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Quantifying case management workloads: Development of the PACE tool
1Saint Alphonsus Regional Medical Center, Boise, Idaho, USA. balstada@slrme.org
Lippincott'S Case Management : Managing the Process of Patient Care
|December 1, 2006
Summary
A new tool, the Patient Acuity Case management Evaluation (PACE), was developed to measure nursing case management workload. This tool addresses limitations of previous models by considering patient acuity for better workload assessment.
Area of Science:
- Nursing
- Healthcare Management
- Health Services Research
Background:
- The Clinical Resource Management (CRM) group implemented a specialty-based nursing case management model.
- This model assigns caseloads based on physician specialty, not patient acuity.
- Existing models may not accurately reflect time requirements for effective case management.
Purpose of the Study:
- To describe the development and pilot testing of the Patient Acuity Case management Evaluation (PACE) measurement tool.
- To create a tool that provides verifiable measurement of case management workload.
- To address the limitations of acuity-unaware caseload assignment models.
Main Methods:
- The development involved five phases: conceptualization, content development, Delphi technique, inter/intrarater reliability testing, and pilot testing.
- Expert opinion and critique were utilized via the Delphi technique.
- Reliability and pilot testing were conducted to validate the instrument.
Main Results:
- The Patient Acuity Case management Evaluation (PACE) tool was developed and pilot tested.
- The instrument is designed to offer verifiable measurements of case management workload.
- The tool aims to improve the accuracy of workload assessment compared to acuity-unaware models.
Conclusions:
- The PACE tool offers a method for accurately measuring nursing case management workload.
- This instrument is expected to enhance the efficiency and effectiveness of case management.
- The development process ensures a scientifically sound and reliable measurement tool.
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