Continuum of Care

 

Continuum of Care 

Explain how the concept continuum of care is used in case management and within your organization.  What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals?  How do these services/programs impact the bottom line of the organization? 

Quality indicators, such as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety, can influence quality of care. Choose one indicator and discuss its influence on care inventory environments, including local, state, national, and global. Discuss the practice of linking hospital reimbursement to performance outcomes.

Reading & Resources

• Chapter 2 pages 44-47 in Fundamentals of Case Management Practice
• De Regge, M., Pourcq, K. D., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: A systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17
• Davis, M. M., Devoe, M., Kansagara, D., Nicolaidis, C., & Englander, H. (2012). “Did I do as best as the system would let me?” healthcare professional views on hospital to home care transitions. Journal of General Internal Medicine, 27(12), 1649-56.
• Asgar, A. H., Ravaghi, H., Kringos, D. S., Ogbu, U. C., Fischer, C., Azami, S. R., & Klazinga, N. S. (2014). Using quality measures for quality improvement: The perspective of hospital staff. PLoS One, 9(1)
• Buerhaus, P. I., DesRoches, C., Applebaum, S., Hess, R., Norman, L. D., & Donelan, K. (2012). Are nurses ready for health care reform? A decade of survey research. Nursing Economics, 30(6), 318-29, quiz 330.
• Elwood, T. W., DrP.H. (2013). Health reform in the context of entelechy. Journal of Allied Health, 42(3), 127-34. 
• Feemster, L. C., & Au, D. H. (2014). Penalizing hospitals for chronic obstructive pulmonary disease readmissions. American Journal of Respiratory and Critical Care Medicine, 189(6), 634-9. 
• Review American Association of Managed Care Nurses to explore information related to finance and payment structuring.

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

Collaborationfor Improving Outcomes – Continuum of Care

Description: The baccalaureate graduate nurse will apply concepts of quality and safety to

identify clinical questions and describe the process of changing current practice.

Course Competencies: 2) Develop a holistic case management plan for a specified disease or

population that incorporates the role of insurance, health care finance, and utilization of

community resources. 3) Examine the role of case management in end of life care including

ethical and legal issues. 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 II

Area Gold

Mastery

Silver

Proficient

Bronze

Acceptable

Acceptable

Mastery not

Demonstrated

Explain how the

concept

continuum

of care

is used in case

management and

within your

organization

Explains how the

concept
continuum of care
is used in case
management and
within your
organization

States how the

continuum of care
is used in case
management and
within your
organization

Lists how the

concept
continuum of care
is used in case
management and
within your
organization

Does not

address the

topic

Explain

new

services/programs

that your

organization is

currently

evaluating or

performing that

are assisting

patients to reach

their health goals

Explains new

services/programs
that your
organization is
currently
evaluating or
performing that
are assisting
patients to reach
their health goals

States new

services/programs
that your
organization is
currently
evaluating or
performing that
are assisting
patients to reach
their health goals

Lists new

services/programs
that your
organization is
currently
evaluating or
performing that
are assisting
patients to reach

their health goals

Does not
address the
topic

Explain how

these new

services/programs

can impact the

bottom line of the

organization.

Explains how

new
services/programs
can impact the
bottom line of the
organization.

States how new

services/programs
can impact the
bottom line of the
organization.

Lists how new

services/programs
can impact the
bottom line of the
organization.
Does not
address the
topic

Choose a quality

indicator and

discuss

how it can

influence quality

of care

Chooses a quality

indicator and

explains how it

can influence

quality of care

Chooses a quality
indicator and

states how it can

influence quality
of care
Chooses a quality

indicator but

doesn’t discuss

how it can

influence care

Does not
address the
topic

Assesses the

practice

of linking

hospital

reimbursement to

Assesses the

practice of

linking hospital

reimbursement to

Explains the

practice of
linking hospital
reimbursement to

Lists the practice

of linking
hospital
reimbursement to
Does not
address the
topic

performance

outcomes

performance
outcomes
performance
outcomes
performance

outcomes

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.