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Case Management Implementation Plan
Create a plan to implement case management at your workplace. What is your recommended plan for the use of case managers in your organization for patients with your chosen chronic illness? Identify people within your organization who are stakeholders or would support your plan. Whose support do you need to get your plan implemented? Identify your goals – what do you hope to accomplish with your case management plan?
Often, starting with our goals helps – it’s a backwards design. As we think about a case management plan we are proposing for our workplace, what do we want to accomplish? Remember – goals should be measurable. For example, if the chosen chronic disease is diabetes, one goal may be:
- Clients will have decreased incidences of hyperglycemia requiring hospitalization
Once we determine what we want to accomplish, we can begin to construct our plan to achieve the goal. To achieve this goal, our plan may include providing education in a manner the client can understand (being sensitive to cultural needs), access to phone support, or inputting glucose readings into their electronic health record for documentation the case manager can evaluate and use to reach out to the client.
To put this plan in action, whose support would we need? Primary Care Physicians, Utilization Review personnel, and the Chief Financial Officer would all have an interest in optimizing patient health and reducing costs.
Reading and Resources
Read Ferrier, G. D., & Trivitt, J. S. (2013). Incorporating quality into the measurement of hospital efficiency: A double DEA approach. Journal of Productivity Analysis, 40(3), 337-355. https://search.proquest.com/docview/1448800469?accountid=169658
Search the site for US Department of Health and Human Services “Hospital Compare” and use the interactive database to compare and contrast health plans, hospitals, etc. How might you use this site with patients as a case manager?
Additional Instructions:
- All submissions should have a title page and reference page.
- Utilize a minimum of two scholarly resources.
- Adhere to grammar, spelling and punctuation criteria.
- Adhere to APA compliance guidelines.
- Adhere to the chosen Submission Option for Delivery of Activity guidelines.
Submission Options:
Choose One:
Instructions:
Paper
- 4 to 6-page paper. Include title and reference pages.Collaboration for Improving Outcomes – Case Management Implementation Plan
Description: The baccalaureate graduate nurse will demonstrate teambuilding and
collaborative strategies when working with interprofessional teams to deliver evidence-based,
patient-centered care.
Course Competency: 4) Coordinate the care of individuals across the lifespan utilizing
principles and knowledge of interdisciplinary models of care delivery and case management.
QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration 3) Evidence-
Based Practice
BSN Essential VI
Area Gold
Mastery
Silver
Proficient
Bronze
Acceptable
Acceptable
Mastery not
Demonstrated
Implementation
plan.
Constructs an
implementation
plan.
Explains an
implementation
plan.
Lists elements of
an
implementation
plan.
Does not provide
an
implementation
plan.
Gain Buy-in Proposes
approach to gain
buy-in from key
stakeholders.
Indicates an
approach to gain
buy-in from key
stakeholders.
States an
approach to gain
buy-in from key
stakeholders.
Does not discuss
an approach to
gain buy-in from
key
stakeholders.
Key Outcomes Examines key
outcomes of the
case
management
plan.
Identifies key
outcomes of the
case
management
plan.
Lists key
outcomes of the
case
management
plan.
Does not discuss
key outcomes of
the case
management
plan.
APA, Grammar,
Spelling, and
Punctuation
No errors in
APA, Spelling,
and Punctuation.
One to three
errors in APA,
Spelling, and
Punctuation.
Four to six
errors in APA,
Spelling, and
Punctuation.
Seven or more
errors in APA,
Spelling, and
Punctuation.
References Provides two or
more references.
Provides two
references.
Provides one
references.
Provides no
references.
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