Over the years, various nursing care delivery
systems have been experimented. Case management is a work
design planned to meet patient needs. Nursing case management
organizes patient care by major diagnoses or diagnosis-related
groups (DRGs) and focuses on attaining predetermined patient
outcomes within specific time frames and resources and requires
collaboration of all members of the health care team. Patient
involvement and participation is the key to successful case
management. A collaborative practice team including clinical
experts from appropriate disciplines: nursing, medicine, physical
therapy etc, defines the expected outcomes of care for the patient
population. Based on expected patient outcomes, each member
of the team, using his or her discipline’s contribution, helps
determine appropriate interventions within a specified time
frame. Successful case management relies on critical pathways
and multidisciplinary actions plans (MAPs) to guide care.
Variances are patient outcomes or staff actions that do not meet
the expectation of the pathway. There is evidence that critical
pathways may be associated with reduced complications. Five
elements are essential to successful implementation of case
management: a) support by key members of the organization
(administrators, physicians and nurses); b) a qualified nurse case
manager; c) collaborative practice teams; d) a quality
management system; e) established critical pathways.
Over the years, various nursing care delivery
systems have been experimented. Case management is a work
design planned to meet patient needs. Nursing case management
organizes patient care by major diagnoses or diagnosis-related
groups (DRGs) and focuses on attaining predetermined patient
outcomes within specific time frames and resources and requires
collaboration of all members of the health care team. Patient
involvement and participation is the key to successful case
management. A collaborative practice team including clinical
experts from appropriate disciplines: nursing, medicine, physical
therapy etc, defines the expected outcomes of care for the patient
population. Based on expected patient outcomes, each member
of the team, using his or her discipline’s contribution, helps
determine appropriate interventions within a specified time
frame. Successful case management relies on critical pathways
and multidisciplinary actions plans (MAPs) to guide care.
Variances are patient outcomes or staff actions that do not meet
the expectation of the pathway. There is evidence that critical
pathways may be associated with reduced complications. Five
elements are essential to successful implementation of case
management: a) support by key members of the organization
(administrators, physicians and nurses); b) a qualified nurse case
manager; c) collaborative practice teams; d) a quality
management system; e) established critical pathways.
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