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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Nursing Implementation01:15

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
Compensation Mechanisms01:28

Compensation Mechanisms

The human body employs intricate mechanisms to counteract changes in blood pH, preventing conditions like acidosis (pH < 7.35) and alkalosis (pH > 7.45). These compensatory responses aim to restore normal arterial blood pH by engaging respiratory or renal systems, depending on the source of the imbalance.
Respiratory Compensation
This mechanism addresses metabolic-induced pH imbalances by adjusting breathing rates. Respiratory compensation begins within minutes of detecting a pH...
Planning Nursing Care II01:29

Planning Nursing Care II

A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...

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Related Experiment Video

Updated: May 27, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Aligning managed care contracts, compensation plans, and incentive models.

Michael E Nugent1

  • 1Navigant Consulting, Inc., Chicago, USA. mnugent@navigantconsulting.com

Healthcare Financial Management : Journal of the Healthcare Financial Management Association
|December 2, 2011
PubMed
Summary

Financial executives must align internal compensation models with new value-based payment strategies. This involves assessing organizational incentives and fostering dialogue to bridge the gap between external payment demands and internal fund distribution.

Related Experiment Videos

Last Updated: May 27, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
14:32

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Area of Science:

  • Healthcare Finance
  • Health Economics
  • Payment Models

Background:

  • Traditional production-based compensation models are misaligned with emerging value-based payment systems.
  • Financial executives face challenges integrating new external payment models (e.g., shared savings, bundled payments, pay for performance) with internal provider compensation.

Purpose of the Study:

  • To address the disconnect between internal provider compensation and external value-based payment models.
  • To guide financial executives in aligning internal payment distribution with new third-party payment structures.

Main Methods:

  • Inventorying misaligned internal incentives within healthcare organizations.
  • Facilitating dialogue between physicians and payers regarding payment distribution.
  • Analyzing past implementation challenges of payment models.

Main Results:

  • No single "perfect" internal payment distribution model exists.
  • Alignment requires a tailored approach based on market position, organizational culture, and change readiness.
  • Proactive leadership from finance executives is crucial for successful integration.

Conclusions:

  • Healthcare organizations must adapt internal compensation to match external value-based payment models.
  • Strategic alignment of internal and external payment models is essential for financial sustainability.
  • Finance executives should lead the initiative to reconcile payment distribution strategies.