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A decentralized model for case management

K Johnson, N M Proffitt

    Nursing Economic$
    |May 1, 1995
    PubMed
    Summary
    This summary is machine-generated.

    Case management implementation in hospitals can improve care. A decentralized model empowering nurses is recommended for organizations with existing quality and governance programs.

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    Area of Science:

    • Healthcare Management
    • Nursing Practice
    • Quality Improvement

    Background:

    • Case management is a widely adopted healthcare strategy.
    • Successful implementation varies across different healthcare settings.
    • Organizational structure influences case management effectiveness.

    Purpose of the Study:

    • To describe the implementation of a case management program at a single hospital.
    • To outline the rationale behind the chosen case management model.
    • To report the outcomes of the implemented case management program.

    Main Methods:

    • Description of a decentralized case management model.
    • Focus on staff nurse control within the model.
    • Consideration of existing hospital Total Quality Management (TQM) and shared governance structures.

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    Main Results:

    • Successful implementation of case management was achieved.
    • The decentralized model demonstrated positive outcomes (specific outcomes not detailed in abstract).
    • The model integrated well with existing TQM and shared governance.

    Conclusions:

    • A decentralized case management model is effective.
    • Staff nurse empowerment is a key component of successful case management.
    • This model is particularly suitable for hospitals with established TQM and shared governance.