The two-way arrows shown between the dietary strategies in the care map
(Figure 1) reflect the movement that can occur according to changes in clinical markers and client goals over time.
As a tool, the FCM is too simplistic, because the family-centered principles of the care map
have been institutionalized.
The clinical care map
also relies on good-quality evidence and must evaluate whether it is optimizing the process and improving efficiency of care.
Development and dissemination of potentially better practices for the provision of family-centered care in neonatology: The family-centered care map
"All in all, without the Care Map
, somebody could really fail badly from either lack of preparation or from being discharged from subacute too quickly," says Sullivan.
Phillips (whose "ideal" care map
for maximum RUG utilization for resident care and reimbursement is exemplified in the figure) acknowledges that the PPS is "an extremely complicated system, and makes it difficult for nurses without proper training to find out how to determine the best RUG grouping for the patient.
Few would argue that most staffing plans, care maps
, and care delivery models contain the underlying assumption that every nurse at the bedside is an expert--able to respond to complex situations with equal effectiveness.
One CHM patent application focuses on the innovative process used to generate "care maps
" for members, allowing Humana to depict a member's complete clinical claims history over a period of two years.
Techniques employed by case management programs include standardization of care in accordance with predetermined protocols, care maps
, pathways, or other guidelines; assignment of case managers or other clinical nurse experts as overseers of care; systematic reporting on the progress of the program as compared to predetermined targets or standards; collection and analysis of data on an ongoing basis to identify causes of variation; and development of new processes to eliminate variation where possible.
To his way of thinking, the clinical lab - especially with regard to its important contribution to care maps
- is an increasingly indispensable part of the patient care process.
Despite the fact that many hospitals (73%) that received early feedback changed order sets and/or clinical pathways or care maps
for these patient groups during that interval, there was no significant change over time in performance for either the early-feedback or the late-feedback groups.
The next time you are asked to participate in an interprofessional collaboration, whether the group is formed to write standard care maps
or to review the ethical nature of research proposals, you may answer the challenge to serve with a confident, "Yes!"