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By Toni G. Cesta, PhD, RN, FAAN and Hussein A. Tahan, MS, DNSc(C), RN, CNA
464 pagesTrim Size 8 1/2 X 10 7/8 inCopyright 2003$90.95, Paperback, Reference
This practical, "hands-on" guide includes vital information every case manager and administrator of a case management program need to be successful. A useful resource for working in the changing face of healthcare, it addresses case managers in all settings with an emphasis on nurse case managers and their role in providing patient care and containing costs. Focusing on the "nuts and bolts" aspects of case management, it discusses the operations of case management programs based on the authors' first hand experiences.
1. Introduction to Case Management2. Financial Reimbursement Systems3. Case Management Models4. Role of the Nurse Case Manager5. Utilization Management6. Transitional Planning7. Disease Management8. Skills for Successful Case Management9. Nurse Case Manager's Documentation10. Hiring Case Managers: Role of the Candidate and the Interviewer11. Curricula and Certification in Nurse Case Management12. Developing Case Management Plans13. Quality Patient Care14. Measuring the Effectiveness of a Case Management Model15. Linking JCAHO to Case Management16. Legal Issues in Case Management17. Application of Legal Concepts to Case Management Practice18. Ethical Issues in Case Management 19. Internet Resources and Case ManagementAPPENDICESA. Community Nurse Case Management Problem List and Plan of Care B. Community Nurse Case Management Intervention Flow Sheet and Problem Rating Scale for Outcomes C. Community-Based Wound Care Pathway and Flow Sheet D. Home Care Plan for Congestive Heart Failure and Hypertension E. Sub-Acute CareE-1 Clinical Guideline for Short-Term Sub-Acute AdmissionsE-2 Referral Assessment FormE-3 Sub-Acute Data Collection ToolF. Long-Term Care Resident Assessment Instrument Case Study and Care Plans G. Pre-Printed Order SetsH. Documentation Guides for PhysiciansI. Case Manager – Inpatient J. Case Manager – Admitting Office K. Case Manager – Emergency Department L. Case Manager – Community M. Physician Advisor N. Guide for a Case Manager's Competency-Based Performance AppraisalO. Performance Management Form – Case CoordinatorGlossaryIndex
By Toni G. Cesta, PhD, RN, FAAN, Director of Case Management, Saint Vincent Catholic Medical Centers of New York, Manhattan Region; Principal, Case Manager Solutions, LLC, Tucson, AZ and Hussein A. Tahan, MS, DNSc(C), RN, CNA, Director of Nursing, Cardiothoracic and Vascular Services, New York Presbyterian Hospital, Columbia Presbyterian Medical Center, New York, NY