Emergency room case managers are active members of the health care team and act as a liaison between the emergency room, hospital, community case management program to improve continuity and efficiency of care (Powell). Case managers coordinate appropriate are care chosen for the class project is emergency room case manager’s role in the preventions and management of asthma. The performance indicators measured are cost of care, quality of care, health status and clinical outcome (Powell). The performance indicators measured are cost of care, quality of care, health status and clinical outcome (Powell). Measuring health outcome is central to assessing the quality of care patient is receiving and outcome measures can be used for quality improvement …show more content…
An effective outcome measures should be valid, reliable, comprehensive, dynamic, flexible, and cogent (Powell). Outcome measurement allows us to determine which process and interventions are effective and which one needs improvement ( Powell). An effective asthma management by case managers in patients condition and patient outcome (MSDHS). The three measurable outcome of asthma management includes improved quality of life, decreased use of resources, and increased patient and family satisfaction. Regardless of the practice settings case managers help to increase access to health care service, reduces health care cost, improved outcomes of the care delivered and over all improve the quality of care (Powell). The categories of outcome indicators are
Valid-The effect seen is actually related to the intervention and is not a random occurrence
Reliable-Measuring what is actually intended to measure; not easy to manipulate; as objective and quantifiable as
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Case managers are collaborative members of the health care team which promote better communication with provider, and advocates for implementation of care plans (effective health care). The resource utilization include frequency of emergency room visit, hospital admission rate, unscheduled office visit, ambulatory care visit, and prescription fulfillment (MSDS). The data can be collected from patient, hospital management of information system database, employer data, school data and insurance and medicaid claims (MSDS). A decrease use of emergency room visit, decrease work days and school days shows that chronic health condition are well controlled and the disease management program is working well and patients are able to enjoy healthy and quality
Without question the cost of medical care in this country has skyrocketed over the last few decades. Walk into an emergency room with an earache or the need for a few stitches and you’re apt to walk out with a bill that is nothing short of shocking.
Performance improvement is vital to patient safety, quality of care, and patient satisfaction. Regular and an objective view at clinical outcomes is important for the nurse practitioner to engage in to ensure that his or her practice. This continual focus on improving outcomes ensures that quality care is being provided and optimal outcomes are met. This capstone project was a critical evaluation of the performance of a large family practice clinic. The goal of this project was to quantify the performance of the providers in the practice in their treatment of diabetes.
Unlike the staff from Trinity Health, the other staff studied cited some drawbacks from these expectations. For instance, Powell et al. (2012) conducted a study on health care providers’ feedbacks on their performance measure(PM) system. While positive outcomes resulted from PM were documented, the staff reported facing the pressure to conform to the requirements of PM. Because PM contains criteria needed to be met and addressed, Powell et al. (2012) concluded that the providers tend to get distracted from giving personalized and individualized care to patients.
The activity, I performed and relates to this outcome is the rounds with the hospital team (pharmacist, nurses, physicians, physician assistant and pulmonologist) in the ICU department during my hospital rotation in my second year of pharmacy in spring quarter. In this activity, I had to accompany with my preceptor pharmacist during their daily rounds with other health care professionals where, I was able to interact with other health care professionals. During this activity, individuals from all different professions gather all the information about patient including chief complain, treatment plan, how patient responding with current plan and then discuss about improvement plan if necessary for patient. For example, nurses will provide information
Case management has become the standard method of managing health care delivery organizations today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States; and has been extended to a wide range of clients (Park & Huber, 2009). Regardless of the setting, case management ensures that care is oriented to the client, while controlling costs at the same time. Case management delivers quality care to patients in the most cost effective approach by managing human and material resources. Client advocacy is a strong underlying theme for all case management activities. Case managers share the same goals and standards of practice, but are multidisciplinary and have diverse academic educational backgrounds and work environments (Park & Huber, 2009). The need for case management and case managers continue to increase as new service needs, and populations are recognized....
Scott et al. (2009) used OMRU to determine the barriers and supports for implementing metered dose inhalers with spacer devices in pediatric emergency departments for acute exacerbations of asthma research. barriers and facilitators interact with each other in terms of (1) attributes of the innovation e.g., perceived ease of use, clear advantages of metered dose inhalers with spacer and cost, (2) attributes of the practice environment e.g., staffing, organizational bureaucracy, presence of a research champion, and autonomy, (3) and attributes of the individual clinicians working within the emergency departments e.g., entrenched ideas and scepticism. The main barriers to the adoption of the metered dose inhalers with spacers were Lack of leadership in the form of a research champion, perceived resistance from patients or parents, a lack of consensus about the benefits of metered dose inhalers with spacers among staff, perceived increased cost, and perceived increased workload associated with metered dose inhalers with spacers use were the most prevalent barriers.
Case Management Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States. It has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
A case manager gives assistance to individuals who are in a difficult situation. A case manager does an assessment evaluation to see what kind of issues the client has and or dealing with. After having an assessment done, the case manager can figure out the main priority to focus on. The case manager then advocates suitable options and services for their
David Gillen, (2001), the role in quality management, benchmarking and performance measurement: Accessed on 6th Dec 2013.
Outcome measures will include satisfaction ratings from referring pediatric staff and participating families, wait times for receipt of behavioral health services and the total number of behavioral health visits in medical
Reliability means that a rater or instrument is consistent and reliable in their measurements from trial to trial. When a measurement is reliable it can be reproduced over and over again and still consistently be free from error. However, it is impossible for a measurement to be completely free of error. Therefore, it is important that the measurement error is calculated. This is the difference between the observed and true values. A reliable measure will have a small measurement error.
Measurements of Success: When identifying the measurements of success, focus on the client/customer needs and identify measurements that address those needs. At this point, focus on what you should measure, not how you will measure it. Save the "how" for later (step 7 of the 10 steps). If you spend time at the beginning of a process improvement project on how to measure something, the project team will get sidetracked worrying about the difficulty of the metric itself.
According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Edition). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates,
Education is way to increase awareness of patient, family members, healthcare professional, and the public that asthma is a chronic condition; ensure patients and family members recognize the symptoms; ensure a partnership among patient and health care professional in order to have an effective control of asthma; educating family members and patient how to do home inspection, recognize asthma triggers and preventing asthma attack; Asthma is chronic and variable disease, there is a need for patient and family members to learn how to make a lifestyle change and follow drug therapy for a long period of time, even when the symptoms is not present. They need to be capable of making rapid decision about symptoms severity, self-medication and when to contact the health care team based on the severity of
Especially with regard to low income, or inner city patients. “Adequate disease control requires that a patient have a regular health-care provider who coordinates and co-manages care, thereby preventing the patient’s hospitalization. Unfortunately, however, poor individuals receiving health insurance through public aid programs, such as Medicaid or the State Children’s Health Insurance Program (SCHIP), often have high “no-show” rates for medical appointments, which disrupts continuity of care”. The article describes a “no-show” as a patient who misses a scheduled appointment with a medical provider and does not call ahead to cancel or reschedule the appointment (). Missed appointments are harmful for patients because chronic illnesses often require a lot of work, from the patient to assess the progression of the disease. This means routine appointments are often needed in order to fill prescriptions, etc. Like said before a key to chronic disease management is the patients education on the subject and their ability to communicate with the necessary medical