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Related Experiment Videos

Measuring comprehensive case management interventions. Development of a tool

L M Issel1

  • 1School of Public Health, University of Illinois, Chicago 60612, USA.

Nursing Case Management : Managing the Process of Patient Care
|July 1, 1997
PubMed
Summary
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This study quantifies case manager interventions for low-income pregnant clients. Findings show varied intervention times, supporting a new data collection tool for program effectiveness.

Area of Science:

  • Public Health
  • Health Services Research
  • Nursing Interventions

Background:

  • Case management programs require data to demonstrate effectiveness.
  • Understanding specific interventions is crucial for evaluating program impact.
  • Low-income prenatal clients often benefit from targeted case management.

Purpose of the Study:

  • To quantify the types and duration of interventions used by case managers for low-income prenatal clients.
  • To evaluate the utility of the Client Intervention Form for data collection.
  • To identify variations in intervention delivery across different health departments.

Main Methods:

  • Case managers recorded the use of 7 intervention types (assessment, monitoring, education, clinical acts, coordination, support, coaching) in 10-minute increments.

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  • The Client Intervention Form, based on a valid nursing intervention typology, was utilized.
  • Data were collected from case managers in two local health departments serving pregnant Medicaid recipients.

    • Main Results:

    • The time spent on each of the seven intervention types varied significantly between agencies.
    • There were also variations in time allocation across the different types of interventions.
    • The Client Intervention Form proved to be an easy-to-use tool for quantifying case manager activities.

    Conclusions:

    • The Client Intervention Form effectively quantifies case manager interventions for low-income prenatal clients.
    • Variability in intervention time suggests a need for standardized protocols or tailored approaches.
    • Further research is recommended to refine intervention strategies and improve program outcomes.