Case Mix Management: Matching Patient Need with Nursing Resource

Halloran, Edward J.; Patterson, Cheryl; Kiley, Mary-Lou

doi:10.1007/978-1-4612-3622-1_12

Cited by 5 publications

(6 citation statements)

References 2 publications

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“…2001). Secondly, as Halloran et al . (1987) reported, nursing care is responsible for 20–30% of all costs during admission.…”

Section: Introductionmentioning

confidence: 91%

“…First, length of stay is a crude measure of outcome, as the dif®culty of treatment is not taken into account (De Jonge et al 2001a, 2001b, Huyse et al 2001. Secondly, as Halloran et al (1987) reported, nursing care is responsible for 20±30% of all costs during admission. Thirdly, the requirement for complex nursing care seems to expand as a direct consequence of the growing complexity of needs of the (older) population.…”

Section: Introductionmentioning

confidence: 99%

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Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study

Jonge

Zomerdijk

Huyse

et al. 2001

Journal of Advanced Nursing

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Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study Aims and objectives. The relationship between mental disturbances – anxiety and depression, somatization and alcohol abuse – on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturbances to select patients for case‐management on admission. Design. The study had a cohort design: patients were included on admission and followed through their hospital stay until discharge. The study was conducted within the framework of the European Biomed 1 Risk Factor study. Research methods and instruments. In the first 3 days of admission the patients were interviewed by a trained health care professional, who scored the SCL‐8D, a somatization questionnaire based on the Whiteley‐7 and the CAGE. At discharge, nurses rated the complexity of the patient’s care. Results. Patients with high scores on anxiety and depression (SCL‐8D) and on somatization received higher ratings on perceived nursing complexity than those with low scores, with and without control for age, severity of illness and chronicity. The actual nursing intensity and medical care utilization, as measured daily by means of a checklist, could not explain these relations. No differences were found between patients with high or low scores on alcohol abuse. Conclusions. The study shows a potential use of screeners for mental disturbances to detect patients for whom nurses might need additional help. However, mental disturbance is not the sole criterion: functional status and other variables that predict medical and nursing care utilization should be included in a screening strategy for case‐management programmes.

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“…2001). Secondly, as Halloran et al . (1987) reported, nursing care is responsible for 20–30% of all costs during admission.…”

Section: Introductionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study

Jonge

Zomerdijk

Huyse

et al. 2001

Journal of Advanced Nursing

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“…Nursing diagnoses have been used to determine the costs of care. Halloran, Patterson, and Kiley (1987) conducted a study that predicted nursing care costs using nursing diagnoses. They categorized a list of 61 nursing diagnoses using Gordon's Functional Health Patterns and collected the time nurses spent with patients by their nursing diagnoses, DRGs, and demographics.…”

Section: Care Componentsmentioning

confidence: 99%

Clinical Care Costing Method for the Clinical Care Classification System™

Saba

Arnold

2004

International Journal of Nursing Terminologies and Classificati

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“…The prioritization of nursing diagnoses requires the nurse's ranking of dynamic patient response patterns. Nurses allocate their time to the treatment of nursing diagnoses by grouping and integrating service and assessment activities in response to patient need for assistance (Halloran, Patterson, & Kiley, 1987). Although the diagnostic label is reflective of the patient responses, it is the prioritization of the diagnoses that reflects the nurses' perception of the intensity of nursing care requirements.…”

Section: )mentioning

confidence: 99%

Nursing Effort and the Exchanging Human Response Pattern

Happ

Kerr

1991

International Journal of Nursing Terminologies and Classificati

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This descriptive, compariitive study was done t o determine the nursing effort required to treat actual and potential nursing diagnoses from the Exchanging Human Response Pattern in two patient care specialties: acute medical-sui-gical and postpartum. Patterns of diagnosis identification are described for the t w o groups, and differences in allocation of nursing resources (nursing effort) are examined. The sample included 200 observations (hospital days) for 50 patients: 33 postpartum patients, and 17 medical-surgical patients. Data were collected daily during the study pericid by nurses who provided direct care to the selected patients using an irivestigator-deuelope~l version of the Nurse-Patient Suiiimary (NPS) nursing information and patient classification tool (Halloran. 1985). Potential nursing diagnoses received most of the nursing effort in the postpartum area (mean effort = 5.28). whereas actual nursing diagnoses in the Exchanging Human Response Pattern received a higher priority in the medical-surgical area (mean effort = 12.03). Statistically significant differences existed between groups in total nursing effort (I = -4.73, p < ,0001) and in nursing effort required t o treat actual (t = -7.42, p < ,0001) and potential diagnoses (t = 3.99, p < .0001) in the Exchanging Human Response Pattern. This study provides unique informition almit how nurses allocate their time t o patients for the treatment of actual arid potential nursing diagnoses, and outlines areas for further (levelopnient in diagnosis-based patient classification.

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Case Mix Management: Matching Patient Need with Nursing Resource

Cited by 5 publications

References 2 publications

Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study

Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study

Clinical Care Costing Method for the Clinical Care Classification System™

Nursing Effort and the Exchanging Human Response Pattern

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