Professional Case Management最新文献

{"title":"The Lived Experience of Parents of Children and Youth With Special Healthcare Needs on Public and Private Insurance: A Phenomenological Study.","authors":"Régine Placide Reaves, Lenny Chiang-Hanisko, Patricia Liehr, Karina Gattamorta","doi":"10.1097/NCM.0000000000000705","DOIUrl":"10.1097/NCM.0000000000000705","url":null,"abstract":"<p><strong>Purpose of the study: </strong>The number of children and youth with special health care needs (CYSHCN) is steadily growing in the United States. There are significant differences between private and public health plans in terms of cost, adequacy, and parent satisfaction. The purpose of this study was to understand the experiences of parents with CYSHCN enrolled in public and private insurance with or without a nurse care coordinator. This study also sought to understand parents' experience of support.</p><p><strong>Primary practice setting: </strong>The primary practice setting was participants' choice of location.</p><p><strong>Methodology and sample: </strong>A qualitative descriptive design was used with 16 parents of children and young adults aged 2 to 21 years. Semistructured interviews were used, and Colaizzi's (1978) eight steps was the selected interpretive method.</p><p><strong>Results: </strong>Five themes emerged for parents navigating their child's insurance in the presence or absence of a nurse care coordinator: (1) Struggle with Self-Preservation, (2) Abandonment and Isolation, (3) Self-Reliance and Advocacy, (4) Interdependence, and (5) Lifeline. These themes were also dependent on the type of insurance and sources of support available.</p><p><strong>Implications for case management practice: </strong>Models centered on care coordination can also be used as a mechanism to guide nurse care coordinators in practice. Providing care coordination support could help lessen the caregiver burden especially while navigating public or private insurance. Results highlighted how insurance companies can make potential changes within the health plan infrastructure. Incorporating nursing care coordination activities not only results in health care savings for the health plan but also improved health outcomes for its enrollees.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"243-253"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997788","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 Role of Social Needs Case Management on Client Outcomes in the Community.","authors":"Sarah Grenon","doi":"10.1097/NCM.0000000000000759","DOIUrl":"10.1097/NCM.0000000000000759","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 6","pages":"265-268"},"PeriodicalIF":0.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510036","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":"Virtual Interprofessional Education: Team Collaboration in Discharge Planning Simulation.","authors":"Leslie M Smith, Julie Jacob, Nicholas Prush, Sheryl Groden, Elizabeth Yost, Stephanie Gilkey, Carman Turkelson, Megan Keiser","doi":"10.1097/NCM.0000000000000717","DOIUrl":"10.1097/NCM.0000000000000717","url":null,"abstract":"<p><strong>Purpose of study: </strong>This study assessed the effectiveness of a virtual interprofessional education (IPE) discharge planning simulation, focusing on collaborative patient education, and recommendations for hospital discharge.</p><p><strong>Primary practice setting: </strong>An acute care hospital.</p><p><strong>Methodology and sample: </strong>The study utilized a virtual IPE discharge planning simulation for health care students from six different programs. The simulation involved prebriefing, icebreaker, team meeting, patient interaction, and debriefing. Assessment included pre- and post-IPE surveys that included the Interprofessional Education Collaborative (IPEC) Competency Self-Assessment Tool, and video analysis using the Modified McMaster-Ottawa Rating Scale.</p><p><strong>Results: </strong>Student participants from diverse health care programs ( n =143) included nursing ( n = 20), occupational therapy ( n = 21), physical therapy ( n = 42), physician assistant ( n = 38), respiratory therapy ( n = 3), and social work ( n = 19). All programs except respiratory therapy showed significant improvement in IPEC Competency scores post-IPE, with positive outcomes for understanding other professions' roles. Students' self-reported perceptions of team performance were rated highly in various categories. Video analysis demonstrated strong interrater reliability for team scores.</p><p><strong>Implications for case management practice: </strong>Effective hospital discharge planning is vital for cost reduction and patient care improvement. IPE emphasizes collaborative learning among health care students. Previous studies highlight positive outcomes from IPE discharge planning, including virtual formats. This virtual IPE discharge planning simulation significantly improved students' understanding and collaboration competencies, evident in increased IPEC scores across five professions.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"206-217"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139997789","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":"Caring for Caregivers: National Case Management Week: October 13-10, 2024.","authors":"Suzanne K Powell","doi":"10.1097/NCM.0000000000000747","DOIUrl":"10.1097/NCM.0000000000000747","url":null,"abstract":"<p><p>The population of individuals over the age of 60 is expected to double by 2050, resulting in nearly 2.1 billion people. Statistics show that unpaid family caregiving is on the rise and will likely go higher. A look at caregiver statistics is revealing. There are ways that institutions and case managers can support this growing population.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"187-188"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767620","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":"Characteristics of Patients Receiving Complex Case Management in an Acute Care Hospital.","authors":"","doi":"10.1097/NCM.0000000000000757","DOIUrl":"10.1097/NCM.0000000000000757","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"E17-E18"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767624","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":"Characteristics of Patients Receiving Complex Case Management in an Acute Care Hospital.","authors":"","doi":"10.1097/NCM.0000000000000757","DOIUrl":"10.1097/NCM.0000000000000757","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"E17-E18"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477204","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":"Case Management's Practical Wisdom Drives Successful and Ethical Outcomes.","authors":"Bonnie Geld","doi":"10.1097/NCM.0000000000000749","DOIUrl":"10.1097/NCM.0000000000000749","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"220-222"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767621","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":"Ethical Practice and Artificial Intelligence.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000751","DOIUrl":"10.1097/NCM.0000000000000751","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"226-228"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767627","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":"Celebrating Case Managers Everywhere!","authors":"Janet Coulter","doi":"10.1097/NCM.0000000000000748","DOIUrl":"10.1097/NCM.0000000000000748","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"218-219"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767622","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":"Characteristics of Patients Receiving Complex Case Management in an Acute Care Hospital.","authors":"Lesley Charles, Lisa Jensen, Jorge Mario Añez Delfin, Erin Norman, Bonnie Dobbs, Peter George Jaminal Tian, Jasneet Parmar","doi":"10.1097/NCM.0000000000000742","DOIUrl":"10.1097/NCM.0000000000000742","url":null,"abstract":"<p><strong>Background: </strong>Improving transitions in care is a major focus of health care planning. In the research team's prior intervention study, the length of stay (LOS) was reduced when patients at high risk for readmission were identified early in their acute care stay and received complex management.</p><p><strong>Objective: </strong>This study will describe the characteristics of patients receiving complex case management in an urban acute care hospital.</p><p><strong>Primary practice setting: </strong>Acute care hospital.</p><p><strong>Methodology and sample: </strong>This was a retrospective chart review of patients in a previous quality assurance study. A random selection of patients who previously underwent high-risk screening using the LACE (Length of stay; Acuity of the admission; Comorbidity of the patient; Emergency department use) index and received complex case management (the intervention group) were reviewed. The charts of a random selection of patients from the previous comparison group were also reviewed. Patient characteristics were collected and compared using descriptive statistics.</p><p><strong>Results: </strong>In the intervention group, more patients had their family physicians (FPs) documented (93.1% [81/87] vs. 89.2% [66/74]). More patients in the intervention group (89.7% [77/87] vs. 85.1% [63/74]) lived at home prior to admission. More patients in the intervention group had a family caregiver involved (44.8% [39/87] vs. 41.9% [31/74]). At discharge, more patients in the intervention group (87.1% [74/85]) were discharged home compared with the comparison group (78.4% [58/74]).</p><p><strong>Implications for case management practice: </strong>(1) Having an identified FP, living at home, and having family caregiver(s) characterized those with lower LOS and discharged home. (2) Case management, risk screening, and discharge planning improve patient outcomes. (3) This study identified the importance of having a FP and engaged family caregivers in improving care outcomes.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"29 5","pages":"198-205"},"PeriodicalIF":0.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141767623","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}