RESUMO
Case management has been widely promoted as a method that can improve clinical outcomes and reduce healthcare costs. This article describes a cost-benefit analysis for a proposed nursing case management program that provides care for a low-income high-risk diabetic population in a rural county. Industry trends, objectives and functions of the case management program, timeline, financial plan, and cost analysis are described. The analysis indicated a potential net savings of 149,544 dollars annually. This would be a significant cost savings for the healthcare provider and funding source.
Assuntos
Administração de Caso/organização & administração , Diabetes Mellitus/prevenção & controle , Unidades Móveis de Saúde/organização & administração , Pobreza , Serviços de Saúde Rural/organização & administração , Alabama , Redução de Custos , Análise Custo-Benefício , Previsões , Humanos , Descrição de Cargo , Modelos de Enfermagem , Modelos Organizacionais , Avaliação das Necessidades , Enfermeiros Administradores/organização & administração , Profissionais de Enfermagem/organização & administração , Papel do Profissional de Enfermagem , Avaliação em Enfermagem , Pesquisa em Avaliação de Enfermagem , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Medição de RiscoRESUMO
The nurse case management service (NCMS) for rural hospitals is an entrepreneurial endeavor designed to provide rural patients with quality, cost-effective healthcare. This article describes the development of an NCMS. A detailed marketing and financial plan, a review of industry trends, and the legal structure and risks associated with the development of the venture are presented. The financial plan projects a minimum savings of 223,200 dollars for rural institutions annually. To improve quality and reduce cost for rural hospitals, the authors recommend implementation of an NCMS.
Assuntos
Administração de Caso/organização & administração , Empreendedorismo/organização & administração , Hospitais Rurais/organização & administração , Papel do Profissional de Enfermagem , Gerenciamento da Prática Profissional/organização & administração , Desenvolvimento de Programas/métodos , Redução de Custos , Análise Custo-Benefício , Gerenciamento Clínico , Documentação , Administração Financeira/organização & administração , Humanos , Descrição de Cargo , Marketing de Serviços de Saúde/organização & administração , Modelos Organizacionais , Objetivos Organizacionais , Alta do Paciente , Técnicas de Planejamento , Garantia da Qualidade dos Cuidados de Saúde/organização & administração , Medição de Risco , Fatores de Tempo , Revisão da Utilização de Recursos de Saúde/organização & administraçãoRESUMO
The purposes of this study were (1) to identify specific program requirements and educational interventions used to promote National Council Licensure Examination-Registered Nurse (NCLEX-RN) success among graduates of Bachelor of Science in Nursing (BSN) programs and (2) to determine the best predictors of NCLEX-RN success used by BSN nursing programs. This descriptive correlational study used the survey method for data collection. Participants were recruited from 513 generic BSN programs. One hundred sixty usable responses were received for a response rate of 31.2 percent. This is the only recent national study of variables associated with NCLEX-RN success that could be found in the literature; therefore, it addresses a gap in the literature. Significant findings related to NCLEX passing rates included (1) the use of standardized entrance exams and Scholastic Aptitude Test (SAT) scores for admission criteria, (2) National League for Nursing (NLN) content at-risk scores for mental health and community health nursing for progression, (3) clinical proficiency and use of exit examinations as graduation requirements, (4) commercial reviews as an intervention, and (5) percent White as a demographic variable. Additionally, the findings support the use of standardized entrance examinations and content area examinations to assess readiness for NCLEX.
