This session discusses the development of a chronic disease care management program at our academic medical center to address the needs of complex moderate- to high-risk patients and reduce repeat emergency department utilization and hospital readmissions for these specified populations…
This session discusses how one health care practice developed a registered nurse to serve as a clinical liaison (RNCL) in the hospital to help enrollment in care management programs…
This presentation discusses the development of an educational program and protocol for serious illness communication with an interprofessional team of nurse care coordinators and social workers…
The care management team (CMT) of Kaiser Permanente Colorado is an interprofessional team of RNs, clinical pharmacists, licensed clinical social workers, and medical assistants who collaborate to provide seamless, efficient case management for patients at no cost…
Review the results of a study in which in-home visits by an advanced practice nurse/mastersprepared nurse lowered patient visits to the emergency department by 61%, as compared with patients who refused in-home visits…
Case management has been effective in improving cost and quality outcomes for at-risk populations. The majority of case management studies have been performed on older Medicare populations and lacked standard financial outcome estimates…
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