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Using case management with clinical plans to improve patient outcomes

C M Huggins1, C Y Phillips

  • 1Department of Nursing, Millersville University, Pennsylvania, USA.

Home Healthcare Nurse
|February 20, 1998
PubMed
Summary

A specialized case-management approach improved outcomes for patients with congestive heart failure (CHF) receiving home care. This method led to fewer patient visits compared to traditional care, enhancing quality management and cost-effectiveness.

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Area of Science:

  • Nursing
  • Healthcare Management
  • Cardiovascular Health

Background:

  • Congestive heart failure (CHF) presents significant challenges for home care patients.
  • Traditional care practices may not fully optimize patient outcomes or resource utilization.

Purpose of the Study:

  • To evaluate a case-management approach using clinical plans for CHF home care patients.
  • To compare outcomes and resource use between specialized case management and traditional care.

Main Methods:

  • Development of a case-management approach with specialized clinical plans.
  • Implementation by nurses trained in cardiovascular nursing and case management.
  • Comparison of patient outcomes and visit frequency against traditional care.

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Main Results:

  • Patients managed with the specialized case-management approach showed improved outcomes.
  • Fewer home care visits were required for patients in the specialized case-management group.
  • The approach demonstrated potential for positive impacts on quality management and cost-effectiveness.

Conclusions:

  • A case-management approach using clinical plans can enhance outcomes for CHF home care patients.
  • Specialized nursing case management offers advantages over traditional care practices.
  • This model may improve both the quality and cost-effectiveness of patient care.