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| chronic care management nurse: Chronic Care Nursing Linda Deravin-Malone, Judith Anderson, 2016-07-01 Chronic Care Nursing: A Framework for Practice provides a comprehensive and accessible overview of the role of the nurse in dealing with chronic conditions across a variety of healthcare settings in Australia and New Zealand. The first part of the book provides a road map for the implementation of chronic care, by outlining how two essential approaches to chronic care management - the Chronic Care Model and the World Health Organization's Innovative Care for Chronic Conditions Framework - can help to improve patient outcomes at both national and international levels. The second part devotes separate chapters to key conditions - including dementia, disability, palliative care and mental health - and highlights the pressing contemporary considerations of each condition. Written by an expert author team of clinicians and academics, this book is full of helpful educational tools such as national competencies, case studies and reflective questions, and is an indispensable resource for students and registered nurses. |
| chronic care management nurse: Advanced Practice Nursing Ethics in Chronic Disease Self-Management Barbara Klug Redman, 2012-09-21 Print+CourseSmart |
| chronic care management nurse: Disease Management for Nurse Practitioners , 2002 This definitive reference has everything nurse practitioners need to manage diseases confidently. Organized by body system or disease category, the book covers more than 300 disorders, from coronary artery disease to latex allergy to thyroid cancer. For each condition, the text reviews causes, incidence, pathophysiology, clinical presentation, diagnostic tests, differential diagnosis, treatment guidelines (for drug therapy, surgery, diet, pain control, and behavior modification), patient teaching, and more. Healthy Living covers lifestyle behaviors. Clinical Caution highlights complications related to disease management. Age Alert showcases age-specific considerations for young and older patients. Hundreds of illustrations and charts throughout clarify key topics. |
| chronic care management nurse: Closing the Quality Gap Kaveh G. Shojania, 2004 |
| chronic care management nurse: Geriatric Practice Audrey Chun, 2019-10-29 This book serves as a comprehensive reference for the basic principles of caring for older adults, directly corresponding to the key competencies for medical student and residents. These competencies are covered in 10 sections, each with chapters that target the skills and knowledge necessary for achieving competency. Each of the 45 chapters follow a consistent format for ease of use, beginning with an introduction to the associated competency and concluding with the most salient points for mastery. Chapters also includes brief cases to provide context to the clinical reasoning behind the competency, strengthening the core understanding necessary to physicians of the future. Written by expert educators and clinicians in geriatric medicine, Geriatric Practice is key resource for students in geriatric medicine, family and internal medicine, specialties, hospice and nursing home training, and all clinicians studying to work with aging patients. |
| chronic care management nurse: Assessing Chronic Disease Management in European Health Systems World Health Organization, 2015-12-16 This publication explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on 12 detailed country reports (available in a second, online volume), the study provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches. |
| chronic care management nurse: The Holistic Nursing Approach to Chronic Disease Carolyn Chambers Clark, EdD, ARNP,FAAN, 2004-08-31 This book provides an overview of the holistic nursing approach, along with chapters on 20 commonly encountered chronic conditions, ranging from diabetes to sleep disorders. The interventions described for each condition include recommendations for diet, herbal supplements (if appropriate), and therapies such as accupressure, guided imagery, and stress management. Treatment planning emphasizes minimally invasive wellness approaches. Each chapter includes a specific example of a holistic nursing assessment, a collaborative treatment plan with a list of possible interventions, and a section on evaluating the effects of treatment. |
| chronic care management nurse: Middle Range Theory for Nursing Mary Jane Smith, PhD, RN, FAAN, Patricia R. Liehr, PhD, RN, 2018-03-10 Three-time recipient of the AJN Book of the Year Award! Praise for the third edition: “This is an outstanding edition of this book. It has great relevance for learning about, developing, and using middle range theories. It is very user friendly, yet scholarly. Score: 90, 4 Stars -Doody's Medical Reviews The fourth edition of this invaluable publication on middle range theory in nursing reflects the most current theoretical advances in the field. With two additional chapters, new content incorporates exemplars that bridge middle range theory to advanced nursing practice and research. Additional content for DNP and PhD programs includes two new theories: Bureaucratic Caring and Self-Care of Chronic Illness. This user-friendly text stresses how theory informs practice and research in the everyday world of nursing. Divided into four sections, content sets the stage for understanding middle range theory by elaborating on disciplinary perspectives, an organizing framework, and evaluation of the theory. Middle Range Theory for Nursing, Fourth Edition presents a broad spectrum of 13 middle range theories. Each theory is broken down into its purpose, development, and conceptual underpinnings, and includes a model demonstrating the relationships among the concepts, and the use of the theory in research and practice. In addition, concept building for research through the lens of middle range theory is presented as a rigorous 10-phase process that moves from a practice story to a conceptual foundation. Exemplars are presented clarifying both the concept building process and the use of conceptual structures in research design. This new edition remains an essential text for advanced practice, theory, and research courses. New to the Fourth Edition: Reflects new theoretical advances Two completely new chapters New content for DNP and PhD programs Two new theories: Bureaucratic Caring and Self-Care of Chronic Illness Two articles from Advances in Nursing Science documenting a historical meta-perspective on middle range theory development Key Features: Provides a strong contextual foundation for understanding middle range theory Introduces the Ladder of Abstraction to clarify the range of nursing’s theoretical foundation Presents 13 middle range theories with philosophical, conceptual, and empirical dimensions of each theory Includes Appendix summarizing middle range theories from 1988 to 2016 |
| chronic care management nurse: Leadership and Nursing Care Management Diane Huber, 2010 This new edition addresses basic issues in nurse management such as law and ethics, staffing and scheduling, delegation, cultural considerations and management of time and stress. It also provides readers with the core concepts that separate adequate and exceptional nurse managers. |
| chronic care management nurse: Managing Long-term Conditions and Chronic Illness in Primary Care Judith Carrier, 2015-06-29 Effective management of long-term conditions is an essential part of contemporary nursing policy and practice. Systematic and evidence-based care which takes account of the expert patient and reduces unnecessary hospital admissions is vital to support those with long-term conditions/chronic diseases and those who care for them. Reflecting recent changes in treatment, the nurse’s role and the patient journey and including additional content on rehabilitation, palliative care, and non-medical prescribing, this fully updated new edition highlights the key issues in managing long-term conditions. It provides a practical and accessible guide for nurses and allied health professionals in the primary care environment and covers: - the physical and psychosocial impact of long-term conditions - effective case management - self-management and the expert patient - behavioural change strategies and motivational counselling - telehealth and information technology - nutritional and medication management. Packed with helpful, clearly written information, Managing Long-term Conditions and Chronic Illness in Primary Care includes case studies, fact boxes and pointers for practice. It is ideal reading for pre- and post-registration nursing students taking modules on long-term conditions, and will be a valuable companion for pre-registration students on community placements. |
| chronic care management nurse: Chronic Care Nursing Linda Deravin, Judith Anderson, 2019-05-21 Chronic conditions have a substantial impact on life and health care. Health systems need to adapt to address these shifting health priorities, while nurses require specialised skills to implement changes and create better client outcomes. Chronic Care Nursing: A Framework for Practice provides a comprehensive and accessible overview of the role of the nurse in managing chronic conditions across a variety of settings in Australia and New Zealand. The first part of the book outlines two essential approaches to chronic care management - the Chronic Care Model and the World Health Organization's Innovative Care for Chronic Conditions Framework - while the second part covers key conditions within chronic care nursing. The second edition has been fully updated to include the latest research, and features new chapters covering self-management and empowerment; living with mental health issues; chronic bowel conditions; and eye, ear and dental health. |
| chronic care management nurse: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| chronic care management nurse: Introduction to Care Coordination and Nursing Management Laura J. Fero, Charlotte Anne Herrick, Jie Hu (Ph. D.), 2011 A new and updated version of this best-selling resource! Jones and Bartlett Publisher's 2011 Nurse's Drug Handbook is the most up-to-date, practical, and easy-to-use nursing drug reference! It provides: Accurate, timely facts on hundreds of drugs from abacavir sulfate to Zyvox; Concise, consistently formatted drug entries organized alphabetically; No-nonsense writing style that speaks your language in terms you use everyday; Index of all generic, trade, and alternate drug names for quick reference. It has all the vital information you need at your fingertips: Chemical and therapeutic classes, FDA pregnancy risk category and controlled substance schedule; Indications and dosages, as well as route, onset, peak, and duration information; Incompatibilities, contraindications; interactions with drugs, food, and activities, and adverse reactions; Nursing considerations, including key patient-teaching points; Vital features include mechanism-of-action illustrations showing how drugs at the cellular, tissue, or organ levels and dosage adjustments help individualize care for elderly patients, patients with renal impairment, and others with special needs; Warnings and precautions that keep you informed and alert. |
| chronic care management nurse: The Future of Nursing 2020-2030 National Academies of Sciences Engineering and Medicine, Committee on the Future of Nursing 2020-2030, 2021-09-30 The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report. |
| chronic care management nurse: The Future of Nursing Institute of Medicine, Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine, 2011-02-08 The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing. |
| chronic care management nurse: Compact Clinical Guide to Chronic Pain Management Yvonne D'Arcy, MS, APN-C, CNS, FAANP, 2011-01-28 Designated a Doody's Core Title! This is an excellent resource that is essential for all primary care providers. Score: 100, 5 Stars.--Doody's Medical Reviews [P]ractitioners who oversee the treatmentof chronic pain in the adult population will likely find thisnew reference an invaluable addition to their bookshelf.--Dimensions of Critical Care Nursing This book is highly recommended; it will be an indispensable addition to the professional library of every nurse practitioner who manages patients with chronic, persistent pain. Margaret H. Granitto, RN, MSN, CRNP Georgetown University School of Nursing and Health Studies Presented in a clear, systematic format, this clinically oriented book provides nurses and physicians with quick access to much-needed pain management guidelines. With a unique focus on treatment options for patients with chronic persistent pain, this guide provides critical guidance on managing difficult conditions such as fibromyalgia and neuropathic pain. The text expertly assists practitioners in assessing pain in a variety of patient populations and provides professional insight on selecting patient-appropriate medications and interventions to achieve optimal pain management for adult patients. Key Features: Contains the newest guidelines on how to use a combination of pain screening tools to accurately assess the nature, intensity, and occurrence of patient pain Provides information on new medications and combinations of medications to use for chronic pain Presents essential information on safe prescribing and screening tools such as the Opioid Risk Tool (ORT) and screening tools for aberrant behaviors Provides strategies for utilizing nontraditional treatment options such as acupuncture, energy therapies, and psychological and coping strategies |
| chronic care management nurse: Case Management for Nurses Anita Ward Finkelman, 2011 Institute of Medicine current recommendations--helping students understand and utilize the field's current best practices |
| chronic care management nurse: Patient Centered Medicine Omur Sayligil, 2017-04-12 Patient-centered medicine is not an illness-centered, a physician-centered, or a hospital-centered medicine approach. In this book, it is aimed at presenting an approach to patient-centered medicine from the beginning of life to the end of life. As indicated by W. Osler, It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has. In our day, if the physicians and healthcare professionals could consider more than the diseased organ and provide healthcare by comforting the patients by respecting their values, beliefs, needs, and preferences; informing them and their relatives at every stage; and comforting the patients physically by controlling the pain and relieving their worries and fears, patients obeying the rules of physicians would become patients with high adaptation and participation to the treatment. |
| chronic care management nurse: The 1st Annual Crossing the Quality Chasm Summit Institute of Medicine, Board on Health Care Services, Committee on the Crossing the Quality Chasm: Next Steps Toward a New Health Care System, 2004-09-13 In January 2004, the Institute of Medicine (IOM) hosted the 1st Annual Crossing the Quality Chasm Summit, convening a group of national and community health care leaders to pool their knowledge and resources with regard to strategies for improving patient care for five common chronic illnesses. This summit was a direct outgrowth and continuation of the recommendations put forth in the 2001 IOM report Crossing the Quality Chasm: A New Health System for the 21st Century. The summit's purpose was to offer specific guidance at both the community and national levels for overcoming the challenges to the provision of high-quality care articulated in the Quality Chasm report and for moving closer to achievement of the patient-centerd health care system envisioned therein. |
| chronic care management nurse: Long-Term Conditions Liz Meerabeau, Kerri Wright, 2011-05-09 This book is a very welcome tool, which will enable health professionals to understand the complexity, challenge and rewards of proactively managing long-term conditions. Putting this knowledge into skilled practice, in partnership with patients, will transform the lives of many individuals and their families, and thus fulfil the fundamental purpose of nursing. —From the Foreword by Professor Rosemary Cook CBE, Director, the Queen's Nursing Institute and Visiting Professor of Enterprise, University of Northumbria Long-Term Conditions is a comprehensive, practical guide for nurses and healthcare professionals on the care and management of people with chronic illness. It explores case management, individual care and management, the role of the 'expert patient', quality-of-life issues, counselling skills, self-management, and optimum self-care. Long-Term Conditions discusses the three main long-term conditions currently resulting in most hospital admissions: diabetes, respiratory, and coronary heart disease, with a focus on empowering the patient to self-manage. Key Features: A comprehensive guide to the care and management of long-term conditions Focuses on the management of the conditions from the patients' perspective Practical and accessible in style |
| chronic care management nurse: Chronic Care Nursing Linda Deravin, Judith Anderson, 2019-05-21 This text provides a comprehensive overview of the role of the nurse in managing chronic conditions across various settings. |
| chronic care management nurse: The Future of the Nursing Workforce in the United States Peter Buerhaus, Douglas Staiger, David Auerbach, 2009-10-06 The Future of the Nursing Workforce in the United States: Data, Trends and Implications provides a timely, comprehensive, and integrated body of data supported by rich discussion of the forces shaping the nursing workforce in the US. Using plain, jargon free language, the book identifies and describes the key changes in the current nursing workforce and provide insights about what is likely to develop in the future. The Future of the Nursing Workforce offers an in-depth discussion of specific policy options to help employers, educators, and policymakers design and implement actions aimed at strengthening the current and future RN workforce. The only book of its kind, this renowned author team presents extensive data, exhibits and tables on the nurse labor market, how the composition of the workforce is evolving, changes occurring in the work environment where nurses practice their profession, and on the publics opinion of the nursing profession. |
| chronic care management nurse: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system. |
| chronic care management nurse: CMSA's Integrated Case Management Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN, Rebecca Perez, MSN, RN, CCM, FCM, Corine Latour, PhD, RN, 2018-01-28 Written by case managers for case managers, this reference manual for nurses and other health professionals presents a CMSA tested approach towards systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act, Mental Health Parity, Transition of Care & Chronic Care Management and the Medicare Act and CHIP Authorization Act (MACRA), health care workers must competently know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice. CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, CMSA Standards of Practice 2016 as well as the CMSA Core Curriculum for Case Management Third Edition. |
| chronic care management nurse: Guided Care Chad Boult, MD, MPH, Jean Giddens, PhD, RN, Katherine Frey, MPH, Lisa Reider, MHS, Tracy Novak, MHS, 2009-02-26 Winner of the 2009 Medical Economics Award! Boult and his colleagues . . . . have crafted a team model that builds upon the unique strengths of nurses and primary care physicians coupled with effective communication and implementation of evidence-based care. This represents a great advance over business as usual. --David B. Reuben, MD Director, Multicampus Program in Geriatric Medicine and Gerontology Chief, Division of Geriatrics David Geffen School of Medicine at UCLA Guided Care is an exciting, new team model used to provide medical care to clients with chronic conditions. This model involves adding a Guided Care nurse to the primary care practice team. It is also the most efficient, cost-effective way to respond to the needs of patients. This book provides physicians, nurses, administrators, and leaders of health care organizations with step-by-step guidance on adopting Guided Care Nursing into their practice. Featured Highlights: Evaluating the primary care pratice's readiness to adopt Guided Care Preparing for adoption Integrating Guided Care into existing practices Hiring nurses for the primary care team Assuring financial viability Comparing Guided Care with other models The future of primary care, and the quality of care for adults with chronic conditions, depends on finding approaches to improve efficiency and effectiveness. This book demonstrates that Guided Care yields the best outcomes for patients and for primary care at large. |
| chronic care management nurse: Individualized Care Riitta Suhonen, Minna Stolt, Evridiki Papastavrou, 2018-08-22 This contributed book is based on more than 20 years of researches on patient individuality, care and services of the continuously changing healthcare system. It describes how research results can be used to respond to challenges on individuality in healthcare systems. Service users’, patients’ or clients’ point of views on care and health services are urgently needed. This book describes the conceptualisation of the individualized nursing care phenomenon and the process development of the measuring instruments of that phenomenon in different contexts. It describes results from a variety of clinical contexts about individualized nursing care and explains factors associated with the perceptions and delivery of individualized nursing care from different point of views. This book may appeal to clinicians, nurses practitioners and researchers from many fields. |
| chronic care management nurse: Chronic Illness Ilene Morof Lubkin, Pamala D. Larsen, 2013 The newest edition of best-selling Chronic Illness continues to focus on the various aspects of chronic illness that influence both patients and their families. Topics include the sociological, psychological, ethical, organizational, and financial factors, as well as individual and system outcomes. This book is designed to teach students about the whole client or patient versus the physical status of the client with chronic illness. The study questions at the end of each chapter and the case studies help the students apply the information to real life. Evidence-based practice references are included in almost every chapter. |
| chronic care management nurse: Case Management Suzanne K. Powell, Hussein M. Tahan, 2018-02-26 Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management |
| chronic care management nurse: Nursing Case Management Elaine Cohen, Toni G. Cesta, 2004-08-26 This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities |
| chronic care management nurse: Population Health for Nurses Diana R. Mager, DNP, RN-BC, Jaclyn Conelius, PhD, FNP-BC, FHRS, 2019-11-28 A nurse’s field guide to improving health outcomes for distinct patient populations This practical text is distinguished by its in-depth coverage of populations, ranging from opioidaddicted veterans to young children suffering from obesity. Focused on the educational needs of students in undergraduate and bridge programs, this book is grounded in evidence-based practice, in-depth content, and clinical case studies. Five sections address population health in the following settings: community-based care, home and rural health, school-based and primary care, medical home and palliative care, and acute and long-term care. Each section begins with an overview chapter addressing fundamental concepts, characteristic trends, expenditures, and critical considerations. Subsequent chapters provide descriptions of varied patient populations, relevant care settings, and examples of the RN’s role within each setting. Chapters conclude with a case study that illustrates a day in the life of a typical nurse, which includes assessment and evaluation of present symptoms, demographic information, social and environmental determinants, and medical background. Chapters also encompass advocacy and policy roles, care access, emergency preparedness, and community resiliency. Key Features: Focuses on the needs of students in undergraduate and bridge programs Provides specific examples and context using a “population of interest” approach Exposes nurses and future nurses to a multitude of diverse work settings Case studies are written from the nurse’s perspective Addresses current medical issues among populations with an emphasis on practical content application Grounded in evidence-based principles Clinical reasoning exercises (Q&As with rationales) and lists of key terms with definitions Supplemental Instructor’s PowerPoints included |
| chronic care management nurse: Living Well with Chronic Illness Institute of Medicine, Board on Population Health and Public Health Practice, Committee on Living Well with Chronic Disease: Public Health Action to Reduce Disability and Improve Functioning and Quality of Life, 2011-06-30 In the United States, chronic diseases currently account for 70 percent of all deaths, and close to 48 million Americans report a disability related to a chronic condition. Today, about one in four Americans have multiple diseases and the prevalence and burden of chronic disease in the elderly and racial/ethnic minorities are notably disproportionate. Chronic disease has now emerged as a major public health problem and it threatens not only population health, but our social and economic welfare. Living Well with Chronic Disease identifies the population-based public health actions that can help reduce disability and improve functioning and quality of life among individuals who are at risk of developing a chronic disease and those with one or more diseases. The book recommends that all major federally funded programmatic and research initiatives in health include an evaluation on health-related quality of life and functional status. Also, the book recommends increasing support for implementation research on how to disseminate effective longterm lifestyle interventions in community-based settings that improve living well with chronic disease. Living Well with Chronic Disease uses three frameworks and considers diseases such as heart disease and stroke, diabetes, depression, and respiratory problems. The book's recommendations will inform policy makers concerned with health reform in public- and private-sectors and also managers of communitybased and public-health intervention programs, private and public research funders, and patients living with one or more chronic conditions. |
| chronic care management nurse: Health Care Information Systems Karen A. Wager, Frances W. Lee, John P. Glaser, 2017-02-08 BESTSELLING GUIDE, UPDATED WITH A NEW INFORMATION FOR TODAY'S HEALTH CARE ENVIRONMENT Health Care Information Systems is the newest version of the acclaimed text that offers the fundamental knowledge and tools needed to manage information and information resources effectively within a wide variety of health care organizations. It reviews the major environmental forces that shape the national health information landscape and offers guidance on the implementation, evaluation, and management of health care information systems. It also reviews relevant laws, regulations, and standards and explores the most pressing issues pertinent to senior level managers. It covers: Proven strategies for successfully acquiring and implementing health information systems. Efficient methods for assessing the value of a system. Changes in payment reform initiatives. New information on the role of information systems in managing in population health. A wealth of updated case studies of organizations experiencing management-related system challenges. |
| chronic care management nurse: Renal Nursing Nicola Thomas, 2019-08-26 Now in its fifth edition, Renal Nursing continues to be the essential evidence-based guide to nephrology and kidney care for nurses and allied health care professionals. This comprehensive text examines the stages of chronic kidney disease, pre-dialysis care, acute kidney injury, renal replacement therapy, renal nutrition, renal care in children and young people and more. Offers thorough coverage of all major aspects of kidney care Includes updated content on current practice, changes in policies, care and management, with the latest research evidence and current NICE guidance on renal replacement therapy Has an innovative chapter on patient and public involvement in kidney care Renal Nursing is an indispensable resource for nurses working in nephrology, dialysis and transplantation, nurses in post-registration renal courses, student nurses in renal wards, specialist renal dietitians, pharmacists and other allied health professionals in related fields. |
| chronic care management nurse: Chronic Pain Management for the Hospitalized Patient Richard W. Rosenquist, Dmitri Souzdalnitski, Richard D. Urman, 2016 Chronic Pain Management for the Hospitalized Patient equips clinicians to provide safe and effective management of hospitalized patients with co-existing chronic pain. It provides a comprehensive practical guide to pain physiology, opioid and non-opioid management, pain prevention strategies, special considerations for disease states, surgical conditions, and special populations. |
| chronic care management nurse: Advances in Patient Safety Kerm Henriksen, 2005 v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products. |
| chronic care management nurse: Case Management Nurse Exam , 2018-04-12 ***Includes Practice Test Questions*** Case Management Nurse Exam Secrets helps you ace the Case Management Nurse Exam without weeks and months of endless studying. Our comprehensive Case Management Nurse Exam Secrets study guide is written by our exam experts, who painstakingly researched every topic and concept that you need to know to ace your test. Our original research reveals specific weaknesses that you can exploit to increase your exam score more than you've ever imagined. Case Management Nurse Exam Secrets includes: The 5 Secret Keys to Case Management Nurse Exam Success: Time is Your Greatest Enemy, Guessing is Not Guesswork, Practice Smarter, Not Harder, Prepare, Don't Procrastinate, Test Yourself; A comprehensive General Strategy review including: Make Predictions, Answer the Question, Benchmark, Valid Information, Avoid Fact Traps, Milk the Question, The Trap of Familiarity, Eliminate Answers, Tough Questions, Brainstorm, Read Carefully, Face Value, Prefixes, Hedge Phrases, Switchback Words, New Information, Time Management, Contextual Clues, Don't Panic, Pace Yourself, Answer Selection, Check Your Work, Beware of Directly Quoted Answers, Slang, Extreme Statements, Answer Choice Families; A comprehensive Content review including: Case Management Plan, Clinical Practice, Practice Guidelines, Algorithms, Myocardial Infarction, Intravenous Therapy, Psychosocial Assessment, Outcome Indicators, Discharge Planning, Cultural Differences, Cultural Competency, Advanced Directives, Transitional Care Planning, Life Care Planner, Disease Management Program, Predictive Modeling, Premature Infant, Geriatric Case Management, Five D's of Depression, Behavioral Illnesses, Case Management Information Systems, Data Warehouse, Asthma, Emergency Assistance, Vocational Education, Subacute Setting, Disposable Medical Supplies, Durable Medical Equipment, Retrospective Review, Term Preauthorization, Private Payers Groups, and much more... |
| chronic care management nurse: Foundations of Case Management Deanna Cooper Gillingham, 2021-10-16 |
| chronic care management nurse: The Physician Billing Process Deborah L. Walker, Sara M. Larch, Elizabeth W. Woodcock, 2004 Collect money owed to your practice. Improve your revenue cycle by maximizing key processes for professional fee billing. Written by industry experts, this book is a step-by-step guide to billing and collection processes, performance outcomes and advanced billing practices. It includes case studies, tools, checklists, resources, policies and procedures to help you diagnose problems and develop plans to attain optimal financial performance. |
| chronic care management nurse: Advanced Concepts in Multiple Sclerosis Nursing Care June Halper, MSN, APN-C, MSCN, FAAN, 2007-11-16 The nurse plays a vital role as an educator, care provider, and advocate for patients and families affected by multiple sclerosis (MS). The companion book to an earlier work, Comprehensive Nursing Care in Multiple Sclerosis, Advanced Concepts in Multiple Sclerosis Nursing Care, 2nd Edition examines complex issues in MS management and reflects a new philosophy of MS care: one of empowerment. The focus is on the numerous settings in which MS nurses practice, as well as their many roles and responsibilities in managing this highly variable disease. It will provide the reader with an updated view of MS along with a greater understanding of its lifelong impact. Special features of the second edition include: A new chapter on sustaining hope in MS patients A new chapter on treatment of acute exacerbations A new chapter on emerging intravenous therapies Expanded sections on pain, depression, and skin care with frequent injections The book is divided into sections dealing with the disease itself, advanced practice requirements for nurses, and advanced symptom management. Contributors to Advanced Concepts in Multiple Sclerosis Nursing Care, 2nd Edition are nurse clinicians and researchers who work in geographically diverse practice settings throughout North America and Europe. The book will provide nurses with tools and strategies to improve the lives affected by multiple sclerosis and to reinforce the role of the nurse in managing it. |
| chronic care management nurse: Living with Chronic Illness and Disability Esther Chang, Amanda Johnson, 2021-10-12 Fully updated and refreshed to reflect current knowledge, data and perspectives |
Chronic Diseases - American Medical Association
Apr 6, 2023 · Chronic diseases are long-term health conditions that can have a significant impact on a person's quality of life. Some of the most common chronic diseases include diabetes, …
Putting a spotlight on lifestyle medicine to prevent chronic d…
Mar 7, 2025 · "Chronic disease is a part of every patient who we treat, regardless of your specialty," Dr. Suk said. "For me, an orthopaedic surgeon, focusing on one, two or three of the …
Chronic Care Management Consent | AMA
Chronic Care Management Consent THE MYTH The Centers for Medicare and Medicaid Services (CMS) requires patient consent to be obtained at regular intervals for Chronic Care …
Living with chronic pain, lifespan vs healthspan, and u…
Dec 18, 2024 · Garcia: Well, the report found that chronic pain and high-impact chronic pain increased with age, and that American, Indian and Alaska Native, non-Hispanic adults, were …
Is consent for chronic care management required regula…
Oct 13, 2023 · Chronic Care Management and Connected Care. CMS. Published March 30, 2023. …
Chronic Diseases - American Medical Association
Apr 6, 2023 · Chronic diseases are long-term health conditions that can have a significant impact on a person's quality of life. Some of the most common chronic diseases include diabetes, …
Putting a spotlight on lifestyle medicine to prevent chronic disease
Mar 7, 2025 · "Chronic disease is a part of every patient who we treat, regardless of your specialty," Dr. Suk said. "For me, an orthopaedic surgeon, focusing on one, two or three of the …
Chronic Care Management Consent | AMA
Chronic Care Management Consent THE MYTH The Centers for Medicare and Medicaid Services (CMS) requires patient consent to be obtained at regular intervals for Chronic Care …
Living with chronic pain, lifespan vs healthspan, and updated …
Dec 18, 2024 · Garcia: Well, the report found that chronic pain and high-impact chronic pain increased with age, and that American, Indian and Alaska Native, non-Hispanic adults, were …
Is consent for chronic care management required regularly?
Oct 13, 2023 · Chronic Care Management and Connected Care. CMS. Published March 30, 2023. Accessed June 30, 2023. ...
Improving your ICD-10 Diagnosis Coding - American Medical …
Jan 4, 2016 · Acute vs. Persistent vs. Recurrent vs. Chronic . Review the guidelines for how the terms acute, persistent, recurrent, and chronic are defined for various diagnoses. The …
7 steps patients should follow to reduce, manage chronic disease
Oct 1, 2019 · Preventing and managing chronic disease often requires patients to make healthy lifestyle changes and adjustments to their daily routines. While some might feel overwhelmed …
Rethinking how physicians learn to prevent, manage chronic disease
Jul 27, 2016 · As the number of patients with chronic conditions continues to climb, so do the rates of burnout among physicians. Fundamental changes to how physicians approach chronic …
Measles resources - American Medical Association
Jun 5, 2025 · Blindness, encephalitis, diarrhea and associated dehydration, ear infections, and severe pneumonia are known complications. Before vaccination, measles was responsible for …
CPT® Evaluation and Management (E/M) Code and Guideline …
CPT® Evaluation and Management (E/M) Code and Guideline Changes ... a
