ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Patients who need wound care can present a complex challenge in the current managed care environment. Managing health care benefits and financial and socloeconomic factors that impact wound healing are as crucial to wound healing as providing aggressive wound care. Case management is used to describe the strategies involved in coordinating patient care to achieve optimal clinical and financial outcomes and ensure quality and continuity of care.1In this article, the author illustrates how case management plays an integral part in a wound care program. The article features tips on how to effectively use limited financial resources that burden many patients who need wound care, includes ways to approach physicians when current wound care is not effective, and focuses on early discharge planning and a multidisciplinary team approach to ensure optimal clinical and financial outcomes. To help sharpen skills, included at the end of the article is a Case Study Challenge and tools to use in practice: Case Management Plans for Wound Patients.

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:

The recent trend toward shorter hospital stays has prompted health care personnel in acute care settings to reevaluate models of coordinating patient care. In whatever model is adopted, there must be someone whose role is to focus on achieving quality patient outcomes in a shorter time frame. Our institution has piloted several different models with various job classes to fulfill the role. However, the primary focus of the models-to enhance care coordination-remained unchanged. The initial care coordination model was the development of patient care coordinator role by converting the charge nurse position on the unit. The second model our institution developed occurred during a management restructuring. This model created a new position, a nursing practice coordinator, who had previously been a management support person with supervisory responsibilities. We now envision the role to be assumed by a nurse practitioner. The nurse practitioner's broader scope of practice potentially can further enhance coordination of care. In this article, the authors describe the development process, issues and interventions, and lessons learned during each step of redesigning a case management model.

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:

The emergence of subacute care, seen as a cost-effective alternative to other, more expensive settings, is an important option for case managers. The current, rapid growth of subacute care, the diversity of subacute programs, the differences in patient types, and the lack of consistent standards to define subacute care illustrate the critical need for the case manager's role in balancing quality and cost. The lack of solid clinical outcomes data for patients treated in subacute care make it difficult for case managers to assess quality. Outcomes data, as a measurable dimension of quality, may include clinical effectiveness measures, associated costs, and patient/family satisfaction. Outcomes data can be used as a tool by the case manager to facilitate the coordination of patient care. Although there is an increased consumer interest in outcomes across all health care modalities, there is limited outcomes research available to document the efficacy of subacute care. As the pressure increases for outcomes data on subacute care by consumers and payers, efforts toward facility implementation of outcomes systems to assess subacute care are growing. The unique challenges to outcomes implementation in a skilled nursing facility-based setting are discussed, and strategies for successful implementation are presented. Basic subacute outcomes implementation issues of organizational support, staff participation, and data collection are reviewed. Ideas for case management involvement with facility implementation are discussed.

ISSN:1084-3647    

出版商:OVID    

年代:1997

数据来源: OVID