Collaboration for Improving Outcomes- Regulatory Environment
Activity 8
Collaboration for Improving Outcomes- Regulatory Environment
EXPLAIN HOW RECENT CHANGES IN HEALTHCARE AND HEALTHCARE INSURANCE HAVE INFLUENCED OUTPATIENT TREATMENT. MANY CLINICAL INFORMATION SYSTEMS NOW EMBED EVIDENCE-BASED PRACTICE GUIDELINES AND CLINICAL PATHWAYS INTO THEIR ELECTRONIC MEDICAL RECORD SYSTEMS. DISCUSS SOME OF THE ADVANTAGES AND DISADVANTAGES OF THIS. DESCRIBE DEMAND MANAGEMENT AND HOW IT CAN INCREASE CONSUMER INVOLVEMENT IN CARE. COMPARE AND CONTRAST DISEASE MANAGEMENT AND CASE MANAGEMENT.
Reading and Resources
Watch Video Case Management Rubric Tips for Assignments.
STECKELBERG, R. C., FUNCK, N., KIM, T. E., WALTERS, T. L., GREGORY, M. L., MEMTSOUDIS, S. G., GIORI, N. J., INDELLI, P. F., GRAHAM, L. J., & MARIANO, E. R. (2017). ADHERENCE TO A MULTIMODAL ANALGESIC CLINICAL PATHWAY: 0RW1S34RFESDCFKEXD09RT2A WITHIN-GROUP COMPARISON OF STAGED BILATERAL KNEE ARTHROPLASTY PATIENTS. REGIONAL ANESTHESIA AND PAIN MEDICINE, 42(3), 368-371. HTTP://DX.DOI.ORG/10.1097/AAP.0000000000000588
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?
Chapter 16, 20, 23, & 26 in Fundamentals of Case Management Practice.
Review clinical guidelines of the AHRQ.
Chia-Jung, L. (2021). Promoting the Quality of Life of Elderly during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 18(13), 6813. http://dx.doi.org/10.3390/ijerph18136813
Annicka G M van der,Plas, Vissers, K. C., Francke, A. L., Donker, G. A., Jansen, W. J. J., Deliens, L., & Onwuteaka-Philipsen, B. (2015). Involvement of a case manager in palliative care reduces hospitalisations at the end of life in cancer patients; A mortality follow-back study in primary care. PLoS One, 10(7)
White, P., Cobb, D., Vasilopoulos, T., Davies, L., & Fahy, B. (2018). End-of-life discussions: Who’s doing the talking? Journal of Critical Care, 43, 70-74. http://dx.doi.org/10.1016/j.jcrc.2017.08.031
Review the National Committee for Quality Assurance certification criteria.
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