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Related Experiment Videos

Care guidelines: journey through the managed care maze

M B Gartner, C A Twardon

    Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society
    |May 1, 1995
    PubMed
    Summary
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    Home health agencies are adopting managed care models to control costs. Patient care pathways are key tools for managing interventions and outcomes effectively within this new reimbursement system.

    Area of Science:

    • Healthcare Management
    • Health Services Research

    Background:

    • Home health agencies face financial challenges due to evolving healthcare reimbursement policies.
    • Rising healthcare costs necessitate efficient resource allocation while maintaining service quality.

    Purpose of the Study:

    • To describe the development process of a patient care pathway within a home health agency.
    • To illustrate how patient care pathways can support the transition to managed care models.

    Main Methods:

    • Development of a formatted timeline for patient interventions and expected outcomes.
    • Implementation of the patient care pathway in a home health agency setting.

    Main Results:

    • The patient care pathway serves as a crucial tool for home health agencies.

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  • Facilitates adaptation to the managed care model and associated reimbursement changes.

    • Conclusions:

    • Patient care pathways are essential for home health agencies navigating managed care.
    • Effective implementation aids in managing costs and ensuring quality of care delivery.