{"title":"An acute care case management model for nurses and social workers.","authors":"S C Dzyacky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The professions of nursing and social work hold a rich history of case management. Each bring to the health care arena skill sets needed to facilitate patient care for the hospital market share. Blending nurses and social workers in a seamless case management model was the challenge for a hospital in the Midwest. In this article, the author discusses the development of a hospital case management model using the expertise of nurses and social workers. Information is presented on the objectives, processes involved in the transition to case management, implementation, roles of the nurse and social worker, barriers to the program, and education tools for the staff. Also presented are length of stay outcomes, level of satisfaction among staff members, and future plans.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 5","pages":"208-15"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20742640","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":"Nurse managers: a support system for nurse case managers.","authors":"H A Tahan, D L Flarey","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 5","pages":"216-9"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20742641","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 2000.","authors":"D B Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 5","pages":"183"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20743360","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":"Acute stroke patients comparing outcomes with and without case management.","authors":"C M Baker, I Miller, M Sitterding, C J Hajewski","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Stroke represents a major human and economic challenge to society. The literature suggests that interdisciplinary clinical pathways maximize stroke patient outcomes, whether care is delivered in a designated stroke unit or in a general medical service. In this article, the authors describe the case management model implemented at Columbus Regional Hospital, a 325-bed rural referral hospital in southeastern Indiana. A retrospective chart review compared 23 patients with non-hemorrhagic strokes using two different models of care delivery: unit-based nursing case management and standard nursing care. Differences in outcomes are reported in relation to interdisciplinary utilization, timeliness of referrals, patient education, discharge dispositions, home safety assessments, next-site-of-care communications, length of hospital stay, and patient satisfaction.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 5","pages":"196-203"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20743363","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":"Developing behavioral health clinical guidelines for depression: emerging standards for guiding care.","authors":"M L Rosenberg","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 5","pages":"204-7"},"PeriodicalIF":0.0,"publicationDate":"1998-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20742639","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 art of nursing: the client-nurse relationship as a therapeutic tool.","authors":"D Bischko","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The C-N relationship is the cornerstone and essence of mental health/psychiatric nursing. However, that process has the same potential for nursing in general. The C-N relationship is an interpersonal, interactive, and ongoing relationship set up to assist clients in the continuous evolution toward quality health and well-being. Although this article focuses primarily on the mental health population, the value of a positive working C-N relationship is paramount in addressing all health care issues. The C-N relationship is, indeed, a therapeutic tool that can generate positive side effects, enhance treatment approaches, and greatly influence favorable health care outcomes. It is easy to apply, is flexible, and, when used effectively, can generate the power within health care situations to determine desired health care outcomes.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"148-50"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765351","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":"Fast tracking in cardiac surgery: the St. Francis experience.","authors":"A Ley","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"155-9"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765354","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":"Building systems to measure continuity of care.","authors":"J P Ribka","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Case management is the primary means to provide continuity of care across multiple institutions and practitioners. Traditional case management is becoming more complex, because in a managed care environment, financial decisions may be as important as clinical decisions. Decisions on extended treatment may have to be justified to the patient's insurance company and may have to be based on pre-approved treatment criteria. If not properly authorized, treatment costs could be denied, leaving the patient with sizable medical bills and increased dissatisfaction. A good computerized case management system can capture data from disparate sources, integrate it into common databases, display it in a real-time fashion to case managers, report it using standard (or custom) reports or templates, and have the capability to trend and project future treatment. This article offers case managers practical advice on the options available for obtaining or customizing a case management system that will be appropriate for their needs in a managed care environment.</p>","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"151-4"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765350","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: client and manager perspectives.","authors":"C Highsmith","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"168-71"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765223","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":"Demonstrating the benefits of case management.","authors":"D B Williams","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79521,"journal":{"name":"Nursing case management : managing the process of patient care","volume":"3 4","pages":"139"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20765348","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}