NURS 371 Lecture Notes - Lecture 1: Pulmonology, Baby Boomers, Managed Care
Document Summary
A collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual"s health needs through communication and available resources to promote quality, cost-effective outcomes (case management. Driving forces: changes in reimbursement systems aca, push to move impatient to outpatient b. Increasing aging population - baby boomers are the largest group of people c. Increasing number of complex, chronic disease states diabetes, copd, chf, etc: consumer demand people are becoming more knowledgeable to the care they deserve/ need, advanced technology more available than ever before e. i. Increased numbers needing access to diminishing resources more people needing access to less resources. Goals of case management: primary goal- avoid fragmentation of care and control cost, case management targets, quality healthcare across a continuum subpar care breeds subpar results d. Healthcare team: patient and family, case manager, physician, employer, members of healthcare team, providers, community, payer, social worker, etc, etc.
