Nursing Case Management: From Essentials to Advanced Practice Applications

This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success.Includes numerous proven case management models currently being used in institutions across the countryOrganized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management programOffers detailed guidance for planning, implementing, and evaluating a case management programOutlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnershipsFeatures guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issuesAddresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practicePresents acute care and community based models of case managementHighlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of careAddresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient levelPresents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities