Collaboration for Improving Outcomes – Continuum of Care

Explain how the continuum of care concept is used in case management and within your organization. What new services/programs are your organization currently evaluating or performing that are assisting patients to reach their health goals? How do these services/programs impact the bottom line of the organization?
Quality indicators, such as accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, timeliness, patient perspective issues, and safety, can influence quality of care. Choose one indicator and discuss its influence on care. Discuss the practice of linking hospital reimbursement to performance outcomes.
Reading and Resources
Watch Video Case Management Rubric Tips for Assignments
Chapter 2 in Fundamentals of Case Management Practice.
De Regge, M., Pourcq, K. D., Meijboom, B., Trybou, J., Mortier, E., & Eeckloo, K. (2017). The role of hospitals in bridging the care continuum: A systematic review of coordination of care and follow-up for adults with chronic conditions. BMC Health Services Research, 17
Sadarangani, T. R., Salcedo, V., Chodosh, J., Simona, K., Trinh-Shevrin Chau, & Yi, S. (2020). Redefining the Care Continuum to Create a Pipeline to Dementia Care for Minority Populations. Journal of Primary Care & Community Health, 11. http://dx.doi.org/10.1177/2150132720921680.
Janet, P. B., Thoumi, A., Marquevich, V., De Groote, W., Linamara, R. B., Imamura, M., Vinicius, D. R., Wang, N., Dreinhoefer, K. E., Mangar, A., Ghandi, D. B. C., Ng, Y. S., Kheng, H. L., Tan Wei Ming, J., Yong, H. P., Inzitari, M., Mmbaga, B. T., Shayo, M. J., Brown, D. A., . . . Stein, J. (2020). COVID-19: maintaining essential rehabilitation services across the care continuum. BMJ Global Health, 5(5) http://dx.doi.org/10.1136/bmjgh-2020-002670.
Prasad, V. L, Fay, K., & Mora, C. (2020). Complex Care Center: A Tool for the Care Continuum Conundrum. The Journal of Medical Practice Management, 35(6), 314-320.
Swan, B. A., Haas, S., & Jessie, A. T. (2019). Care Coordination: Roles of Registered Nurses Across the Care Continuum. Nursing Economics, 37(6), 317-323.
Sauro, K., Maini, A., Machan, M., Lorenzetti, D., Chandarana, S., & Dort, J. (2021). Are there opportunities to improve care as patients transition through the cancer care continuum? A scoping review protocol. BMJ Open, 11(1) http://dx.doi.org/10.1136/bmjopen-2020-043374
Review American Association of Managed Care Nurses to explore information related to finance and payment structuring.

Additional Instructions
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