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Implementing a managed care framework through care maps

D C Hampton1

  • 1Cardiac Care/Telemetry Services, Saint Joseph Hospital, Lexington, KY.

The Journal of Nursing Administration
|May 1, 1993
PubMed
Summary
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Managed care frameworks improve healthcare quality. This study details a hospital

Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Patient Care Coordination

Background:

  • Managed care frameworks offer a structured approach to enhancing healthcare quality.
  • Implementing these frameworks requires effective tools and strategies.
  • Patient and family engagement is crucial for successful care delivery.

Purpose of the Study:

  • To evaluate the utility of managed care frameworks in quality improvement.
  • To illustrate the practical application of care maps in a hospital setting.
  • To highlight the role of patient and family involvement in open heart surgery care.

Main Methods:

  • The study examines a hospital's experience implementing managed care.
  • Care maps were utilized as the primary tool for managed care implementation.

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  • A specific patient care guide for open heart surgery patients served as a case illustration.

    • Main Results:

    • Managed care frameworks are demonstrated as effective for quality improvement.
    • Care maps facilitate the structured implementation of managed care principles.
    • Patient and family involvement was successfully integrated into the care process.

    Conclusions:

    • Managed care frameworks provide a viable pathway for healthcare quality enhancement.
    • Care maps serve as a practical and effective tool for implementing managed care.
    • Engaging patients and families is integral to successful managed care delivery, particularly in specialized areas like open heart surgery.