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An integrated case management model: developing standards, evaluation, and outcome criteria

R L Sowell, T M Meadows

    Nursing Administration Quarterly
    |January 1, 1994
    PubMed
    Summary
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    Integrated case management improves care for individuals with HIV disease by combining diverse professional expertise. This approach addresses complex needs across the care continuum, overcoming limitations of traditional models.

    Area of Science:

    • Public Health
    • Healthcare Management
    • Social Work

    Background:

    • Traditional case management models for human immunodeficiency virus (HIV) disease are often ineffective due to inconsistent implementation and disciplinary conflicts.
    • Complex physical and social needs of persons with HIV require innovative care strategies.

    Purpose of the Study:

    • To present an integrated, multisite case management model for persons with HIV disease.
    • To describe the standards of service and outcome evaluation criteria for this integrated model.
    • To discuss the impact of nursing expertise on the development of this novel approach.

    Main Methods:

    • Adoption of an integrated, multisite approach to case management.
    • Utilization of expertise from social workers, nurses, pastoral counselors, and therapists.

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  • Development of client-centered plans of care across the continuum of need.

    • Main Results:

    • The integrated model facilitates a comprehensive approach to complex patient needs.
    • Defined standards of service and outcome evaluation criteria provide a framework for consistent care.
    • Nursing expertise significantly contributed to the model's development and effectiveness.

    Conclusions:

    • An integrated, multisite case management model can effectively address the multifaceted needs of persons with HIV disease.
    • Collaboration among diverse healthcare professionals is crucial for successful HIV case management.
    • This model offers a replicable framework for improving patient outcomes in HIV care.