Nurse Case Manager: Measurement of care coordination activities and quality and resource use outcomes when caring for the complex patient with hematologic cancer.
- Resource Type
- ACADEMIC JOURNAL
- Clinical Journal of Oncology Nursing. Feb2020, Vol. 24 Issue 1, p65-74. 10p. 2 Color Photographs, 2 Charts.
- COMMUNICATION; CONTINUUM of care; COST control; HEALTH behavior; PATIENT aftercare; MEDICAL quality control; MEDICAL care use; MEDICAL care costs; MEDICAL protocols; MEDICAL records; PATIENT compliance; HEALTH self-care; SOCIAL services case management; CONTINUING education units; DATA analysis software; DESCRIPTIVE statistics; HEMATOLOGIC malignancies; ACQUISITION of data methodology
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]