Case management: nursing

Case management: nursing
440 Week 7 question 1 due Dec 23rd
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?
What is demand management and how does it increase consumer involvement in healthcare? What is disease management? How can disease management be used to further increase consumer involvement in their healthcare?
Discussion Question #2 Due Dec 27th
Read: Bressi Nath, S., Alexander, L. B., & Solomon, P. L. (2012). Case manager’s perspectives on the therapeutic alliance: A qualitative study; Social Psychiatry and Psychiatric Epidemiology, 47(11), 1815-1926.
Have you or have you known a close friend or relative who has used case management services in the acute, primary, or home care settings? Briefly describe the process. Reflect on the learning in this course. Would you change any of the process based on your learning in this course? Why or why not?
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Solution
Question 1
In healthcare, demand management can be described as a process in which patients are empowered to effectively make wiser health care decisions. Demand management includes engaging patients in the quest for appropriate care as opposed to reducing the demand for health care services or trying to keep patients out of healthcare facilities (Giesen et al., 2017). Demand management works to empower patients to effectively make wiser health care decisions. Demand management helps to improve patients’ health by reducing the need for health care services with different strategies such as health promotion wellness, prevention, risk reduction, and early detection. Secondly, demand management works by attempting to improve patients’ decisions. Demand management can therefore Involve educating patients in a way that they understand when they require self-care and when they require to see a health caregiver. Demand management can therefore leverage skills such as telephone advice lines in the decision-making process and other forms of patient education materials. Demand management increases consumer involvement in healthcare through patient education and presenting advice to patients (Tiedemann, 2020).
On the other hand, disease management is a concept that entails trying to improve the quality of life for individuals struggling with chronic conditions while at the same time reducing healthcare costs by minimizing or preventing the effect of diseases through integrated care (Giesen et al., 2017). Disease management programs are designed in a way that they post the health of individuals suffering from chronic conditions and therefore reduce costs associated with avoidable complications through the identification and treatment of chronic conditions are lead and more effectively and prevent the progression of such diseases. Disease management also entails the implementation of self-care efforts. Disease management can therefore be used to increase consumer involvement in healthcare through different health promotion efforts (Tiedemann, 2020).
References
Giesen, M. J., Keizer, E., van de Pol, J., Knoben, J., Wensing, M., & Giesen, P. (2017). The impact of demand management strategies on parents’ decision-making for out-of-hours primary care: findings from a survey in The Netherlands. BMJ Open, 7(5), e014605. https://doi.org/10.1136/bmjopen-2016-014605
Tiedemann, F. (2020). Demand-driven supply chain operations management strategies – a literature review and conceptual model. Production & Manufacturing Research, 8(1), 427–485. https://doi.org/10.1080/21693277.2020.1856012
Question 2
Case Management involves assessment planning, care coordination advocacy and various services and options to meet the comprehensive health needs of an individual or a family through clear communication and utilization of available resources. Case Management seeks to improve the quality of care, promote patient safety and enhance cost-effective outcomes among patients (Lukersmith et al., 2016). Case Management acts as a way of improving the wellness of a client and the autonomy through communication, advocacy education, service facilitation and identification of service resources. A case manager helps patients to identify appropriate health care facilities and providers to ensure that all the available resources are utilized effectively in a cost-effective and timely manner so as to obtain optimal value forgo the investment sources and the client. The case management services environment allows direct communication between the client and case manager so as to enhance the optimization of all kinds for all involved parties (Fabbri et al., 2017). Justification of case management services requires that case managers who possess the skills and education and also the experience are required to provide the necessary services based on sound principles and practice (Lukersmith et al., 2016).
Based on the learning I have acquired from this course, I believe that case management should involve more patient education. In addition to helping patients in the utilization of available healthcare resources and providing service facilitation services, case managers should also be actively involved in patient education. The incorporation of patient education in case management helps to promote self-care among patients and improve the outcomes of such patients.
References
Fabbri, E., de Maria, M., & Bertolaccini, L. (2017). Case management: an up-to-date review of literature and a proposal of a county utilization. Annals of Translational Medicine, 5(20), 396. https://doi.org/10.21037/atm.2017.07.26
Lukersmith, S., Millington, M., & Salvador-Carulla, L. (2016). What is Case Management? A Scoping and Mapping Review. International Journal of Integrated Care, 16(4), 2. https://doi.org/10.5334/ijic.2477