학술논문

Nurse Case Manager: Measurement of care coordination activities and quality and resource use outcomes when caring for the complex patient with hematologic cancer.
Document Type
Article
Author
Garnett, Doris (NURSE); Hardy, Lynda (NURSE); Fitzgerald, Elizabeth (NURSE); Fisher, Taylor (NURSE); Graham, Lisa (NURSE); Overcash, Janine (NURSE)
Source
Clinical Journal of Oncology Nursing. Feb2020, Vol. 24 Issue 1, p65-74. 10p. 2 Color Photographs, 2 Charts.
Subject
*MEDICAL quality control
*PATIENT aftercare
*CONTINUING education units
*ACQUISITION of data
*MEDICAL care costs
*COST control
*MEDICAL care use
*MEDICAL protocols
*CONTINUUM of care
*HEMATOLOGIC malignancies
*NURSES
*MEDICAL records
*DESCRIPTIVE statistics
*COMMUNICATION
*HEALTH behavior
*MEDICAL case management
*PATIENT compliance
*DATA analysis software
*HEALTH self-care
Language
ISSN
1092-1095
Abstract
BACKGROUND: The lack of coordination of care for complex patients in the hematology setting has prompted nurse case managers (NCMs) to coordinate that care. OBJECTIVES: This article aimed to identify the frequency of NCM care coordination activities and quality and resource use outcomes in the complex care of patients in the hematology setting. METHODS: NCM aggregate data from complex outpatients with hematologic cancer were retrieved from electronic health records at a comprehensive cancer center in the midwestern United States. Total volume of activities and outcomes were calculated as frequency and percentage. FINDINGS: Care coordination activities included communicating; monitoring, following up, and responding to change; and creating a proactive plan of care. Quality outcomes included improving continuity of care and change in health behavior, and resource use outcomes most documented were patient healthcare cost savings. [ABSTRACT FROM AUTHOR]