Professional Case Management最新文献

{"title":"Day by Day, Life Progresses.","authors":"Teresa M Treiger","doi":"10.1097/NCM.0000000000000683","DOIUrl":"10.1097/NCM.0000000000000683","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"290-291"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive Case Management to Reduce Hospital Readmissions: A Pilot Quality Improvement Project.","authors":"Kate Shade,&nbsp;Paulina Hidalgo,&nbsp;Manuel Arteaga,&nbsp;Janet Rowland,&nbsp;Winnie Huang","doi":"10.1097/NCM.0000000000000645","DOIUrl":"10.1097/NCM.0000000000000645","url":null,"abstract":"<p><strong>Purpose of study: </strong>Hospital readmissions burden the U.S. health care system, and they have negative effects on patients and their families. The primary aim of this study was to pilot an intensive case management (ICM) intervention to reduce 30-day hospital readmissions. A secondary aim was to obtain patient- and caregiver-reported reasons for readmission.</p><p><strong>Primary practice setting: </strong>The setting was a vertically integrated health care system located in Northern California.</p><p><strong>Methodology and sample: </strong>This pilot quality improvement project occurred over a 4-month period. The intervention was delivered by master's degree students in nurse case management through an academic-clinical partnership. Patients hospitalized with a 30-day readmission were offered the ICM intervention. A total of 36 patients were identified and 20 accepted. Patient and/or caregiver was interviewed to identify reasons for their readmission. Data were collected about pre-/post-health care utilization including subsequent 30-day readmission. Mixed methods were used to analyze the findings.</p><p><strong>Results: </strong>Thirteen of 20 enrolled patients received the weekly ICM intervention for at least 30 days. Seven declined further contact before 30 days. Patient-reported reasons for readmission included being discharged too soon, poor communication among providers and with patients/families, lack of understanding about disease management and/or treatment options, and inadequate support. Several patients believed that their readmission was unavoidable due to the complexity of their illnesses. We compared 30-day readmissions for those who participated in and those who declined the ICM intervention, finding that those who received the ICM intervention had a lower readmission rate than those who did not receive the intervention (35% vs. 37.5%).</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"271-279"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palliative Care Nursing Case Management in Young Adults With Advanced Rare Cancer: Case Discussion of a Multidisciplinary Approach.","authors":"Viviana Fusetti, Martina Angi, Augusto T Caraceni, Lorenza Di Guardo, Enrico Regalia, Marco Bosisio, Silvia Lo Dico, Alessandra Pigni, Cinzia Brunelli, Maura Lusignani","doi":"10.1097/NCM.0000000000000668","DOIUrl":"10.1097/NCM.0000000000000668","url":null,"abstract":"This case aims to identify the elements of care continuity that are lacking in young adult patients with advanced rare cancer, suggesting ways to enhance continuity of care through nurse case manager/management (NCM) interventions and describing their impact on the emotional burden of patients and their families.\u0000 \u0000 \u0000 \u0000 Comprehensive cancer center.\u0000 \u0000 \u0000 \u0000 The dyadic care alliance with the NCM can alleviate disease burden, fostering trust in the team and adherence to care advice, thus reducing the patient's distress. The NCM can be an efficient option to advocate for patient needs on the multidisciplinary team, addressing practical issues and the unmet needs of patients and their caregivers, and facilitating referrals to other professionals. The study also shows that caring for young adults with advanced rare cancers should include mindful evaluation of their significant others.","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"280-287"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of a Modified Early Screening for Discharge Tool to Optimize Case Manager Efficiency and Impact Length of Stay.","authors":"James Grafton,&nbsp;Helene Bowen Brady,&nbsp;Joanne Kelly,&nbsp;Margaret Kelly,&nbsp;Kathleen Lang,&nbsp;Paula Wolski,&nbsp;Soumi Ray,&nbsp;Cori Loescher,&nbsp;Madelyn Pearson,&nbsp;Mallika Mendu","doi":"10.1097/NCM.0000000000000658","DOIUrl":"10.1097/NCM.0000000000000658","url":null,"abstract":"<p><strong>Purpose of study: </strong>The postacute landscape has been challenged since the onset of the COVID-19 pandemic by staffing shortages and a decline in postacute bed availability. As a result, patients in acute care hospitals are experiencing longer lengths of stay (LOS) and case managers (CMs) are managing increasingly complex discharge plans. This project involved the design and implementation of a modified Early Screen for Discharge Planning (ESDP) tool to support prioritizing patients with complex discharge needs, with the primary outcome of decreasing LOS.</p><p><strong>Primary practice setting: </strong>The project took place in a community teaching hospital, part of a large academic health system in the Northeast, United States.</p><p><strong>Methodology and participants: </strong>The project was designed as a prospective controlled study (between September 1 and November 30, 2021) with defined intervention and control cohorts, involving a modified ESDP electronic health record-based score including self-rated walking limitation, age, prior living status, and mobility level of assist. A modified ESDP score of 10 and greater indicated that patients would benefit from ongoing CM support, whereas those with an ESDP score of less than 10 were unlikely to have discharge planning needs. Participants were adult patients on medical and surgical inpatient units.</p><p><strong>Results: </strong>The project included 718 patients, 376 and 342 in the intervention and control cohorts, respectively. The modified ESDP performed comparably with the standard ESDP (14% discrepancy, with all patients appropriately identified for CM services). Implementation of the modified ESDP led to 53.5% of patients screening out of CM services, thereby increasing the time CMs were able to spend on complex discharge planning and was associated with a trend in LOS reduction (0.55 days).</p><p><strong>Implications for case management practice: </strong>The findings of this project demonstrate that implementation of a modified ESDP can improve CM efficiency and improve hospital throughput. Given the unprecedented capacity challenges in both the acute and postacute settings, there is a need to implement CM workflow strategies that will optimize the effectiveness of critical resources, while ensuring that patients' complex discharge needs are met.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"262-270"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI and Case Management: From Artificial Intelligence to Generative Intelligence.","authors":"Suzanne K Powell","doi":"10.1097/NCM.0000000000000681","DOIUrl":"10.1097/NCM.0000000000000681","url":null,"abstract":"<p><p>Conversations about artificial intelligence (AI) are impossible to escape since the inception of ChatGPT in November 2022-whether it is about the end of our jobs or the end of the world! This Editorial talks about AI and its subsets and how this may relate to health care.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"259-261"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI and Case Management: New Tools of Our Trade.","authors":"Teresa M Treiger","doi":"10.1097/NCM.0000000000000685","DOIUrl":"10.1097/NCM.0000000000000685","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"296-298"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215520","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nursing Advocacy Attitudes in Italian Nurses.","authors":"Elsa Vitale, Mohadeseh Motamed-Jahromi, Rocco Mea, Abbas Abbaszadeh","doi":"10.1097/NCM.0000000000000686","DOIUrl":"10.1097/NCM.0000000000000686","url":null,"abstract":"This study was aimed at analyzing how sex, age, work experience, post-degree training, shift, and ward assignment could influence nursing advocacy attitudes, based on current literature. The study consisted of all Italian nurses, currently employed both in private and public health care settings, who were invited to participate in this study. Advocacy is recognized as an action where an advocate attempts to support another in his/her legal and ethical circumstance in order to represent and protect the interests of the patient (Grace, 2001). The advocacy concept has been evident in the nursing context since the 1970s, when it was added into nursing ethical codes (Baldwin, 2003; Mallik & Rafferty, 2000). Advocacy could be widely adopted in other health care professions, in order to guarantee the interest and rights of individuals (Graham, 2012). In the nursing context, advocacy practice became more sophisticated, because nurses should consider the health condition of both the individual and the community (Grace, 2001). Additionally, nurses might mediate between these two dimensions (Chafey et al., 1998), by encouraging the patient while protecting patient autonomy, rights, and vulnerabilities and facilitating immediate access to available resources (Blondeau et al., 2000; Gadow, 1990; Hem & Heggen, 2004; Leino-Kilpi et al., 2015; Schwartz, 2002; Snowball, 1996; Yonge & Molzahn, 2002). The result highlighted an important goal in the nursing professionalizing approach (Hagan & Donovan, 2013; Söderhamn & Idvall, 2003; Long, 2005; Welchman & Griener, 2005), as well as clinical settings (Abbaszadeh et al., 2013) and its related perspectives (Motamed-Jahromi et al., 2012). Several key concepts have been recognized besides the nursing advocacy concept, as well as protecting patients’ autonomy, availability of health care resources, safety, and quality of patient care (Bu & Jezewski, 2007; Kalaitzidis & Jewell, 2020). By understanding nurses’ advocacy competencies might indicate a direction for nursing practice, education, and research subdimensions.","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"299-303"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Professional Networking: Build Bridges for Success.","authors":"Colleen M Morley","doi":"10.1097/NCM.0000000000000682","DOIUrl":"10.1097/NCM.0000000000000682","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 6","pages":"288-289"},"PeriodicalIF":1.5,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215529","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Tiny Historical Slice of Case Management.","authors":"Suzanne K Powell","doi":"10.1097/NCM.0000000000000671","DOIUrl":"10.1097/NCM.0000000000000671","url":null,"abstract":"<p><p>National Case Management Week in 2023 is October 8-14. This celebration of case managers has been going on since 1999 after the Individual Case Management Association (ICMA) and the Case Management Society of America (CMSA) merged. Since the 1990s, case management has evolved significantly; this evolution impacts every case manager, on every case by case, year by year.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"213-214"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Generating Team-Based Strategies to Reduce Health Inequity in Cancer Care.","authors":"Kathleen Moreo,&nbsp;Shelby Sullivan,&nbsp;Jeffrey Carter,&nbsp;Cherilyn Heggen","doi":"10.1097/NCM.0000000000000657","DOIUrl":"10.1097/NCM.0000000000000657","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose/objectives: &lt;/strong&gt;Despite increased emphases on reducing racial disparities in the U.S. health care system, interprofessional care teams may inadvertently perpetuate health disparities through lack of awareness or experience in supporting individualized, patient-centered goals of care. Racial disparities can lead to health inequity. Persistent health disparity gaps exist among Black patients with multiple myeloma (MM) when compared with non-Black patients. Black patients experience a two-fold increase in MM risk and earlier age of onset compared with non-Black patients. Black patients are also less likely to receive timely access to some therapies, undergo autologous stem cell transplant, or enroll in clinical trials. This article describes a large-scale, equity-focused implementation science initiative aimed at identifying and overcoming racial disparities and health inequity among patients with MM through quality improvement goals identified by each of the interprofessional cancer care teams.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Primary practice settings: &lt;/strong&gt;Interprofessional cancer care teams in two large oncology systems as well as four community clinics were engaged in this study along with their patients with MM. Geographic areas included the following: Chicago, IL; Washington, DC; Charlotte, NC; Columbus, OH; Denver, CO; and Indianapolis, IN. Interprofessional teams included hematologists/oncologists, primary care physicians, nurse practitioners/physician assistants, and case managers/nurse navigators. Teams collectively examined and compared their own beliefs and attitudes about their patients' goals for MM treatment and management versus those of their patients to uncover and address discordances. Medical records from the clinics were audited to evaluate disparities in treatment and practice at the point of care. Live, team-based audit-feedback sessions were implemented among teams to examine data sets, as well as utilize the data to address interprofessional factors that could enhance more equitable care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings/conclusions: &lt;/strong&gt;Data from comparative surveys between patients and interprofessional team members revealed significant discordances that enabled health care teams to recognize gaps and identify ways to improve patient-centered care, such as shared decision-making. Through audit-feedback sessions, interprofessional teams were able to collaboratively meet and discuss methods to improve access to care coordination services and other strategies aimed at alleviating disparities. Baseline chart audits revealed and confirmed disparities of care including patient/disease characteristics, treatment history, clinical practice metrics, and patient-centered measures. Follow-up chart audits conducted 6 months later measured changes in documented practice behavior. Action plans developed by the interprofessional teams as a result of this study intend to address sustainable reductions in health disparities among pati","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"28 5","pages":"215-223"},"PeriodicalIF":1.5,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}