PubMed · 9171678
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D B Williams. Double vision.. https://pubmed.ncbi.nlm.nih.gov/9171678/
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A case-management approach using clinical plans was developed to enhance outcomes. Patients with congestive heart failure (CHF) who were admitted to home care and case managed by nurses specially trained in cardiovascular nursing, case management, and the use of a clinical plan, had improved outcomes with fewer visits than patients with CHF managed with traditional care practices. Quality management and cost-effectiveness of patient care may be positively affected when using this approach.
A case management program is designed so that the nurses could work with any client within the health system, regardless of the diagnosis of provider. A variety of challenges surfaced: maintaining visibility within a large health care system; working with varied approaches to client care issues; and being clinically knowledgeable in the variety of chronic illnesses. Hospital admissions, physician and emergency department visits and costs are measured after establishing a nurse case management program.