Case management in health care / Peggy A. Rossi.

Format:

Book

Author/Creator:

Rossi, Peggy.

Language:

English

Subjects (All):

Community health services--Case studies.

Community health services.

Medical care--Case studies.

Medical care.

Case Management.

Delivery of Health Care.

Medical Subjects:

Case Management.

Delivery of Health Care.

Genre:

Case studies.

Physical Description:

xxv, 805 pages : illustrations ; 27 cm

Edition:

Second, revised edition.

Other Title:

Rev. ed. of: Case management in healthcare

Place of Publication:

Philadelphia : Saunders, [2003]

Summary:

Case Management in Health Care is a comprehensive reference designed to educate nurses and other health care professionals on the processes involved in case management. This reference discusses interventions and collaboration efforts that are necessary to move the patient through the continuum of care. It explores the changes in case management and it explains the financial, legal, and service aspects of this field. It is appropriate for nursing students (undergraduate and graduate) as well as for practicing case managers.

Contents:

Part I Changes and Tools of Case Management 1

Chapter 1 Introduction to Changes and Tools for Case Management 3

Chapter 2 Changes in Case Management 19

Chapter 3 Case Management and Technology 33

Part II Managed Care, Insurance, Other Funding, and Utilization Management 55

Chapter 4 Introduction to Funding 57

Chapter 5 Managed Care 61

Chapter 6 Medicare and Medicaid 111

Chapter 7 Children's Health Coverage

Programs and Services 162

Chapter 8 Department of Defense Health Care and Veterans' Benefits 190

Chapter 9 Other Insurance, Funding, and Health Care Services 215

Chapter 10 Utilization Management Challenges 244

Part III Legal and Legislative Issues 285

Chapter 11 Introduction to Legal and Legislative Issues 287

Chapter 12 Protecting Oneself from Malpractice 291

Chapter 13 Legislative Issues Affecting Health Care 320

Part IV Complex Care 341

Chapter 14 Introduction to Complex Care 343

Chapter 15 Disease Management 511

Chapter 16 Case Management of the Transplant Patient 524

Chapter 17 Case Management of the Mentally III Patient 566

Chapter 18 Geriatric Considerations 585

Chapter 19 Pharmaceuticals and Enteral Therapy 597

Part V Postacute Care 615

Chapter 20 Introduction to Postacute Care 617

Chapter 21 Skilled Nursing Facility 664

Chapter 22 Home Health Agency Care 671

Chapter 23 Hospice and the Transition to End-of-Life Care 687

Chapter 24 Emergency Department Nurse Case Manager 701

Part VI Quality, Credentialing, and Audits 715

Chapter 25 Introduction to Quality, Credentialing, and Audits 717

Chapter 26 Quality Management for Case Managers 734

Chapter 27 The Importance of Credentialing 750

Chapter 28 Audits 759.

Notes:

Includes bibliographical references and index.

ISBN:

0721695582

OCLC:

51336855