Abstract This paper defines and discusses care management in nursing from the early 1900s to the present. The paper examines the roles of nurse casemanagers and enumerates the advantages and disadvantages of nurse casemanagement. The paper also mentions the training needed to be a successful nurse casemanager and assesses the future of the profession.
From the Paper "This paper looks at what constitutes case management, how it developed historically, the roles of nurses in case management, and the advantages and disadvantages of case management...."
Abstract This is a paper examines a health assessment of an elderly individual, including the choice of assessment tools, and the outcome and case presentation. Here, a 78 year old male with type two diabetes, high blood pressure, obesity and high cholesterol presented for a wound that did not heal properly. The assessment and decision for casemanagement and the presentation on casemanagement was based on the Neumann Systems Model which is a holistically based model calling for an interdisciplinary team.
From the Paper "Case Management and the Elderly: Case management is rapidly becoming a requirement for the growing population of elderly individuals who experience a chronic or debilitating health issue. This paper presents a comprehensive assessment of a 78 year old male diabetic patient who presented to a community clinic setting for problems related to a wound that was not healing properly and discusses the various assessments used and the role of case management. The case presentation will incorporate the comprehensive nature of health assessment requirements for the elderly consistent with the holistic nature of the Neumann Systems Model. Based on the case presentation, the need for a case manager and the development of a multi-disciplinary team of healthcare professionals in the community health setting are required. Plans for follow-up and continuity of care are provided as are schedules and type of monitoring and future evaluations."
Abstract This paper reviews the necessary steps in order to create a successful casemanagement plan. These steps not only ensure consistency in the record-keeping process, but also ensure that clients are provided with plans that will enable them to function adequately as members of society.
Abstract This paper explores the reasons why casemanagement has been determined to be an important element for the cost-effective improvement of patient health. It looks at the objective of casemanagement, the defined roles of casemanagers, their functions and responsibilities, the various models of casemanagement in health care systems and the differences in these models, and how casemanagement affects patient welfare and economic variables. All of these aspects are explored with the intention of demonstrating the value of casemanagement in the health care system.
From the Paper "In the face of continuing healthcare reform, it is crucial to examine strategies that will carefully balance high quality patient care with cost efficiency. The emphasis of primary care has become a priority due to the increasingly dependent elderly patient population. Services and care need to be provided that focus on prevention and patient empowerment for self-care, which ultimately improve health incomes as well as save financial resources."
Tags: coordination, service, care, individual, responsibility, relationship, nurses
Abstract This paper explains that nursing casemanagement is a care delivery model designed especially to coordinate and manage high-quality patient service across the variety of healthcare systems. The author suggests that, with steadily rising medical costs combined with an increasing number of older patients, casemanagement provides a means of practicing cost containment and yet providing excellent care. The paper conducts a literature review on the role of nursing casemanagement in the areas of quality of life and re-hospitalization and concludes that the literature review was disappointing because it did not reveal any studies comparing casemanagement versus traditional nursing care and that the articles reported generalizations lacking statistics.
Table of Contents:
Introduction
CaseManagement and Quality Of Life
CaseManagement and Rehospitalization
Discussion
From the Paper "In a study specifically providing care to older women with breast cancer, Jenning-Sanders and Anderson (2003) recognized the many challenges that an older woman and her family face when diagnosed with breast cancer. They hypothesized that using nurse case managers may help older clients and their families to adapt to the many issues associated with this illness. The purpose of this qualitative study was to describe how older breast cancer clients perceive the care received from nursing case managers."
Tags: coordinate, chronic disease, family low-profile generalities
This paper studies the concept of casemanagement with regards to the health care profession, and proposes strategies for the application of this program.
Abstract The paper looks to develop a body of information that will facilitate the tasks of health care institution administrators in the development of strategies and programs for the application of the casemanagement concept in the pursuit of care quality and patient satisfaction. To accomplish this study purpose, the writer analyzes the interrelationships between the factors affecting resource use by health care institutions in relation to the casemanagement concept.
Table of Contents:
Introduction
Review of Literature
The Managed Care Environment
Related Research
Prior Studies in the Field
Applying the CaseManagement Concept
Methodology
Research Design
Research Hypotheses
Variables and Operational Definitions
Population and Samples
From the Paper "Improving the quality of the care provided is widely suggested in the 1990s as the solution to many of the problems being faced by health care institutions (Phipps, 1992). While medical professionals have no quarrel with striving for high quality health care, many of these individuals do tend to reject initiatives that appear to be further manifestations of codified bureaucratic machinations that likely will have no long-lasting positive impacts on the quality of health care services (Jeffer, 1991). Nevertheless, many theorists and observers both inside and outside the medical establishment suggest that a quality management program can lead to improved quality in health care (Banham, 1993)."
Abstract This essay states that the greatest challenges in the healthcare system currently consist of controlling costs, improving clinical outcomes, and ensuring quality care. Barriers to those goals include the nursing shortage, a rapidly aging population, competition, and reduced government reimbursement. This article addresses the most problematic issues in healthcare today but offers direction for their solutions rather than facile solutions. The paper goes on to claim that the overwhelming question for the current healthcare system presently concerns how to improve quality while reducing costs. Casemanagement and care management are two valuable strategies which can control costs while improving clinical outcomes and ensuring quality care.
Outline:
Introduction
Rationale
CaseManagement vs. Care Management Attempts for Quality
Journal Selected for Submission
From the Paper "The current nursing shortage appears to be intractable. Recent government downsizing and cutbacks have been followed by reduced funding for the healthcare system that is about to be overwhelmed by the baby boom generation. Never have there been so many obstacles to cost-effective, quality care. Two choices are available: case management and care management, with the latter actually being the common alternative. High-risk patients need individual case management but the vast majority of patients require some form of care management (Doyle et al., 2003). Care management is evidence-based practice since such practice is an essential element in clinical pathways and protocols. Even though standard pathways are used, stringent pathways are being eliminated since evidence-based protocols and guidelines are becoming the norm."
Tags: government healthcare cost-effective shortages quality, patient care
Abstract This paper explains that casemanagement involves helping the patient find, access, and benefit from the medial procedures, treatments, and lifestyle solutions available to his or her particular needs. The author points out that casemanagement, which usually is administered under the centralized direction of a casemanager, is indicated for complex or chronic patients, including those in long-term or geriatric care, in order to insure that their unique and usually complex needs are adequately met. The paper relates that CCPED provides home and community-based services for Medicaid-eligible persons who are 65 years of age or older or persons of any age who are disabled, including traditional home health care services, medical day care, medical transportation, respite care, and social adult daycare.
From the Paper "Some examples of services that can be coordinated and supported through good case management is the creation of an individualized treatment/care plan, establishment of a connection between the patient and government support or benefits, education aimed at helping the patient manage his or her condition in a positive way, coordination between the many providers often required in complex, chronic or long term cases, as well as help in scheduling needed treatment or services."
Abstract This is a paper about casemanagement in social welfare programs, from the perspective of a social worker. Different strategies for casemanagement are discussed, as well as the important role that casemanagement plays in the success of social welfare programs. The paper draws on real-life examples in social work as well as theoretical considerations.
Abstract This paper discusses community and managed care nursing. The main thrust of the paper is the evaluation of a nursing article that discusses the pros and cons of casemanagement in both community nursing and managed care nursing. This paper then goes on to discuss the social justice approach to nursing.
From the Paper "Healthcare and all of the fractured issues included in it is one of the most explosive topics in our society today, both politically and consumer wise. Horror stories are continually told about, among other things, the costs of insurance, the inability to receive care, racial and ethnic disparity, and a host of other intervening variables and conditions. Sometime in the past several years America's healthcare system has managed to avoid the checks and balances of the institutional system and plunge into a state of national crises. Economic and business driven healthcare (i.e., market), wherein medical practitioners are seemingly more interested in stock options and bottom line profits than in their patients, is a blight on society as a whole as well as a failing grade for the government whose obligation it is to preserve and protect the country's citizenry."
Abstract This paper discusses four cases of dysfunctional individuals, including a pregnant teen, a young mother, a violent boy and his abused mother, and a man experiencing a mid-life career crisis. The paper offers assessments and interventions for each case.
Tags: social work, casemanagement, assessment, social work interventions
Abstract This paper explains that unfair labor practices happen when management crosses the invisible line with an employee on any issue protected by federal from smoking policies to non-compliance with hiring laws. The author relates that the key-deciding factor of the Electromation Case was the employee groups which emerged as a result of management style promoting total quality management or TQM. The case did not put an end to all employee participation programs but established the criteria against which all EPPs must be judged when an unlawful employer domination charge is filed, limiting what these groups can discuss. The paper concludes that, in today's business world, it can be argued that the American management system holds all the power because most of today's workforce is "at-will" and can be terminated at any time.
Table of Contents
Introduction
Unfair Labor Practices
The Electromation Case Management Involvement
Conclusion
From the Paper "Electromation, Inc. is a small company of 200 employees, located in Elkhart, Indiana. The company engages in the manufacture of electrical components and related products. The employees were not represented by a labor organization at the time of legal proceedings. In late 1988 the company concluded it was having financial troubles. In order to cut expenses, the company decided to "alter the existing employee attendance bonus policy and, in lieu of a wage increase for 1989, distributed year-end lump-sum payments based on length of service." After these changes were announced, the company understood the employees were dissatisfied with the arrangement. In January 1989, the company received a signed petition from 68 employees that covered their displeasure over the Attendance policy. From here, meetings were set-up between the employer and the employees to discuss this issue. Later five-action committees were set-up out of this first meeting as a forum for employees to discuss work place issues. However, the issues discussed included issues of labor like wages, hours and benefits as well as something as simple as lunch break."
Abstract This paper examines a case involving conflict management - a case in which two managers for a large company are at odds over one stealing personnel from the other and one charging that the other is letting his department grow too large. It is found that the changes in management in the various divisions once Henry was forced for medical reasons to take a different role should have been better monitored by the Director and his staff.
From the Paper "The problem facing John could have been avoided if he had heeded some of the earlier reports by Henry and if he had looked into the situation when he should. The changes in management in the various divisions once Henry was forced for medical reasons to take a different role should have been better monitored by the Director and his staff. Such changes always have the potential for dissension and personality clashes, yet John has waited until the crisis ahs erupted into the open before analyzing the situation and determining the need to do something about it."
Abstract This paper evaluates the advisability of employing someone for the position of Accounts Manager in the cases study of Diversico Management Consulting, Inc.. The author points out that the stated objective for this case is to justify the capacity of the Company to fund the salary for the new Accounts Manager position through more effective use of the Company's current assets.
From the Paper "A proposal has been made at Diversico Management Consulting Inc to employ a person for the new position of Accounts Manager. The annual salary cost for the Accounts Manager position is projected to be ... . Before a person can be employed for the position of Accounts Manager, the company president has demands that the Accounting Department at Diversico Management Consulting, Inc. provide evidence that the Company can afford to pay an additional per year in salary for the new position. The stated objective for ..."
Tags: Diversico Management & Consulting, Current Position, Accounting
Abstract This paper is a case study of conflict and conflict management in a business setting. It evaluates steps required to fix a dysfunctional working relationship between two managers in the IT department including the types of interventions the company should consider and why they might or might not work
From the Paper "Brooks ran the IT department for Balt Healthcare. Brooks assumed he was in charge of the IT function, Senior management decided to go outside of Brooks' organization to create a team to build a team to create an e-commerce solution. This became a source of conflict. The manager Gantman who was assigned the e-commerce project has a history of unresolved conflicts with Brooks. Even though Gantman has a mandate from senior management to complete this assignment he needs Brooks' cooperation ..."
Tags: conflict management, case study, intervention, manager, leader, coaching, training, third party intervention, team building
