TOTAL HIP REPLACEMENT PATHWAY: INTEGRATING INPATIENT & OUTPATIENT CARE DELIVERY

Course overview

PART 1: INTEGRATED CASE MANAGEMENT: A TOOL FOR MANAGING THE CAPITATED SURGICAL DOLLAR OBJECTIVES The Case Manager will be able to: 1. Identify what changes in health care led to the need to redesign surgical services. 2. Explain what evolutionary theories paved the way for integrated case management. 3. Describe what tools preceded the development of integrated case management. 4. Define what changes are required to implement integrated case management in a peri-operative environment. 5. Explain, within the context of the case study, what major changes in the corporate culture laid the foundation for redesign. OUTLINE A. INTRODUCTION B. CHANGES IN THE HEALTH CARE ENVIRONMENT C. EVOLUTIONARY THEORIES: Reengineering Quality management D. EVOLUTIONARY TOOLS: Outcomes Management Nursing Case Management and Critical Paths E. IMPLEMENTING INTEGRATED CASE MANAGEMENT F. A CASE STUDY IN INTEGRATED CASE MANAGEMENT FOR SURGICAL SERVICES: Overview Organizational Redesign Team Design G. ICM CRITICAL PATHS Time Stages Interventions Quality Indicators Benchmarking and Monitoring Communication and Education Nursing Work Transformation H. INFORMATION MANAGEMENT Challenge Areas Results PART 2: TOTAL HIP REPLACEMENT PATHWAY: INTEGRATING INPATIENT & OUTPATIENT CARE DELIVERY OBJECTIVES The Case Manager will be able to: 1. Explain what steps were critical in planning for the transition to a new patient-focused organizational model. 2. Identify the key activities of the transition team. 3. Identify the goals for the new patient-focused organizational model. 4. Describe the steps taken to integrate care activities. 5. Explain what major outcomes were achieved through implementation of the patient-focused organizational model OUTLINE A. INTRODUCTION B. PLANNING C. IMPLEMENTATION D. PROGRAM EVALUATION E. FUTURE PLANS