Explain how the concept continuum of care is used in case management and within your organization.  What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals?  How do these services/programs impact the bottom line of the organization? 

Continuum of Care 

Explain how the concept continuum of care is used in case management and within your organization.  What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals?  How do these services/programs impact the bottom line of the organization?

Quality indicators, such as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety, can influence quality of care. Choose one indicator and discuss its influence on care inventory environments, including local, state, national, and global. Discuss the practice of linking hospital reimbursement to performance outcomes.

Reading & Resources

  • Chapter 2 pages 44-47 in Fundamentals of Case Management Practice
  • De Regge, M., Pourcq, K. D., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: A systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17
  • Davis, M. M., Devoe, M., Kansagara, D., Nicolaidis, C., & Englander, H. (2012). “Did I do as best as the system would let me?” healthcare professional views on hospital to home care transitions. Journal of General Internal Medicine, 27(12), 1649-56.
  • Asgar, A. H., Ravaghi, H., Kringos, D. S., Ogbu, U. C., Fischer, C., Azami, S. R., & Klazinga, N. S. (2014). Using quality measures for quality improvement: The perspective of hospital staff. PLoS One, 9(1)
  • Buerhaus, P. I., DesRoches, C., Applebaum, S., Hess, R., Norman, L. D., & Donelan, K. (2012). Are nurses ready for health care reform? A decade of survey research. Nursing Economics, 30(6), 318-29, quiz 330.
  • Elwood, T. W., DrP.H. (2013). Health reform in the context of entelechy. Journal of Allied Health, 42(3), 127-34.
  • Feemster, L. C., & Au, D. H. (2014). Penalizing hospitals for chronic obstructive pulmonary disease readmissions. American Journal of Respiratory and Critical Care Medicine, 189(6), 634-9.
  • Review American Association of Managed Care Nurses to explore information related to finance and payment structuring.

Additional Instructions:

  • All submissions should have a title page and reference page.
  • Utilize a minimum of two scholarly resources.
  • Adhere to grammar, spelling and punctuation criteria.
  • Adhere to APA compliance guidelines.
  • Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

  • 4 to 6-page paper. Include title and reference pages.

    Collaboration for Improving Outcomes – Continuum of Care

    Description: The baccalaureate graduate nurse will apply concepts of quality and safety to

    identify clinical questions and describe the process of changing current practice.

    Course Competencies: 2) Develop a holistic case management plan for a specified disease or

    population that incorporates the role of insurance, health care finance, and utilization of

    community resources. 3) Examine the role of case management in end of life care including

    ethical and legal issues. 4) Coordinate the care of individuals across the lifespan utilizing

    principles and knowledge of interdisciplinary models of care delivery and case management.

    QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration 3) Evidence-

    Based Practice

    BSN Essential II

    Area Gold

    Mastery

    Silver

    Proficient

    Bronze

    Acceptable

    Acceptable

    Mastery not

    Demonstrated

    Explain how the

    concept

    continuum of care

    is used in case

    management and

    within your

    organization

    Explains how the

    concept

    continuum of care

    is used in case

    management and

    within your

    organization

    States how the

    continuum of care

    is used in case

    management and

    within your

    organization

    Lists how the

    concept

    continuum of care

    is used in case

    management and

    within your

    organization

    Does not

    address the

    topic

    Explain new

    services/programs

    that your

    organization is

    currently

    evaluating or

    performing that

    are assisting

    patients to reach

    their health goals

    Explains new

    services/programs

    that your

    organization is

    currently

    evaluating or

    performing that

    are assisting

    patients to reach

    their health goals

    States new

    services/programs

    that your

    organization is

    currently

    evaluating or

    performing that

    are assisting

    patients to reach

    their health goals

    Lists new

    services/programs

    that your

    organization is

    currently

    evaluating or

    performing that

    are assisting

    patients to reach

    their health goals

    Does not

    address the

    topic

    Explain how

    these new

    services/programs

    can impact the

    bottom line of the

    organization.

    Explains how

    new

    services/programs

    can impact the

    bottom line of the

    organization.

    States how new

    services/programs

    can impact the

    bottom line of the

    organization.

    Lists how new

    services/programs

    can impact the

    bottom line of the

    organization.

    Does not

    address the

    topic

    Choose a quality

    indicator and

    discuss how it can

    influence quality

    of care

    Chooses a quality

    indicator and

    explains how it

    can influence

    quality of care

    Chooses a quality

    indicator and

    states how it can

    influence quality

    of care

    Chooses a quality

    indicator but

    doesn’t discuss

    how it can

    influence care

    Does not

    address the

    topic

    Assesses the

    practice of linking

    hospital

    reimbursement to

    Assesses the

    practice of

    linking hospital

    reimbursement to

    Explains the

    practice of

    linking hospital

    reimbursement to

    Lists the practice

    of linking

    hospital

    reimbursement to

    Does not

    address the

    topic

    performance

    outcomes

    performance

    outcomes

    performance

    outcomes

    performance

    outcomes

    APA, Grammar,

    Spelling, and

    Punctuation

    No errors in

    APA, Spelling,

    and Punctuation.

    One to three

    errors in APA,

    Spelling, and

    Punctuation.

    Four to six errors

    in APA, Spelling,

    and Punctuation.

    Seven or more

    errors in APA,

    Spelling, and

    Punctuation.

    References Provides two or

    more references.

    Provides two

    references.

    Provides one

    references.

    Provides no

    references.