Variability in selecting patients to manage in the community: a service evaluation of community matron's case-finding strategies

Abstract

Inter-professional networks, personal experience and training influence the patients identified for case management. The combination of an improved case finding tool and a better defined role for community matrons could lead to more standardized and equitable case selection.

Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network

“…However, in our case study they reported that community matrons sometimes had difficulty in filling their caseload. The criteria for taking on cases are generally linked to PARR score; however delays in updates of hospital data and some lack of training may limit PARR’s effectiveness [28]. …”

Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network

“…However, in our case study they reported that community matrons sometimes had difficulty in filling their caseload. The criteria for taking on cases are generally linked to PARR score; however delays in updates of hospital data and some lack of training may limit PARR’s effectiveness [28]. …”

Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC)

“…Of the 11 studies, eight were European, consisting of four studies (and five papers) from England, 48,49,52,54,55 two (related studies) in Germany, 27,46 one in Scotland 44 and one in Spain. 53 Three studies were undertaken in North America, one in Canada 45 and two in the USA (yielding three papers).…”

“…46 Three wholly qualitative studies were included, 27,53,54 with qualitative methods also featuring in two others.…”

“…The Patients at Risk of Re-hospitalisation (PARR) tool was used in five studies. 48,49,52,54,55 PARR uses data on prior hospitalisations to predict risk of rehospitalisation and, hence, calculates risk only for those patients with a previous admission. The combined predictive model was reported in three studies, 48,49,52 with single references to the Elder Risk Assessment (ERA), 50 Case Smart Suite Germany, 46 Length of stay, Acuity, Comorbidities, ED visits in previous 6 months (LACE), 45 Nairn Case Finder, 44 High Impact User Manager 52 and Adjusted Clinical Groups (ACGs).…”

“…A number of papers did include a reference 45,48,[50][51][52][53][54][55] to resources where details of the development and validation of the respective risk tools could be found. No technical performance details or references were included in three papers.…”

Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network

“…However, in our case study they reported that community matrons sometimes had difficulty in filling their caseload. The criteria for taking on cases are generally linked to PARR score; however delays in updates of hospital data and some lack of training may limit PARR’s effectiveness [28]. …”

Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC)

“…Of the 11 studies, eight were European, consisting of four studies (and five papers) from England, 48,49,52,54,55 two (related studies) in Germany, 27,46 one in Scotland 44 and one in Spain. 53 Three studies were undertaken in North America, one in Canada 45 and two in the USA (yielding three papers).…”

“…46 Three wholly qualitative studies were included, 27,53,54 with qualitative methods also featuring in two others.…”

“…The Patients at Risk of Re-hospitalisation (PARR) tool was used in five studies. 48,49,52,54,55 PARR uses data on prior hospitalisations to predict risk of rehospitalisation and, hence, calculates risk only for those patients with a previous admission. The combined predictive model was reported in three studies, 48,49,52 with single references to the Elder Risk Assessment (ERA), 50 Case Smart Suite Germany, 46 Length of stay, Acuity, Comorbidities, ED visits in previous 6 months (LACE), 45 Nairn Case Finder, 44 High Impact User Manager 52 and Adjusted Clinical Groups (ACGs).…”

“…A number of papers did include a reference 45,48,[50][51][52][53][54][55] to resources where details of the development and validation of the respective risk tools could be found. No technical performance details or references were included in three papers.…”

Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network

“…However, in our case study they reported that community matrons sometimes had difficulty in filling their caseload. The criteria for taking on cases are generally linked to PARR score; however delays in updates of hospital data and some lack of training may limit PARR’s effectiveness [28]. …”

Predictive risk stratification model: a randomised stepped-wedge trial in primary care (PRISMATIC)

“…Of the 11 studies, eight were European, consisting of four studies (and five papers) from England, 48,49,52,54,55 two (related studies) in Germany, 27,46 one in Scotland 44 and one in Spain. 53 Three studies were undertaken in North America, one in Canada 45 and two in the USA (yielding three papers).…”

“…46 Three wholly qualitative studies were included, 27,53,54 with qualitative methods also featuring in two others.…”

“…The Patients at Risk of Re-hospitalisation (PARR) tool was used in five studies. 48,49,52,54,55 PARR uses data on prior hospitalisations to predict risk of rehospitalisation and, hence, calculates risk only for those patients with a previous admission. The combined predictive model was reported in three studies, 48,49,52 with single references to the Elder Risk Assessment (ERA), 50 Case Smart Suite Germany, 46 Length of stay, Acuity, Comorbidities, ED visits in previous 6 months (LACE), 45 Nairn Case Finder, 44 High Impact User Manager 52 and Adjusted Clinical Groups (ACGs).…”

“…A number of papers did include a reference 45,48,[50][51][52][53][54][55] to resources where details of the development and validation of the respective risk tools could be found. No technical performance details or references were included in three papers.…”