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| Preface | |
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| Acknowledgments | |
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| Contributors | |
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| Introduction to Nursing Case Management | |
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| Definitions of Case Management | |
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| Case Management: Its Process and Characteristics | |
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| Case Management Organizations: An Alphabet Soup | |
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| Managed Care | |
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| Case Management as a Process | |
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| Historical Perspectives and Current Trends | |
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| Maintaining Quality | |
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| Appendix to Chapter 1 Nursing Case Management | |
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| Definitions | |
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| Alphabet Soup of Managed Care | |
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| Cultural Competence | |
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| Introduction | |
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| Definitions | |
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| Cultural Competence Overview | |
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| Models of Cultural Competence | |
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| Cultural Competence and Communication | |
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| Cultural Issues Related to Health Care | |
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| Managed Care: Examining Today's Healthcare System | |
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| Introduction | |
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| The U.S. Healthcare System | |
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| Healthcare Reform | |
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| The Development of Managed Care | |
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| What Is Managed Care? | |
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| Managed Care Plans | |
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| Managed Care and Cost Savings | |
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| Managed Care and Quality | |
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| Nurse Case Management in a Changing Healthcare System | |
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| Case Management: An Overview of Roles, Skills, and Functions | |
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| Introduction | |
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| Communicator | |
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| Broker | |
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| Negotiator | |
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| Advocate | |
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| Educator | |
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| Change Agent | |
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| Coordinator and Care Facilitator | |
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| Discharge Planner | |
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| Resource Manager, Utilization Manager and Reviewer, Gatekeeper, Payer-Based Nurse Case Manager, and Financial Advisor | |
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| Administrator/Manager/Leader | |
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| Researcher | |
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| Clinician | |
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| Models of Care | |
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| Introduction | |
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| "Within the Walls" Models: Acute Care | |
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| "Beyond the Walls" Models: Community-Based Care | |
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| Continuum-of-Care Models: Within the Walls and Beyond | |
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| Nursing Case Management: Building Collaborative Relationships with Patients | |
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| Introduction | |
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| Collaboration: An Essential Ingredient | |
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| Building an Interdisciplinary Team | |
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| The Social Work-Nurse Dyad: A Collaborative Case Management Team | |
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| The Case Manager in Private Practice | |
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| Introduction | |
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| Definitions: What Is an Entrepreneur? | |
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| Intrapreneurship | |
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| Challenges Faced by Entrepreneurs | |
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| Important Considerations for Nurse Entrepreneurs | |
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| Marketing Your Services as a Case Manager, Consultant, or Entrepreneur | |
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| Introduction | |
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| Definitions and Concepts: What Is Marketing? | |
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| Market Analysis | |
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| The Marketing Plan | |
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| The Marketing Process | |
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| Networking | |
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| Consultation: A Business for Case Managers | |
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| Introduction | |
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| Definitions: What Is Consultation? | |
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| The Skills and Traits of a Consultant | |
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| Reasons That Clients Seek Consultation | |
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| The Consultation Process | |
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| Types of Consultation | |
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| Interventions Suggested by Consultants | |
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| Overcoming Resistance | |
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| Examining Organizational Dynamics | |
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| Choosing a Career as a Consultant | |
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| New Trends in the Evolution of Case Management: Faith Community Nursing | |
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| Introduction: Historical Perspectives | |
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| The Philosophy of Faith Community Nursing | |
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| Conceptual Frameworks for Faith Community Nursing | |
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| Collaborative Practice: Building Partnerships | |
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| Faith Community Nursing: Roles, Functions, and Skills | |
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| Standards of Practice | |
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| Quality of Care | |
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| Disease Management | |
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| Introduction | |
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| Introduction to Disease Management | |
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| Historical Perspectives: Disease Management's Evolution and Future | |
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| Characteristics of a Disease Manager | |
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| The Value of Healthcare Delivery by a Disease Manager | |
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| The Components of Disease Management | |
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| Disease Management Strategies | |
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| Telehealth | |
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| Introduction | |
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| Historical Perspectives | |
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| Strategies for Applying Technology to Case Management | |
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| Telephonic Case/Disease Management: An Overview of the "On-Demand" Model | |
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| The Telephonic Case/Disease Management Process | |
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| Remote Patient Monitoring: Technology in Home Care | |
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| Home Care and Technological Devices | |
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| Case Management Information Systems | |
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| The Benefits of Telehealth from the Patients' Perspective | |
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| Outcomes Management | |
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| Introduction | |
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| The Roles and Functions of the Case Manager | |
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| Concepts Related to Outcomes Management and Measurement | |
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| Outcomes Measures and Indicators | |
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| Historical Perspectives on Outcomes Management | |
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| Outcomes Measurement | |
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| Considerations When Establishing Outcomes Management Programs | |
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| The American Nurses Association Report Card | |
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| The Environmental (Organizational) Culture in Nursing | |
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| Tools, Instruments, and Indicators for Home Health Care | |
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| Outcomes Measurement in Acute Care Settings | |
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| Other Measurement Tools for Determining Quality | |
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| Program Evaluation | |
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| Ethical Issues in Nursing Case Management | |
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| Introduction | |
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| Core Values in Nursing Practice | |
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| Philosophical Models for Ethical Decision Making | |
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| Ethical Principles | |
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| Ethical Challenges in Case Management | |
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| Making Ethical Decisions | |
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| Characteristics of Ethical Competence | |
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| Ethics Committees | |
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| Legal Issues in Nursing Case Management | |
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| Introduction | |
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| Definitions | |
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| Key Legal Terms in Health Care: Malpractice, Liability, and Negligence | |
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| Nurses and Nurse Case Managers: Standards of Practice | |
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| Legal Issues and Concerns | |
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| Legal Issues and Nursing Case Management: A Review | |
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| Index | |