Nursing Case Management : From Essentials to Advanced Practice Applications

UNIT I EVOLUTION OF CASE MANAGEMENT Evolution of Nursing Case Management in a Changing Health Care System 3(9) Historical Perspective of Nursing Care Delivery Models Within the Hospital Setting 12(6) Historical Development of Case Management 18(9) UNIT II CONTEMPORARY MODELS OF CASE MANAGEMENT Dimensions of Nursing Case Management 27(6) Two Strategies for Managing Care: Care Management and Case Management 33(5) Cathy Michaels Elaine L. Cohen Disease Management: Applying Systems Thinking to Quality Patient Care Delivery 38(17) Patricia Hryzak Lind UNIT III CONTEMPORARY MODELS OF CASE MANAGEMENT: WITHIN-THE-WALLS CASE MANAGEMENT Within-the-Walls Case Management: An Acute Care-Based Nursing Case Management Model 55(24) Joanne Woodall Collaborative Models of Case Management 79(8) Evelyn Koenig Case Management: A Process, Not a Person 87(10) Theresa J. Ortiz Lynn Riippi The University of Colorado Hospital Psychiatric Service Health Case Management Model: An Innovative Approach to Client-Centered Care 97(28) Bari K. Platter Bonnie Cox Young Kay Vaughn UNIT IV CONTEMPORARY MODELS OF CASE MANAGEMENT: BEYOND-THE-WALLS CASE MANAGEMENT Beyond-the-Walls Case Management 125(4) Outcomes of Community-Based Nurse Case Management Programs 129(12) Jill Scott Michal Boyd Integrated Case Management Model 141(16) Mary Lu Gerke A Faculty Case Management Practice Based in a College of Nursing 157(9) Mary Allen Carey Margo MacRobert A Model of Emergency Department Case Management: Developing Strategies and Outcomes 166(15) Carolee Sherer Whitehill UNIT V ADDRESSING HEALTH CARE DELIVERY THROUGH CASE MANAGEMENT: PUBLIC POLICY IMPLICATIONS Patient Demographics Affecting Health Care 181(7) The Business of Health Care and the Prospective Payment System 188(8) Patient Mix and Cost Related to Length of Hospital Stay 196(8) Case Management Legislation: National Attempts to Provide Efficient Health Care 204(6) The Managed Care Market: Nurse Case Management as a Strategy for Success 210(9) Tina Gerardi Financing Health Care in the United States: Economic and Policy Implications 219(8) Richard W. Redman Public Policy and Community-Based Case Management: The Nurse-Family Partnership 227(14) Patricia Moritz Ruth A. O'Brien UNIT VI THE PLANNING PROCESS: DEVELOPING COLLABORATIVE RELATIONSHIPS Assessing the System and Creating an Environment for Change 241(9) Case Management Education: Preparing for Successful Implementation 250(13) The Competency Outcomes and Performance Assessment Model Applied to Nursing Case Management Systems 263(14) Carrie B. Lenburg The Role of the Nurse Case Manager 277(19) Hussein A. Tahan Credentialing for Case Management: Licensure, Certification, Certificate Programs, and Accreditation 296(15) Jeanne Boling Marlys Severson Facilitating Educational and Career Mobility: Online Case Management 311(14) Gayle Preheim UNIT VII IMPLEMENTATION: TAKING A SYSTEMS PROCESS APPROACH The Cast of Characters 325(7) Variations Within Clinical Settings 332(7) Brainstorming: Development of the Multidisciplinary Action Plan 339(13) Interdisciplinary Care Planning and Documentation Using Nursing Interventions and Nursing Outcomes Classifications 352(9) Kathleen Smith Vivienne Smith Ethical Issues in Case Management 361(19) Sister Carol Taylor Case Management and Information Technology 380(4) Roy L. Simpson Telehealth Applications for Case Management 384(13) Diane J. Skiba Lena Sorensen Mary B. McCarthy Vicki J. Brownrigg Compliance and Regulation 397(18) Rebecca F. Cady UNIT VIII EVALUATION, OUTCOMES MEASUREMENT, AND RESEARCH: IMPORTANT COMPONENTS OF DECISION MAKING Key Functions and Direct Outcomes of Case Management 415(8) Sherry L. Aliotta Case Management: Life at the Intersection of Margin and Mission 423(10) Kathleen A. Bower Maximizing Reimbursement Through Accurate Documentation and Coding 433(11) Toni G. Cesta The Data-Driven Health Care Environment: Methods of Gathering and Presenting Relevant Data About Health Care Systems 444(18) Amy J. Barton Diane J. Skiba The Importance of Research in the Evaluation Process 462(6) Documentation of Quality Care 468(9) The Link Between Continuous Quality Improvement and Case Management 477(10) Job Satisfaction 487(7) Nurse Case Manager Job Characteristics and Effects on Well-Being 494(19) Mary Crabtree Tonges Measuring Cost-Effectiveness 513(10) Case Management Evaluation: The Use of the Cost-Effectiveness Analysis Method 523(25) Hussein A. Tahan Linking the Restructuring of Nursing Care With Outcomes: Conceptualizing the Effects of Nursing Case Management Using Measurement and Logic Models 548(12) Arthur E. Blank An Overview of Assessing Health Through Quality of Life Indicators 560(6) Kathryn Nold Effective Management Tools for Case Management Leaders: Strategy Maps and Balanced Scorecards, A Case Study 566(6) Elizabeth Falter Outcomes Effectiveness and Evidence-Based Practice 572(8) Colleen J. Goode The Carondelet Community-Based Nurse Case Management Program: Yesterday, Today, and Tomorrow 580 Gerri S. Lamb Donna Zazworsky