SIM440-19A Case Management Implementation Plan

Activity 1

Case Management Implementation Plan

Create a plan to implement case management at your workplace. What is your recommended plan for the use of case managers in your organization for patients with your chosen chronic illness? Identify people within your organization who are stakeholders or would support your plan. Whose support do you need to get your plan implemented? Identify your goals – what do you hope to accomplish with your case management plan?

Often, starting with our goals helps – it’s a backwards design. As we think about a case management plan we are proposing for our workplace, what do we want to accomplish? Remember – goals should be measurable. For example, if the chosen chronic disease is diabetes, one goal may be:

Clients will have decreased incidences of hyperglycemia requiring hospitalization

Once we determine what we want to accomplish, we can begin to construct our plan to achieve the goal. To achieve this goal, our plan may include providing education in a manner the client can understand (being sensitive to cultural needs), access to phone support, or inputting glucose readings into their electronic health record for documentation the case manager can evaluate and use to reach out to the client.

To put this plan in action, whose support would we need? Primary Care Physicians, Utilization Review personnel, and the Chief Financial Officer would all have an interest in optimizing patient health and reducing costs.

Reading and Resources

Read Ferrier, G. D., & Trivitt, J. S. (2013). Incorporating quality into the measurement of hospital efficiency: A double DEA approach. Journal of Productivity Analysis, 40(3), 337-355.

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?

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
Choose One:	Instructions:
Paper	4 page paper. Include title and reference pages.

Collaboration for Improving Outcomes – Case Management Implementation Plan
Description: The baccalaureate graduate nurse will demonstrate teambuilding and collaborative strategies when working with interprofessional teams to deliver evidence-based, patient-centered care.
Course Competency: 4) Coordinate the care of individuals across the lifespan utilizing principles and knowledge of interdisciplinary models of care delivery and case management.
QSEN Competencies: 1) Patient-Centered Care 2) Teamwork and Collaboration 3) Evidence- Based Practice
BSN Essential VI
Area	Gold Mastery	Silver Proficient	Bronze Acceptable	Acceptable Mastery not Demonstrated
Implementation plan.	Constructs an implementation plan.	Explains an implementation plan.	Lists elements of an implementation plan.	Does not provide an implementation plan.
Gain Buy-in	Proposes approach to gain buy-in from key stakeholders.	Indicates an approach to gain buy-in from key stakeholders.	States an approach to gain buy-in from key stakeholders.	Does not discuss an approach to gain buy-in from key stakeholders.
Key Outcomes	Examines key outcomes of the case management plan.	Identifies key outcomes of the case management plan.	Lists key outcomes of the case management plan.	Does not discuss key outcomes of the case management plan.
APA, Grammar, Spelling, and Punctuation	No errors in APA, Spelling, and Punctuation.	One to three errors in APA, Spelling, and Punctuation.	Four to six errors in APA, Spelling, and Punctuation.	Seven or more errors in APA, Spelling, and Punctuation.
References	Provides two or more references.	Provides two references.	Provides one references.	Provides no references.