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The Carle Clinic

C Schraeder1, T Britt

  • 1Carle Clinic Association's Health System Research Center, Urbana, Illinois, USA.

Nursing Management
|March 1, 1997
PubMed
Summary

The Community Nursing Organization (CNO) model uses nurse-coordinated care to manage elderly healthcare effectively. This approach shows promise for clinical and financial success in elder care services.

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Area of Science:

  • Gerontology
  • Health Services Research
  • Nursing Administration

Background:

  • Effective and efficient healthcare for the elderly is a significant challenge.
  • Various service delivery models have been developed to address this need.

Purpose of the Study:

  • To evaluate the Community Nursing Organization (CNO) model of nurse-coordinated care for the elderly.
  • To assess the clinical and financial outcomes of this integrated care approach.

Main Methods:

  • The CNO model involves nurses in authorizing, coordinating, evaluating, and paying for services.
  • Nurses provide case management, coordinating both CNO-covered and non-covered services.
  • Services coordinated include physician visits, home repair, transportation, respite, and meals.

Main Results:

  • Preliminary findings suggest the CNO model is potentially successful both clinically and financially.
  • Success is attributed to determining and utilizing an appropriate mix, intensity, and duration of services.

Conclusions:

  • Nurse-coordinated care, as implemented by the CNO, offers a promising model for elderly healthcare.
  • This approach may improve both clinical outcomes and financial efficiency in geriatric care.

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