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Care management: outcomes-based practice for the primary nurse
1Nursing Professional Practice Programs, Mount Sinai Hospital, New York, New York, USA.
Journal of Nursing Care Quality
|June 1, 1997
Summary
Managed care is transforming healthcare, shifting focus from illness to wellness and health promotion. This involves integrating care management into primary nursing roles to improve patient journeys through healthcare systems.
Area of Science:
- Healthcare Management
- Health Services Research
- Nursing Practice
Background:
- Increasing managed care penetration is significantly altering healthcare markets.
- This trend necessitates a shift from an illness-based model to a wellness and health promotion approach.
- Integrated delivery systems are crucial for managing patient care across the continuum.
Purpose of the Study:
- To describe how one institution is streamlining patient care journeys.
- To illustrate the integration of care management into primary nursing roles.
Main Methods:
- Descriptive analysis of an institutional approach.
- Focus on the primary nurse's role in direct patient care and care management.
Main Results:
- Care management is being integrated into the primary nurse's direct care responsibilities.
- This integration aims to streamline the patient's experience within the healthcare system.
Conclusions:
- Primary nurses play a key role in managing patient care within integrated delivery systems.
- Integrating care management into primary nursing can enhance the patient journey and support a wellness model.