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2019年新型冠状病毒病(COVID-19)危机期间的基本病例管理实践:第1部分:远程病例管理、应急能力、出院计划及护理转接

Essential Case Management Practices Amidst the Novel Coronavirus Disease 2019 (COVID-19) Crisis: Part 1: Tele-Case Management, Surge Capacity, Discharge Planning, and Transitions of Care.

作者信息

Tahan Hussein M

机构信息

Hussein M. Tahan, PhD, RN, FAAN, is a case management consultant, expert, author, and researcher. Dr. Tahan has nearly 30 years of experience in hospital management and operations and professional case management practice; is a member of the editorial advisory board of Professional Case Management; author of multiple textbooks, including the CMSA's Core Curriculum for Case Management and Case Management: A Practical Guide for Education and Practice; is the chief knowledge editor of the Case Management Body of Knowledge online portal sponsored by the Commission for Case Manager Certification; and the recipient of CMSA's 2016 Lifetime Achievement Award for his contributions to the field of case management.

出版信息

Prof Case Manag. 2020 Sep/Oct;25(5):248-266. doi: 10.1097/NCM.0000000000000454.

Abstract

OBJECTIVES

This is the first of a 2-part article that discusses essential case management practices and strategies amidst the novel coronavirus disease 2019 (COVID-19). The series showcases the potential professional case managers have in support of managing during a crisis such as this global pandemic. Part I discusses reenvisioned roles and responsibilities of case managers and leaders known to address patients' needs during a crisis, with a special focus on telehealth, tele-case management, surge capacity, redeployment, discharge planning, and transitions of care.

PRIMARY PRACTICE SETTINGS

Applicable to the various case management practice settings across the continuum of health and human services, especially acute care.

FINDINGS CONCLUSIONS

The COVID-19 global pandemic crisis has brought an unprecedented challenge to professional case managers and health care professionals. It also has provided opportunities for innovation and partnerships within and across health care organizations and the various care settings where patients/support systems access necessary services. Most importantly, it created a renewed interest in telehealth and facilitated a wider adoption of such approach to care delivery than ever before. This pandemic has also increased the use of nontraditional sites of care, most importantly those that operate virtually on electronic networks and health information system technologies such as remote visits, e-visits, virtual care, and tele-monitoring. Undoubtedly, these have provided new opportunities for tele-case management services and roles for professional case managers in the virtual world of health and human service delivery.

IMPLICATIONS FOR CASE MANAGEMENT PRACTICE

Professional case managers are integral members of interprofessional health care teams. Their roles are even more necessary during a global pandemic such as COVID-19. The practice of case management will forever change-for the better. The experience of this crisis in health care has brought about ever-lasting implications for case management professionals. It has raised awareness to sites of care never were as popular before, resulting in an increased need and recognition for tele-case management practice and virtual case managers. It has also forced partnerships and collaborations among the diverse contexts of health care organizations (public, private, or both) and other industries, regardless of whether directly involved in the delivery of care or having a support service role. These new and innovative approaches in the provision of care and case management services will without a doubt become routine expectations beyond the current pandemic period. Of special note are the enhanced roles of case managers in discharge planning and transitions of care.

摘要

目标

这是一篇分两部分的文章中的第一篇,讨论了2019年新型冠状病毒病(COVID-19)疫情期间基本的病例管理实践和策略。该系列展示了专业病例管理人员在支持应对此类全球大流行危机方面的潜在作用。第一部分讨论了病例管理人员和领导者在危机期间为满足患者需求而重新设想的角色和职责,特别关注远程医疗、远程病例管理、应急能力、人员调配、出院计划以及护理过渡。

主要实践场景

适用于健康和人类服务连续统一体中的各种病例管理实践场景,尤其是急性护理。

研究结果与结论

COVID-19全球大流行危机给专业病例管理人员和医疗保健专业人员带来了前所未有的挑战。它也为医疗保健组织内部以及跨组织和患者/支持系统获取必要服务的各种护理场景中的创新与合作提供了机会。最重要的是,它重新激发了人们对远程医疗的兴趣,并促使这种护理提供方式比以往任何时候都得到更广泛的采用。这场大流行还增加了非传统护理场所的使用,最重要的是那些通过电子网络和健康信息系统技术进行虚拟运作的场所,如远程就诊、电子就诊、虚拟护理和远程监测。毫无疑问,这些为远程病例管理服务以及专业病例管理人员在健康和人类服务虚拟交付领域的角色提供了新机会。

对病例管理实践的启示

专业病例管理人员是跨专业医疗团队不可或缺的成员。在诸如COVID-19这样的全球大流行期间,他们的角色变得更加必要。病例管理实践将永远朝着更好的方向改变。这场医疗保健危机的经历给病例管理专业人员带来了持久的影响。它提高了人们对以前从未如此受欢迎的护理场所的认识,导致对远程病例管理实践和虚拟病例管理人员的需求增加和认可度提高。它还迫使医疗保健组织(公立、私立或两者兼有)以及其他行业的不同背景之间建立伙伴关系与合作,无论这些组织是直接参与护理提供还是具有支持服务角色。这些提供护理和病例管理服务方面的新创新方法无疑将在当前大流行期之后成为常规期望。特别值得注意的是病例管理人员在出院计划和护理过渡方面的强化作用。

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