Treiger Teresa M, Fink-Samnick Ellen
Ascent Care Management, LLC, 3 Mosesso Drive, Holbrook, MA 02343, USA.
Prof Case Manag. 2013 Sep-Oct;18(5):219-43; quiz 244-5. doi: 10.1097/NCM.0b013e31829c8a3a.
PURPOSE/OBJECTIVES: The purpose of this second article of a 3-article series is to clarify the competencies for a new paradigm of case management built upon a value-driven foundation that
PRIMARY PRACTICE SETTING(S): : Applicable to all health care sectors where case management is practiced.
FINDINGS/CONCLUSIONS: In moving forward, the one fact that rings true is that there will be a constant change in our industry. As the health care terrain shifts and new influences continually surface, there will be consequences for case management practice. These impacts require nimble clinical professionals in possession of recognized and firmly established competencies. They must be agile to frame (and reframe) their professional practice to facilitate the best possible outcomes for their patients. Case managers can choose to be Gumby™ or Pokey™. This is exactly the time to define a competency-based case management model, highlighting one sufficiently fluid to fit into any setting of care.
The practice of case management transcends the vast array of representative professional disciplines and educational levels. A majority of current models are driven by business priorities rather than the competencies critical to successful practice and quality patient outcomes. This results in a fragmented professional case management identity. Although there is an inherent value in what each discipline brings to the table, this advanced model unifies behind case management's unique, strengths-based identity instead of continuing to align within traditional divisions (e.g., discipline, work setting, population served). This model fosters case management's expanding career advancement opportunities, including a reflective clinical ladder.
目的/目标：本系列三篇文章的第二篇旨在阐明基于价值驱动基础构建的新型病例管理模式的能力要求。
适用于所有开展病例管理的医疗保健部门。
研究结果/结论：展望未来，有一个事实是千真万确的，即我们这个行业将不断变化。随着医疗保健领域的转变以及新影响因素不断涌现，病例管理实践将受到影响。这些影响要求临床专业人员具备公认且稳固确立的能力，必须灵活敏捷，以便构建（并重新构建）他们的专业实践，为患者实现尽可能好的结果。病例管理者可以选择成为橡皮人（Gumby™）或迟钝人（Pokey™）。现在正是定义基于能力的病例管理模式的时候，突出一种足够灵活以适应任何护理环境的模式。
病例管理实践跨越了众多具有代表性的专业学科和教育水平。当前大多数模式由业务优先级驱动，而非对成功实践和优质患者结果至关重要的能力。这导致专业病例管理身份分散。尽管每个学科都有其内在价值，但这种先进模式以病例管理独特的、基于优势的身份为统一基础，而非继续在传统划分（如学科、工作环境、服务人群）内保持一致。这种模式促进了病例管理不断扩大的职业发展机会，包括一个反思性的临床晋升阶梯。
