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

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Professional diversity adds richness to the case management field. 专业多元化为案例管理领域增添了丰富的内涵。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00003

Kim Schuetze

引用次数: 0

Handoffs and transitions of care: where is the Lone Ranger's silver bullet? 关爱的交接和过渡:独行侠的银弹在哪里?

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00001

Suzanne K Powell

引用次数: 16

Disability care coordination organizations: improving health and function in people with disabilities. 残疾护理协调组织:改善残疾人的健康和功能。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00008

Susan E Palsbo, Margaret F Mastal, Lolita T O'Donnell

Disability care coordination organizations (DCCOs) combine attributes of the medical home model and community nursing. Teams of nurses and social workers collaborate with the client to arrange disability-competent medical and social services. This article synthesizes observational findings from site visits to approximately half of the DCCOs operating in 2004. DCCOs have 6 core clinical activities: comprehensive assessment; self-directed, person-centered planning; health visit support; centralized medical-social record; community resource engagement; and constant communication. We also identified 3 core business competencies: service coordination, patient education/behavioral modification, and continuous enhancement of disability competency. Each DCCO started as a new company rather than as a product line of an existing business, and each included the target population in the design stage. Most DCCOs contract with state Medicaid agencies under a prepaid capitation arrangement, and some also enroll Medicare beneficiaries. Capitated DCCOs retain cost savings and may be financially stronger than fee-for-service DCCOs. Although studies suggest that DCCOs improve coordination and clinical outcomes while reducing costs, the current evidence has not been peer reviewed.

残疾护理协调组织(dcco)结合了医疗之家模式和社区护理的属性。护士和社会工作者团队与客户合作，安排与残疾有关的医疗和社会服务。本文综合了对2004年运行的大约一半的dcco进行实地考察的观察结果。dco有6项核心临床活动:综合评估;自我导向、以人为本的规划;保健访问支助;集中医疗社会档案;社区资源参与;以及持续的沟通。我们还确定了3个核心业务能力:服务协调、患者教育/行为改变和持续增强残疾能力。每个DCCO都是作为一个新公司开始的，而不是作为现有业务的产品线，每个DCCO在设计阶段都包括目标人群。大多数dco与州医疗补助机构签订预付人头协议，有些还招收医疗保险受益人。资本化dco保留了成本节约，并且在财务上可能比按服务收费的dco更强大。尽管研究表明，dco在降低成本的同时改善了协调和临床结果，但目前的证据尚未经过同行评审。

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引用次数: 25

Development of an interdisciplinary case management program for combat veterans. 为退伍军人制定跨学科的案例管理计划。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00009

Tracey M Zilke, Ruby Shaw Morrison, Angela Kirby, Troy Scott Martin

The terrorist attack on September 11, 2001, prompted a major mobilization of Alabama active military reservists and Alabama National Guardsmen to serve in the Middle East. Health problems related to geographic relocation, environmental threats, combat and other traumatic events, and the stress associated with serving in an active capacity have resulted in an increase in the number of patients and the variety of illnesses being seen at Department of Veterans Affairs Medical Centers. The Tuscaloosa Veterans Affairs Medical Center developed a combat veterans care coordination program to efficiently and effectively manage the care of returning combat veterans. The development and first-year outcomes of the program are described.

2001年9月11日的恐怖袭击促使阿拉巴马州现役预备役军人和阿拉巴马州国民警卫队大规模动员，前往中东服役。与地理迁移、环境威胁、战斗和其他创伤事件有关的健康问题，以及与以现役身份服役有关的压力，导致在退伍军人事务部医疗中心就诊的病人数量和疾病种类增加。塔斯卡卢萨退伍军人事务医疗中心制定了一项战斗退伍军人护理协调计划，以高效和有效地管理对返回战斗退伍军人的护理。介绍了该项目的发展和第一年的成果。

引用次数: 2

Analyzing the value of accreditation: application of computer decision tools to a complex decision. 鉴定的价值分析:计算机决策工具在复杂决策中的应用。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00006

Guy D'Andrea

Case management organizations must often make a choice about whether to invest time and resources in pursuing external accreditation. The decision is a complex one and requires understanding of the interaction among many forward-looking variables. This study examines the use of computer-based tools to analyze the value of accreditation to support more effective decision making about whether to pursue accreditation.

案例管理组织必须经常选择是否投入时间和资源来追求外部认证。决策是一个复杂的决策，需要理解许多前瞻性变量之间的相互作用。本研究考察了使用计算机为基础的工具来分析认证的价值，以支持更有效的决策，是否追求认证。

引用次数: 4

Drive further gains in workforce productivity through return to work strategy. 通过重返工作岗位战略进一步提高劳动力生产率。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00012

Christopher Wood

引用次数: 0

Evidence-based case management in a high-risk pregnancy: a case study. 高危妊娠的循证病例管理:一个案例研究。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00004

Marilyn Handley, Marietta Stanton

This article examines the case management needs of a pregnant woman confined to bed after preterm premature rupture of membranes. Through the period when she is confined to bed, interventions and outcomes are determined on the basis of evidence-based guidelines. By examining this case study, it is anticipated that best practices can be determined for women in similar situations.

这篇文章探讨了病例管理需要的孕妇限制在床上后早产胎膜早破。在她被限制在床上的这段时间里，干预措施和结果是根据循证指南确定的。通过审查这一个案研究，预期可以为处于类似情况的妇女确定最佳做法。

引用次数: 0

Considerations for the use of botulinum toxin in pain management. 在疼痛管理中使用肉毒杆菌毒素的考虑。

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

Pub Date : 2006-09-01 DOI: 10.1097/00129234-200609000-00013

Amy M Lang

引用次数: 7

Case managers bring vital skills to help employers adopt health-conscious culture. 个案管理人员带来了重要的技能，帮助雇主采用注重健康的文化。

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

Pub Date : 2006-07-01 DOI: 10.1097/00129234-200607000-00006

M. Owen

Forward-thinking companies and organizations are embracing the concept of managing employee health holistically to improve overall wellness and productivity. As these initiatives are designed and implemented, case managers will be key players, given the important skills we bring to the table. The focus on employee health, including the need for greater integration of medical and behavioral interventions, was a key topic at the Institute of Health and Productivity Management’s (IHPM’s) conference held in Orlando in late March. The conference brought together CEOs, corporate medical offices, wellness directors, case managers, disease managers, and pharmaceutical industry professionals, as well as organizations such as the American Cancer Society, which has educational initiatives around employee health issues such as smoking cessation and nutrition. As a case manager, I saw within this gathering of corporate and healthcare thought leaders an important opportunity for the case management professional. As advocates and educators, case managers are in a unique position because of our skill set, including clinical expertise, our knowledge of resources within a community, and our interpersonal skills that enable us to be the collaborators and communicators within multidisciplinary teams. The challenge is for the practice of case management to be proactive in reaching out to employers, to inform them of our skills and expertise, and to promote case managers as essential members of health and productivity teams. Rather than waiting for others to invite us to participate, case managers need to be willing to take the lead. The Case Manager Roles and Function Study, completed by the Commission for Case Manager Certification (CCMC), not only documents the evolution of the practice, but continues to build a definitive foundation by which we can prove the value of our practice (see January/February 2006, “Roles and Function Study, Part I” and March/April 2006, “Roles and Function Study, Part II”). Interestingly, one way case managers can become involved in employer initiatives is to start “at home.” Although we work in different practice settings, the majority of case managers are employees; we work for other firms and organizations. Within the companies where we work, we need to look for ways in which we can help provide employee education and promote wellness and chronic disease prevention. We need to explore the roles we can play within our organizations as advocates. Building upon this experience, case managers can take the next News and Views

有远见的公司和组织正在接受全面管理员工健康的概念，以提高整体健康和生产力。随着这些举措的设计和实施，鉴于我们带来的重要技能，案例管理人员将成为关键角色。3月下旬在奥兰多举行的健康和生产力管理研究所(IHPM)会议上，对员工健康的关注，包括对医疗和行为干预的更大整合的需求，是一个关键主题。会议汇集了首席执行官、企业医疗办公室、健康主管、病例经理、疾病经理、制药行业专业人士，以及美国癌症协会等组织，该协会围绕戒烟和营养等员工健康问题开展了教育活动。作为一名案例管理人员，我在这次企业和医疗保健思想领袖的聚会中看到了案例管理专业人员的重要机会。作为倡导者和教育者，病例管理人员处于独特的地位，因为我们的技能组合，包括临床专业知识，我们对社区资源的了解，以及我们的人际交往能力，使我们能够成为多学科团队中的合作者和沟通者。案例管理实践面临的挑战是积极主动地与雇主接触，向他们介绍我们的技能和专业知识，并促进案例管理人员成为卫生和生产力团队的重要成员。而不是等待别人邀请我们参与，案例经理需要愿意带头。由案例经理认证委员会(CCMC)完成的案例经理角色和职能研究不仅记录了实践的演变，而且继续建立一个明确的基础，通过这个基础，我们可以证明我们的实践的价值(见2006年1月/ 2月，“角色和职能研究，第一部分”和2006年3月/ 4月，“角色和职能研究，第二部分”)。有趣的是，案例经理参与雇主倡议的一种方式是“在家”开始。尽管我们在不同的实践环境中工作，但大多数案例管理人员都是员工;我们为其他公司和组织工作。在我们工作的公司内部，我们需要寻找方法，帮助提供员工教育，促进健康和慢性病预防。我们需要探索我们作为倡导者在组织中可以扮演的角色。在此经验的基础上，案例管理人员可以采取下一个新闻和视图

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引用次数: 0

When things go wrong: responding to adverse events: a consensus statement of the Harvard hospitals. 当事情出错时:应对不良事件:哈佛医院的共识声明。

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

Pub Date : 2006-07-01 DOI: 10.1097/00129234-200607000-00001

Suzanne K Powell

引用次数: 79

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