Collaboration for Improving Outcomes- Regulatory Environment

Explain how recent changes in healthcare and healthcare insurance have influenced outpatient treatment. Many clinical information systems now embed evidence-based practice guidelines and clinical pathways into their electronic medical record systems. Discuss some of the advantages and disadvantages of this. Describe demand management and how it can increase consumer involvement in care. Compare and contrast disease management and case management.

Reading and Resources

Watch Video Case Management Rubric Tips for Assignments.

Steckelberg, R. C., Funck, N., Kim, T. E., Walters, T. L., Gregory, M. L., Memtsoudis, S. G., Giori, N. J., Indelli, P. F., Graham, L. J., & Mariano, E. R. (2017). Adherence to a Multimodal Analgesic Clinical Pathway: 0RW1S34RfeSDcfkexd09rT2A Within-Group Comparison of Staged Bilateral Knee Arthroplasty Patients. Regional Anesthesia and Pain Medicine, 42(3), 368-371. http://dx.doi.org/10.1097/AAP.0000000000000588

Search the site for US Department of Health and Human Services “Hospital Compare” and use the interactive database to compare and contrast health plans, hospitals, etc. How might you use this site with patients as a case manager?

Chapter 16, 20, 23, & 26 in Fundamentals of Case Management Practice.

Review clinical guidelines of the AHRQ.

Chia-Jung, L. (2021). Promoting the Quality of Life of Elderly during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 18(13), 6813. http://dx.doi.org/10.3390/ijerph18136813

Annicka G M van der,Plas, Vissers, K. C., Francke, A. L., Donker, G. A., Jansen, W. J. J., Deliens, L., & Onwuteaka-Philipsen, B. (2015). Involvement of a case manager in palliative care reduces hospitalisations at the end of life in cancer patients; A mortality follow-back study in primary care. PLoS One, 10(7)

White, P., Cobb, D., Vasilopoulos, T., Davies, L., & Fahy, B. (2018). End-of-life discussions: Who’s doing the talking? Journal of Critical Care, 43, 70-74. http://dx.doi.org/10.1016/j.jcrc.2017.08.031

Review the National Committee for Quality Assurance certification criteria.

Additional Instructions

All submissions should have a title page and reference page.

Utilize a minimum of two scholarly resources.

Adhere to grammar, spelling and punctuation criteria.

Adhere to APA compliance guidelines.

Adhere to the chosen Submission Option for Delivery of Activity guidelines.

 

Submission Options for Delivery of Activity

*Choose one option

Instructions

Paper

4 to 6-page paper. Include title and reference pages.

Microsoft Power Point Presentation

8 to 10 slides with script. Add title and reference slides. Follows rules of 7

Other media (Prezi, etc.) presentation

8 to 10 slides. Add title, script, and reference slides.

Video Presentation

5 to 8-minute video presentation. Attach reference page or include in video.

Video submissions must include a script, a Word document, submitted through Turnitin with an Originality Report

Table

Table with appropriate columns and headers. Include title and reference pages.

Graphs or other illustrations

Graphs or illustrations with appropriate labels. Include title and reference pages.

Poster

Poster Presentation utilizing poster template. Include visual graphics/images/other formats for visual appeal. Include references. Poster should have appropriate title.

*Note: Title and reference pages/slides do not count towards the count requirements.