Nursing Case Management From Essentials to Advanced Practice Applications / Edition 3

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This valuable resource provides the nurse manager or clinician with an informative guide on how to assess an organization's readiness for nursing case management, prepare a plan to achieve necessary changes, implement the plan, and evaluate its success. Like previous editions, the third edition not only describes the historical development of case management, but also provides useful case studies from institutions that have successfully implemented a nursing case management model, and presents current political, legislative and socioeconomic factors affecting case management in nursing. The remarkable addition of 26 new chapters cover the hottest topics and strategies in case management, including multidisciplinary models, parish nursing, ED, integrated and population-based, case management, public policy, and certification.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Kathleen M. White, RN, PhD, CNAA (Johns Hopkins University School of Nursing)
Description: This is a comprehensive review of nursing case management from the historical beginnings to the present day including examples of the new interdisciplinary, collaborative models. It is an excellent resource for developing, implementing, and evaluationg a case management program. The previous editions were published in 1993 and 1997.
Purpose: The purpose is to present the diverse facets of contemporary practice in nursing case management including interdisciplinary partnerships, collaborative models, the impact of public policy on healthcare delivery, and the tools nesessary to plan, implement, and evaluate nursing case management. The book stresses the importance of collecting and using data to evaluate outcomes of care to improve decision making and quality of care.
Audience: According to the authors, the book is written for leaders of nursing case management. I agree, but I also feel that it is appropriate as a resource for any case manager. The authors are credible authorities on nursing case management and have published other books on the subject.
Features: The authors present several models of case management, interestingly referred to as "within-the-walls" and "beyond-the-walls" case management. These innovative models provide many outstanding examples of different types of case management programs. They discuss the importance of collaboration and partnering for successful case management outcomes. The book provides an excellent discussion of the role of the case manager and what is necessary for the development and implementation of a program, as well as an orientation outline, delineation of competencies, licensure and credentialing information, and performance assessment. The last section presents critically important evaulation material to measure quality, outcomes, and effectiveness of care.
Assessment: This is a must-have book for case managers and leaders. This edition is an improvement over the last, as it is more comprehensive and offers much more information. The expanded presentation of different case management models is very helpful and should provide ideas about possible areas for collaboration or expansion. This book presents the development and evolving nature of case management and includes in its discussion the current managed care system, public policy implications, and the data-driven nature of current practice.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780323011358
  • Publisher: Elsevier Health Sciences
  • Publication date: 10/1/2000
  • Edition description: Older Edition
  • Edition number: 3
  • Pages: 640
  • Product dimensions: 7.73 (w) x 9.60 (h) x 1.27 (d)

Table of Contents

UNIT I: EVOLUTION OF CASE MANAGEMENT · Evolution of Nursing Case Management in a Changing Health Care System· Historical Perspective of Nursing Care Delivery Models within the Hospital Setting · Historical Development of Case Management · UNIT II: CONTEMPORARY MODELS OF CASE MANAGEMENT · Dimensions of Nursing Case Management · Two Strategies for Managing Care: Case Management and Care Management · Disease Management: Applying Systems Thinking to Quality Patient Care Delivery · UNIT III: CONTEMPORARY CASE MANAGEMENT WITHIN THE WALLS OF CASE MANAGEMENT: ACUTE CARE-BASED NURSING CASE MANAGEMENT · Within-the-Walls Case Management: An Acute Care-Based Nursing Case Management Model · Collaborative Models of Case Management · Case Management: A Process Not a Person · The Colorado Psychiatric Health Case Management Model: An Innovative Approach to Client Centered Care · UNIT IV: CONTEMPORARY CASE MANAGEMENT BEYOND THE WALLS OF CASE MANAGEMENT · Beyond-the-Walls Case Management · Outcomes of Community-Based Nurse Case Management Programs · Integrated Case Management Mode · Parish Nursing as Community-Focused Case Management · A Faculty Case Management Practice in a College of Nursing · A Model of Emergency Department Case Management: Developing Strategies and Outcomes · UNIT V: ADDRESSING HEALTH CARE DELIVERY THROUGH CASE MANAGEMENT: PUBLIC POLICY IMPLICATIONS · Patient Demographics Affecting Health Care · The Business of Health Care and Prospective Payment System · Patient Mix and Cost Related to Length of Hospital Stay · Case Management Legislation · The Managed Care Market: Nurse Case Management as a Strategy for Success · Financing Health Care in the U.S.: Economic and Policy Implications · Public Policy, Managed Care, and Case Management: The Emerging Role of the Community Nurse Organization · UNIT VI: THE PLANNING PROCESS: DEVELOPING COLLABORATIVE RELATIONSHIPS · Assessing the System and Creating an Environment for Change · Case Management Education: Preparation for Successful Implementation · The Competency Outcomes and Performance Assessment Model Applied to Nursing Case Management Systems · The Role of the Nurse Case Manager in the Acute Care Setting · Credentialing for Case Management · Learning Partnerships: Online Case Management · UNIT VII: IMPLEMENTATION: TAKING A SYSTEMS PROCESS APPROACH · The Cast of Characters · Variations within Clinical Settings · Brainstorming: Development of the Multidisciplinary Action Plan (MAP) · Standardizing Documentation: The Next Generation in Pathway Development · Ethical Issues in Case Management · Clinical Career Ladders · Case Management and Information Technology · Compliance and Regulation · UNIT VIII: EVALUATION, OUTCOMES MEASUREMENT, AND RESEARCH: IMPORTANT COMPONENTS OF DECISION MAKING · Key Functions and Direct Outcomes of Case Management · The Data-Driven Health Care Environment: Methods of Gathering and Presenting Relevant Data About Health Care Systems · The Importance of Research in the Evaluation Process · Documentation of Quality Care · The Link Between Continuous Quality Improvement and Case Management · Job Satisfaction · The Nurse Case Manager Job Characteristics and the Effects of Well-Being · Measuring Cost-Effectiveness · Case Management Evaluation: The Use of the Cost-Effectiveness Analysis Method · Quality and Outcomes: An Overview · Linking the Restructuring of Nursing Care with Outcomes: Conceptualizing the Effects of Nursing Case Management · An Overview of Assessing Health Through Quality of Life Indicators · Expanding Our Horizons: Managing a Continuum of Care · Developing Outcome Management Strategies: An Intensive DRG-Focused Study · Outcomes Effectiveness and Evidence-Based Practice · The Carondelet Community-Based Nurse Case Management Program: Yesterday, Today & Tomorrow

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