Biomedical subjects

Jean Calhoun

Publications and source records attributed to Jean Calhoun.

4 recordsLinked to original sources

PubMed2002

Case management redesign in a managed care system: one company's experience.

Strategies for redesign are necessary in successful managed care organizations as the member population grows and changes. This article presents a redesign project initiated by a managed care plan located in the Southwest region of the United States, where the rural frontier blends with metropolitan cities in a culturally diverse population. The focus of this project is the redesign of the Health Services department in which case management resides.

Case Management↗

PubMedDate not supplied

Redesigning case management in managed care: an eclectic approach: from city to ranch.

Case management programs are a common approach to managing the quality and cost of services in managed care organizations. Once developed these programs may grow stagnate as the managed care member population grows and changes. This article presents a redesign project initiated by a managed care organization located in a rural Southwest region of the United States. Nursing theory and case management standards of practice form the basis of the redesign project and will be discussed. The case management model, including roles and responsibilities of staff, are presented. Results and future implications are identified.

Case Management↗

PubMedDate not supplied

Implementing a predictive modeling program, part 1.

Effective predictive modeling is a powerful, statistically valid tool, which identifies individuals at increased future risk of an untoward health event. This article looks at one company's experience in developing a successful program; the issues related to an effective implementation strategy; and lessons learned during the process. The goal is to implement the right intervention, at the right time, for the right patient.

Algorithms↗

PubMedDate not supplied

Implementing a predictive modeling program, part II: Use of motivational interviewing in a predictive modeling program.

This is the second article of a two-part series about issues encountered in implementing a predictive modeling program. Part I looked at how to effectively implement a program and discussed helpful hints and lessons learned for case managers who are required to change their approach to patients. In Part II, we discuss the readiness to change model, examine the spirit of motivational interviewing and related techniques, and explore how motivational interviewing is different from more traditional interviewing and assessment methods.

Anger↗