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
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
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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]