population health management thesis
1
Define continuity of care, care management, case management, care coordination, population health management, transitional care, integrated care, social determinants of health, and advocacy.
Describe the scope of practice, roles, and functions of a case manager.
Compare and contrast the nursing process with processes of case management and advocacy.
Objectives (1 of 2)
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2
2
Identify methods to manage conflict, as well as the process of achieving collaboration.
Define and explain the legal and ethical issues confronting case managers.
Objectives (2 of 2)
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3
3
Population management
Social mandate
Care management
Utilization management
Critical pathways
Disease management
Demand management
Definitions
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4
4
Case management and the nursing process
Characteristics and roles
Knowledge and skill requisites
Tools of case managers
Historical evidence
Contemporary evidence
Concepts of Case Management
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5
5
Assessment
Diagnosis
Planning for outcomes
Implementation
Evaluation
Case Management and the Nursing Process
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6
See Table 25.1, The Nursing Process and Case Management.
6
Case Management Roles
Broker
Consultant
Coordinator
Educator
Facilitator
Liaison
Mentor
Monitor/reporter
Negotiator
Client advocate
Researcher
Standardization monitor
Systems allocator
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7
See Box 25.1, Case Manager Roles, for descriptions of these roles.
7
Factors That Demand Case Management Attention
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8
Fig. 25.4: Factors that require the attention of the nurse and client in the case management process
8
Knowledge and Skill Requisites
Standards of practice for case management
Evidence-based practice guidelines
Knowledge of the health care financial environment
Clinical knowledge, skill, and maturity
Care resources
Transition planning
Management skills
Teaching, counseling, and education skills
Program evaluation and research
Performance improvement techniques
Peer consultation and evaluation
Requirements of eligibility and benefit parameters by third-party payers
Legal and ethical issues
Information management systems
Health care legislation/policy
Technical information skills
Outcomes management and applied research
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