Sheila Kun, Gregory Placencia, Sally Davidson Ward, Thomas Keens
{"title":"A System Analysis of Delay in Outpatient Respiratory Equipment Delivery.","authors":"Sheila Kun, Gregory Placencia, Sally Davidson Ward, Thomas Keens","doi":"10.1891/1521-0987.17.4.161","DOIUrl":"https://doi.org/10.1891/1521-0987.17.4.161","url":null,"abstract":"<p><strong>Objectives: </strong>To systematically assess barriers delaying home respiratory equipment requisition and to evaluate for temporal correlation between delays and emergency room or hospitalization episodes.</p><p><strong>Background: </strong>Initiation of home respiratory treatments is delayed because of delays in delivery of durable medical equipment (DME). This study assesses root causes of such delays from a system perspective. We also describe clinical consequences by measuring emergency room visits and hospitalization days for temporal correlations.</p><p><strong>Methods: </strong>We conducted a retrospective review of DME ordering records from April 2011 to March of 2012.</p><p><strong>Settings: </strong>Outpatient DME records in Pediatric Pulmonary Division.</p><p><strong>Results: </strong>Of 164 available orders studied, deliveries were made as followed: 31 (19%) within 24 hr: 18 (59%) oxygen orders and 10 (32%) nebulizer orders 50 (30%) within 1 week: 25 (50%) nebulizer orders and 10 (20%) oxygen orders Delays: 45 (27%) delivered > 1 month: Bilevel positive airway pressure (BPAP) = 16 (36%) Oxygen = 12 (26%) Cough assist device = 7 (16%) Nebulizer = 5 (11%) Miscellaneous devices = 5 (11%) Analysis of barriers includes (a) type of insurance, (b) human error, (c) communication barrier, (d) deficit in training or knowledge, (e) no clear policy, (f) differences in clinical policy/ standard, (g) no DME benefit, (h) no clinical justification, and (i) error in communication/record keeping. Six patients with 7 emergency department (ED) visits and 4 inpatient admissions, totaling 24 hospital days, were temporally associated with delays in delivery of equipment over 30 days.</p><p><strong>Conclusion: </strong>One half of commonly used DMEs were delivered within the first week. One quarter of more expensive required more steps for approval. Twenty-nine ED/hospital days with respiratory morbidities were temporally associated with delays.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"17 4","pages":"161-169"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35357786","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":"An Integrated Case Management Model to Assist Pacific Youth Offenders and Their Families in Australia.","authors":"Jioji Ravulo","doi":"10.1891/1521-0987.17.4.170","DOIUrl":"10.1891/1521-0987.17.4.170","url":null,"abstract":"<p><p>Pasifika Support Services (PSS) was a program managed by a nongovernment organization, Mission Australia, and funded by the New South Wales Premiers Office to meet the needs of young offenders from a Pacific background. PSS ran from June 2005 to June 2009 and implemented a cost-effective integrated case management model with the New South Wales Police Force adapted to address social risk factors specific to Pacific youth offenders and family support networks. Sixty young people were reviewed regarding the outcomes achieved through their participation, further supported by an evaluation carried out by an external evaluator who found that 65% of participants did not reoffend after 18 months of completing the program. An importance of developing a shared approach to employing a holistic and intensive model of case management that affects individual, community, and organizational change through culturally relevant processes and practices, paired with a cross institutional commitment underpins the various outcomes discussed.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"17 4","pages":"170-179"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35357787","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":"Comprehensive Care.","authors":"David Ring","doi":"10.1891/1521-0987.17.4.155","DOIUrl":"https://doi.org/10.1891/1521-0987.17.4.155","url":null,"abstract":"<p><p>Illness is a combination of pathophysiology and associated thoughts, emotions, and behaviors. Given the large number of treatments that are discretionary and preference sensitive, one goal is accurate diagnosis of patient preferences. Reliance on biomedical treatments (e.g., medication and procedures) may overlook important opportunities for improved health such as amelioration of stress and distress and training in more effective coping strategies.</p>","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"17 4","pages":"155-160"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35357785","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":"New Directions for <i>Care Management Journals</i>.","authors":"John W Traphagan","doi":"10.1891/1521-0987.17.4.154","DOIUrl":"https://doi.org/10.1891/1521-0987.17.4.154","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"17 4","pages":"154"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35357784","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":"Risk Factors and Effects of Care Management on Hospital Readmissions Among High Users at an Academic Medical Center","authors":"Q. H. Phạm, Sara X Li, B. Williams","doi":"10.1891/1521-0987.17.3.134","DOIUrl":"https://doi.org/10.1891/1521-0987.17.3.134","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"11 1","pages":"134 - 139"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72946907","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":"Legal and Ethical Imperatives for Using Certified Sign Language Interpreters in Health Care Settings: How to “Do No Harm” When “It’s (All) Greek” (Sign Language) to You","authors":"A. Nonaka","doi":"10.1891/1521-0987.17.3.114","DOIUrl":"https://doi.org/10.1891/1521-0987.17.3.114","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"104 1","pages":"114 - 128"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73852933","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":"Attachment Theory and Neuroscience for Care Managers","authors":"Thomas J. Blakely, G. Dziadosz","doi":"10.1891/1521-0987.17.3.129","DOIUrl":"https://doi.org/10.1891/1521-0987.17.3.129","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"1 1","pages":"129 - 133"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90586877","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":"Advanced Practice Nurse Transitional Care Model Promotes Healing in Wound Care","authors":"Carole Mackavey","doi":"10.1891/1521-0987.17.3.140","DOIUrl":"https://doi.org/10.1891/1521-0987.17.3.140","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"31 1","pages":"140 - 149"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80971302","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":"Hypertensive Black Men’s Perceptions of a Nurse Protocol for Medication Self-Administration","authors":"O. Thomas, P. Stoeckel","doi":"10.1891/1521-0987.17.1.37","DOIUrl":"https://doi.org/10.1891/1521-0987.17.1.37","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"37 1","pages":"37 - 46"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81476135","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}
Melissa L. Harry, J. Kong, Lynn M MacDonald, Althea McLuckie, Christina Battista, E. Mahoney, Hae-Sook Jeon, K. Mahoney
{"title":"The Long-Term Effects of Participant Direction of Supports and Services for People With Disabilities","authors":"Melissa L. Harry, J. Kong, Lynn M MacDonald, Althea McLuckie, Christina Battista, E. Mahoney, Hae-Sook Jeon, K. Mahoney","doi":"10.1891/1521-0987.17.1.2","DOIUrl":"https://doi.org/10.1891/1521-0987.17.1.2","url":null,"abstract":"","PeriodicalId":80262,"journal":{"name":"Care management journals : Journal of case management ; The journal of long term home health care","volume":"1 1","pages":"12 - 2"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86562945","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}