk obstetric and fetal patients. Fetal maternal case management crosses traditional hospital and provider boundaries with the pregnant patient. Case management allows parents to identify treatment options, and then create with specialists a plan of care. Case managers work with parents to identify support systems and explore parental preferences. The purpose of this article is to describe the fetal maternal case management model. Readers will better understand the need and value of such a program, as well as gain insight into how to facilitate fetal maternal case management.

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Care coordination/case management models provide a method to measure expenditure within the context of health-care outcomes. High costs are predictable in a high skill, technology-intensive service industry such as academic medical centers. A care-coordination model provides a means to reduce the cost per case and influence patient satisfaction. In this article, the authors describe a Care-Coordination Model for neurologically impaired patients in an academic medical center. The Care-Coordination Model serves as a structure for cost containment within a diagnostic reimbursement grouping (DRG) category and provides an opportunity to develop alternative care programs to support those disabled in their community setting. Clinical and financial outcomes are presented as well as follow-up in the form of a patient survey. The results demonstrate cost savings in several charge categories, a reduction in the length of stay, a reduction in the variation of clinical treatment, and an increase in patient satisfaction regarding discharge preparation.

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Interviewing for a job and conducting an interview are two challenging tasks nurse case managers experience of some point in their nursing career. One way to overcome such challenges is through learning more about the interview process. For the nurse case manager, the reward of interviewing well is getting hired for the job; for the interviewer, it is selecting the best candidate for the job. In this article, the author discusses the roles of the candidate and the interviewer in the interview process. It provides those interested in becoming nurse case managers with tips, skills, and strategies for assuring a successful interview. It also presents administrators of case management programs with beneficial recommendations for improving their interviewing skills. In addition, it discusses the interview process for potential candidates for nursing case management roles from the time of preparing the resume and cover letter until after the interview is completed.

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID