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MM1022: NURSING CASE MANAGEMENT, from Essentials to Advanced Practice Applications, PART 1
by Elaine Cohen and Toni Cesta
Excerpt from Nursing Case Management
Printed with permission from Elsevier / Mosby Inc.

SECTION 1: CONTEMPORARY MODELS OF CASE MANAGEMENT: OVERVIEW
SECTION 2: CONTEMPORARY MODELS OF CASE MANAGEMENT: WITHIN-THE-WALLS CASE MANAGEMENT
SECTION 3: CONTEMPORARY MODELS OF CASE MANAGEMENT: BEYOND-THE-WALLS CASE MANAGEMENT

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SECTION 1: CONTEMPORARY MODELS OF CASE MANAGEMENT

CHAPTER 1: DIMENSIONS OF NURSING CASE MANAGEMENT
 

A. PRECURSER OF CONTEMPORARY APPROACHES TO NURSING CASE MANAGEMENT

B. TRENDSETTING IN NURSING CASE MANAGEMENT

  1. The professionally Advanced Care Team (ProACT) Model
  2. South Dakota Demonstration Project—Differentiating Outside the Walls
  3. Differentiating Outside the Walls
CHAPTER 2: TWO STRATEGIES FOR MANAGING CARE: CARE MANAGEMENT AND CASE MANAGEMENT

A. CARE MANAGEMENT—A COMPLEMENT TO CASE MANAGEMENT

B. LAUNCHING CARE MANAGEMENT

C. PRINCIPLE 1: CARE MANAGEMENT IS A COMMUNITY EFFORT

D. PRINCIPLE 2: GROUPING PATIENTS

E. PRINCIPLE 3: HONORING THE THERAPEUTIC RELATIONSHIP

F. SUMMARY

CHAPTER 3: DISEASE MANAGEMENT: APPLYING SYSTEMS THINKING TO QUALITY PATIENT CARE DELIVERY

A. EVOLUTION OF DISEASE MANAGEMENT

B. EVALUATING DISEASE MANAGEMENT PROGRAM

C. DISEASE MANAGEMENT PROGRAM DEVELOPMENT

  1. Defining the Population

D. PLANNING THE INTERVENTION

E. IMPLEMENTATION OF THE PROGRAM

F. EVALUATION OF THE DISEASE MANAGEMENT PROGRAM

G. HEALTH MANAGEMENT FOR THE FUTURE


SECTION 2: CONTEMPORARY MODELS OF CASE MANAGEMENT: WITHIN-THE-WALLS CASE MANAGEMENT
CHAPTER 1: WITHIN-THE-WALLS CASE MANAGEMENT: AN ACUTE CARE-BASED NURSING CASE

A. COST-EFFECTIVE CARE

B. PRIMARY NURSE CASE MANAGEMENT MODEL

C. LEVELED PRACTICE MODEL

D. PRIMARY CASE MANAGEMENT

E. SAINT VINCENTS HOSPITAL AND MEDICAL CENTER INTEGRATED CASE MANAGEMENT MODEL

F. TUCSON MEDICAL CENTER CASE MANAGEMENT MODEL

CHAPTER 2: COLLABORATIVE MODELS OF CASE MANAGEMENT
OUTLINE

A. EVOLUTION IN CASE MANAGEMENT

B. COLLABORATION

C. THE EVOLUTION OF A COLLABORATIVE MODEL

D. BUILDING A COLLABORATIVE MODEL

E. CREATING THE VISION

F. BUILDING THE TEAM

G. PREPARING TEAM MEMBERS

H. EVALUATING THE TEAM

I. SUMMARY

CHAPTER 3: CASE MANAGEMENT: A PROCESS NOT A PERSON
OUTLINE

A. THE CASE MANAGEMENT PROGRAM

Data Base Design

Outcomes

B. STAGES OF PROGRAM DEVELOPMENT FROM THE HUMAN PERSPECTIVE

  1. Stage 1
  2. Stage 2
  3. Stage 3
  4. Stage 4
  5. Stage 5 (Current)
  6. Strategies for Implementation or "What Dis we Learn Along the Way?"
  7. What Didn't Work?
  8. What Did Work?
  9. Anticipated Further Development
  10. Key Factors in Program Success
CHAPTER 4: THE COLORADO PSYCHIATRIC HEALTH CASE MANAGEMENT MODEL: AN INNOVATIVE APPROACH TO CLIENT-CENTERED CARE

A. INTRODUCTION

B. EVOLUTION OF THE CPH CASE MANAGEMENT MODEL

C. COMPONENTS OF A SUCCESSFUL CASE MANAGEMENT MODEL

  1. Orientation
  2. Clinical Supervision
  3. Multidisciplinary Team
  4. Treatment Plan
  5. Utilization Review
  6. Customer Satisfaction

D. SUMMARY


SECTION 3: CONTEMPORARY MODELS OF CASE MANAGEMENT—BEYOND-THE-WALLS CASE MANAGEMENT

CHAPTER 1: BEYOND-THE-WALLS CASE MANAGEMENT

A. COMPELLING FORERUNNER: NURSING CASE MANAGEMENT ACROSS CARONDELET'S CONTINUUM OF CARE

  1. Carondelet Health Care—A Network of Nurse Partnerships and Care Coordination Strategies
  2. Evolution
  3. Transition
CHAPTER 2: OUTCOMES OF COMMUNITY-BASED NURSE CASE MANAGEMENT PROGRAMS

A. THE CHALLENGE FOR COMMUNITY-BASED CASE MANAGEMENT: THE CHRONICALLY ILL

B. CHRONIC ILLNESS

C. A HISTORICAL REVIEW OF COMMUNITY-BASED CASE MANAGEMENT

D. NATIONAL LONG-TERM CARE DEMONSTRATION PROJECTS: "CHANNELING"

E. EVOLVING MODELS OF COMMUNITY-BASED MANAGEMENT

F. COMMUNITY-BASED NURSE CASE MANAGEMENT'S FUTURE MEASURING SUCCESS

CHAPTER 3: INTEGRATED CASE MANAGEMENT MODEL

A. DIFFERENTIATED CASE MANAGEMENT MODEL

  1. National Development
  2. Application of Differentiated Case Management
  3. Implementation of a Professional Roles Model
  4. Barriers to Integrate Nursing Case Management Acroos the Continuum

B. INTEGRATION OF A CLINIC, HOSPITAL, AND HOME CARE AGENCY

  1. Defining Integration
  2. Bringing Two Models Together

C. BUILDING RELATIONSHIPS AND PARTNERSHIPS

  1. Trust
  2. Respect
  3. Support
  4. Communication
  5. Commitment

D. SUMMARY

CHAPTER 4: PARISH NURSING AS COMMUNITY-FOCUSED CASE MANAGEMENT

A. A CHANGING HEALTH CARE ENVIRONMENT

B. PARISH NURSING: THE ROLE, SETTING, AND CONTEXT

C. CASE MANAGEMENT IN PARISH NURSING: A DIFFERENT MODEL

Goals and Philosophy of Case Management in Parish Nursing

Roles of the Case Manager in Parish Nursing

Skills of the Case Manager in Parish Nursing

D. CASE MANAGEMENT WITH THE COMMUNITY AS CLIENT

E. EVALUATION OF PARISH NURSING

CHAPTER 5: A FACULTY CASE MANAGEMENT PRACTICE IN A COLLEGE OF NURSING
 

A. THE ORIGIN OF THE CASE MANAGEMENT SERVICE

B. THE ADVANTAGE PROGRAM OF OKLAHOMA

  1. Launching the Faculty Case Management Venture
  2. Use of the CM Program for Student Learning
  3. Faculty Experiences With the CM Program

C. EDUCATIONAL AND EXPERIENTIAL PREPARATION FOR CASE MANAGEMENT

D. CASE MANAGEMENT IN RURAL SETTINGS

E. LOOKING BACK AND AHEAD

  1. A CM Track in the Graduate Program
  2. Case Managemet and the Research Mission of the University

F. SUMMARY

CHAPTER 6: A MODEL OF EMERGENCY DEPARTMENT CASE MANAGEMENT: DEVELOPING STRATEGIES AND OUTCOMES
 

A. A MODEL OF EMERGENCY DEPARTMENT CASE MANAGEMENT

  1. Emergency Care Issues
  2. Finding a Focus
  3. A Model of ED Case Management

B. PRIMARY CARE PROGRAMS

  1. Issues
  2. Goals
  3. Strategies and Outcomes

C. POPULATION-BASED PROGRAMS

  1. Issues
  2. Goals
  3. Strategies and Outcomes

D. ADMISSION AND DISCHARGE PLANNING

  1. Issues
  2. Goals
  3. Strategies and Outcomes

E. INDIVIDUAL PATIENT PLANS

  1. Issues
  2. Goals
  3. Strategies and Outcomes

F. CHALLENGES AND OPPORTUNITES

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