Introduction
Case management models are nursing concepts that encompass the delivery of satisfactory care to the patients in both hospitals and the community. This type of management has been noted to entail immense advantages that satisfy both patients and nurses in the healthcare system. The model is seen as that which provides cost-benefit advantages besides optimizing the patients’ care. The essay explores the Yenisley Case Management models by providing a comparison of both the hospital-based and community-based care models.
Fall Program Measurement: A Hospital-Based Care Model
Most hospital-based care models are currently shifting from the old-fashioned techniques to the new methods that encompass the healing and comfort of both the patients and nurses. The most widely implemented hospital concept is the patient-centered holistic model that ensures the satisfaction of both the nurses and patients (McClellan, McKethan, Lewis, Roski, & Fisher, 2010). Falls and injuries in the hospital setups are currently on the rise. A better way of reducing such incidences is the introduction of the fall program measurement model. This model is a nurse-sensitive measure since they play important roles in inpatient care. An effective framework that uses this model includes the application of sitters to constantly monitor patients who have fallen with a view of preventing further tumbles (Courtney et al., 2009). With the designs of current hospitals, the model ensures that there is maximum reduction of acquired infections, psychological stress, efficient nurse flow of work, a satisfaction of everybody, and improved patient safety.
The current concepts of the healing environment together with the need for evidence-based techniques alongside the model have also ensured that the hospital management abandons the disease-based care practices. Most healthcare facilities are increasingly espousing the central care of the patient’s wellbeing including the healing of the mind, body, and spirit (Courtney et al., 2009). The environments of most hospitals are currently modified to suit the perceptions of patients on quality care as well as the satisfaction they expect. Concerning the usage of the evidence-based methodologies, most hospital-based care managements have ensured improved patient-related outcomes, quality, and safety services through the fall program measurements. Efficiency has also increased significantly in various operations thereby leading to the satisfaction of both the nurses and patients (Courtney et al., 2009).
The physical system changes where hospitals embrace the use of single and independent rooms reducing the risks of constant walks and human traffic that can increase falls. More privacy, efficient communication, and improved social support as well as reduced frequent interruptions such as noise and lights among others are currently included in particular rooms where patients with fall injuries are admitted. This undertaking has resulted in positive outcomes in terms of recovery. Fall measurement programs have also ensured the decentralization of the nursing stations near patients to ensure increased nurse attention. The program also minimizes disruptions that can cause falls (Courtney et al., 2009).
Community as a Resource: Community-Based Care Management
Currently, most governments are encouraging the expansion of community-based care models by developing various services that include admission prevention, at-home hospitals, rehabilitation services situated within the community, and early patient discharge among others. These community-based models and services have been noted to improve the health outcomes, quick, and active recovery of patients, especially those with chronic illnesses (McMahon et al., 2005). Community-based interventions have been noted by several researchers to encourage and assist patients in retaining their physical abilities through healthy dieting and conducting frequent exercises (McMahon et al., 2005).
In cases of healthcare promotion, the use of the community as a resource is beneficial since there is a relatively high level of ownership as well as improved participation in the healthcare programs. Members of the community can be marshaled to channel their resources towards a set priority of health-related problems; hence, achieving positive health outcomes can be realized easily. Various sectors and public initiatives that have immensely applied this model are found within the states, National Healthy Start program, and Federal Center for Substance Abuse Prevention Community partnership program (Bodenheimer, Wagner, & Grumbach, 2002).
Impacts of Models to the Healthcare
The community-based care models have been noted to enable more vulnerable and disadvantaged patients to gain access to quality healthcare when compared to the hospital-based prototypes. It is further indicated that this model ensures a reduction of healthcare inequality. Besides, it promotes the reduction of costs in healthcare delivery. Most importantly, the patients are satisfied due to the quality of services delivered (Bodenheimer et al., 2002). On the other hand, the hospital-based models such as the fall measurement program help in preventing further falls besides ensuring maximum reduction of hospital-acquired infections and patients’ psychological stress. It also supports the efficient flow of work amongst the nurses with a view of improving patient satisfaction and safety. A disadvantage of the hospital-based concept is the high costs incurred. Furthermore, many old hospitals are not designed to suit patient-based care (Courtney et al., 2009).
Conclusion
The essay has discussed the hospital and community-based case management, models. It is indicative that such models provide holistic care to patients. Through this kind of care management, the nurses reduce fragmentation in the care system. As a result, they guarantee high-quality life besides reducing the hospitalization of patients among others. It is advisable to offer the community-based care model in most cases with some inclusion of hospital-based care in the neediest cases.
Reference List
Bodenheimer, T., Wagner, E., & Grumbach, K. (2002). Improving Primary Care for Patients with Chronic Illness: The Chronic Care Model. Jama, 288(15), 1909-1914.
Courtney, M., Edwards, H., Chang, A., Parker, A., Finlayson, K., & Hamilton, K. (2009). Fewer Emergency Readmissions and Better Quality of Life for Older Adults at Risk of Hospital Readmission: A Randomized Controlled Trial to Determine the Effectiveness of a 24‐Week Exercise and Telephone Follow‐Up Program. Journal of the American Geriatrics Society, 57(3), 395-402.
McClellan, M., McKethan, A., Lewis, J., Roski, J., & Fisher, E. (2010). A National Strategy to put Accountable Care into Practice. Health Affairs, 29(5), 982-990.
McMahon, G., Gomes, H., Hohne, S., Hu, T., Levine, B., & Conlin, P. (2005). Web-based care management in patients with poorly controlled diabetes. Diabetes Care, 28(7), 1624-1629.