Ethical dilemmas among nurses as they transition to hospital case management
. Implications for organizational ethics Part 2.
Cabell Huntington Hospital began with an assessment of the hospital environment to establish the organization's readiness for the outcomes model of hospital case management that Twilla envisioned as his route to improved functioning across many levels of assessment.
The orientation program is intended to help staff fully understand the rationale, the purpose and the focus driving the creation of a new model of hospital case management.
An outcome model of hospital case management positions the case manger as the savvy business partner to the physician.
One of the three operating performance variables is related to hospital case management. Since return on assets (ROA) has a positive coefficient, hospitals with higher return on assets are more likely to have a case management program.
Hospital case management services are uniquely designed to balance the organizational mission of quality health care with the reality of the organization's costs and resources (Zander, 2002).
Successful hospital case management programs should be studied not only for financial impact but also to identify best practices within the discipline and for opportunities to integrate care with community-based services.