Quantifying case management workloads: Development of the PACE tool.

Lippincott's case management : managing the process of patient care Pub Date : 2006-11-01 DOI:10.1097/00129234-200611000-00003

Amy Balstad, Pam Springer

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Abstract

In 1999, the Clinical Resource Management (CRM) group at Saint Alphonsus Regional Medical Center in Boise, Idaho, implemented a specialty-based nursing case management model for individual caseload assignment of all inpatient admissions. This model assigns caseloads by proportion determined by physician specialty type. This model does not consider patient acuity and may have weaknesses associated with self-report. In addition, time requirements for effective case management outcomes are not always reflected in admission volumes alone. This article describes the development and pilot testing of the Patient Acuity Case management Evaluation (PACE) measurement tool. Five phases of methodological development are discussed: (1) conceptualization phase, (2) content development, (3) Delphi technique using expert opinion and critique, (4) inter (intrarater reliability testing, and (5) pilot testing of acuity tool. Examples of instrument development throughout these phases are included. This instrument is expected to provide verifiable measurement of individual and group case management workload.

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量化病例管理工作量:PACE工具的开发。

1999年，爱达荷州博伊西的圣阿方索斯地区医疗中心的临床资源管理(CRM)小组实施了一种基于专业的护理病例管理模式，用于所有住院患者的个别病例分配。该模型按医生专科类型确定的比例分配病例负荷。该模型没有考虑患者的敏锐度，可能存在与自我报告相关的弱点。此外，有效的病例管理结果所需的时间并不总是仅反映在入院人数上。本文描述了患者急性病例管理评估(PACE)测量工具的开发和试点测试。讨论了方法开发的五个阶段:(1)概念化阶段，(2)内容开发，(3)使用专家意见和批评的德尔菲技术，(4)内部可靠性测试，以及(5)灵敏度工具的试点测试。包括贯穿这些阶段的仪器开发示例。该工具有望对个人和团体病例管理工作量提供可核实的测量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Lippincott's case management : managing the process of patient care

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