病例管理员应了解的自身角色与职能：来自病例管理员认证委员会的一项全国性研究：第一部分

What Case Managers Should Know About Their Roles and Functions: A National Study From the Commission for Case Manager Certification: Part 1.

作者信息

Tahan Hussein M, Watson Annette C, Sminkey Patrice V

机构信息

Hussein M. Tahan, PhD, RN, is the corporate VP of nursing professional development and workforce planning at MedStar Health, Columbia, MD. Hussein has more than 25 years of experience in health care and is an expert in case management. He is a past commissioner and chair of the Commission for Case Manager Certification (CCMC), and a member of the editorial board of Professional Case Management. Dr Hussein is widely published, including being a coauthor of four case management textbooks, one of which is Case Management: A Practical Guide for Education and Practice, 3rd Edition. Hussein is the knowledge editor for CCMC's Case Management Body of Knowledge online portal. Annette C. Watson, RN-BC, CCM, MBA, is national expert and thought leader in case management and health and human services delivery systems. She is also a past-chair of the CCMC, a current member of its executive committee, and was chair of the Program and Services at the time of this study. She is President of Watson International Consulting, LLC, the consulting firm she founded to assist organizations with innovation and transformation activities that focus on achieving the Triple Aim-better care, better health, and better costs. Patrice V. Sminkey, RN, is CEO of the CCMC, the first and largest nationally accredited organization that certifies case managers. Nearly 60,000 case managers have earned board certification with the CCM credential since 1992. There are more than 35,000 board-certified case managers in practice today.

出版信息

Prof Case Manag. 2015 Nov-Dec;20(6):271-96; quiz 297-8. doi: 10.1097/NCM.0000000000000115.

DOI:10.1097/NCM.0000000000000115

PMID:26437133

Abstract

PURPOSE

The purpose of this national role and function study was to identify the essential activities and necessary knowledge areas for effective case manager practice from the perspective of those currently functioning in various care settings and across diverse professional disciplines.

PRIMARY PRACTICE SETTING(S): The national study covered all case management practices and/or work settings across the full continuum of health care.

METHODOLOGY AND SAMPLE

This cross-sectional descriptive study used the practice analysis method and online survey research design. It employed a purposive sample of case managers, in which 52,370 individuals received an invitation to participate. Data collection completed over a 4-week period, resulting in 7,668 useable survey responses (nearly a 15% response rate).

RESULTS

The study identified the common activities and knowledge areas necessary for competent and effective performance of case managers, as is highlighted in this article, which is the first of a 2-part series on the role and function study. The results informed the needed update of the test specifications for the Certified Case Manager (CCM) certification examination, as will be delineated in Part 2 of the article series, to ensure that it continues to be substantiated in current practice. Of special note are the emergence of specific activity and knowledge domains in the area of case management ethical, legal, and practice standards, and an increase in the number of employers requiring certified case managers to fill vacant positions and compensating them financially for such qualifications.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE

This study helps keep the CCM credentialing examination evidence-based and maintain its validity for evaluating competency of case managers. Specifically, the study identified essential activities and knowledge domains that define competent case management practice. Findings can be used for developing programs and curricula for the training and development of case managers. The study instrument also can be used for further research of case management practice.

摘要

目的

这项全国性角色与功能研究的目的是，从目前在各种护理环境中及不同专业领域发挥作用的人员的角度，确定有效开展个案管理工作所需的基本活动和必要知识领域。

主要实践环境

这项全国性研究涵盖了整个医疗保健连续过程中的所有个案管理实践和/或工作环境。

方法与样本

这项横断面描述性研究采用了实践分析方法和在线调查研究设计。它采用了有目的抽样的个案管理人员样本，其中52370人收到了参与邀请。数据收集在4周内完成，共获得7668份可用的调查回复（回复率近15%）。

结果

本研究确定了个案管理人员胜任且有效地履行职责所需的常见活动和知识领域，如本文所强调的，这是关于角色与功能研究的两部分系列文章中的第一篇。研究结果为认证个案经理（CCM）认证考试的测试规范的必要更新提供了依据，如该系列文章的第二部分将阐述的，以确保其在当前实践中继续得到证实。特别值得注意的是，在个案管理的伦理、法律和实践标准领域出现了特定的活动和知识领域，并且要求获得认证的个案经理填补空缺职位并为此类资质提供经济补偿的雇主数量有所增加。