Caseload Management Skills for Improved Efficiency

Ervin, Naomi E.

doi:10.3928/00220124-20080301-08

Cited by 9 publications

(8 citation statements)

References 14 publications

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“…While overall the literature reviewed positively portrayed the potential impact of CP, one potential barrier is that the process is unfamiliar to many DNs (Audit Commission, 1999;Thomas et al, 2006). This calls for increased awareness and education on CP in practice (Burns, 2003;Ervin, 2008). Burns (2003) argued that the risks of not applying CP are a mismatch between demand and resources, with some teams overstretched and others less so, and little being done to promote equity of workload between teams.…”

Section: Potential Barriers To Caseload Profilingmentioning

confidence: 99%

“…Arguably, at a time of integrating health and social care services, this interest is likely to continue. Literature suggests the principles of caseload management (CM) are imperative to achieve this requirement (Ervin, 2008).…”

mentioning

confidence: 99%

“…CM provides DNs with a method to manage their caseloads (Bain and Baguley, 2012). Within CM, two components specifically focus on monitoring and the evidencing of caseloads; workload analysis and the focus of this article, caseload profiling (CP) (Ervin, 2008).…”

mentioning

confidence: 99%

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Caseload profiling in district nursing: a systematic literature review

Harper-McDonald

Baguley

2018

Br J Community Nurs

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I n all corners of the UK, demographics are rapidly changing and impacting on healthcare provision. An ageing population, set to rise further, has shifted the pattern of disease from acute illness to complex and multiple long-term conditions (Dickson and Coulter Smith, 2013). Resultant policy has been driving the balance of care towards the community, and avoiding hospital admission is an inter national pr ior ity (World Health

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Section: Potential Barriers To Caseload Profilingmentioning

confidence: 99%

mentioning

confidence: 99%

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Caseload profiling in district nursing: a systematic literature review

Harper-McDonald

Baguley

2018

Br J Community Nurs

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“…The reviewed literature shows that, according the used definition of HaH, highly complex patients with time-intensive needs require a significant contribution of health professionals with higher intensity [ 45 , 46 ]. However, in addition to these patient-oriented measures, the amount of work required for each case should also be considered.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with the workload of health professionals in hospital at home: a systematic review

Cordero-Guevara

Parraza-Diez

Vrotsou

et al. 2022

BMC Health Serv Res

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Background Understanding the factors related to workload, could help hospital at home (HaH) managers to make decisions on the most appropriate and efficient use of the HaH services. Published studies on this topic are scarce, so we have conducted a systematic review to identify such factors according to published evidence. Methods Due to the heterogeneity of HaH models, HaH was defined as a care that provides a set of medical and nursing care and attention of hospital rank to patients at home, when they no longer require hospital infrastructure but still need active monitoring and complex care. The electronic data base literature search was conducted in MEDLINE (Ovid), EMBASE (Ovid), and Cinahl (EBSCOhost) from inception to December 2021, including grey literature. Search terms related to `hospital at home´, `workload´ and `care time´ were used. There was no restriction on language, type of study or year of publication. Quality of included studies was assessed using the Critical Appraisal Skills Programme (CASP) checklist and certainty in the body of evidence was assessed using the GRADE Pro Tool. Results were summarised in a tabulated format. Results Eighteen studies with 56,706 patients were included. Workload was measured as time, number of visits or both. The predictive factors of the workload included variables related to patient characteristics and other valid and reliable patient classification systems, as well as characteristics of the institutions where the studies were conducted. The factors associated with higher workloads were: being older, male, living in a rural environment, presenting a higher number of diagnoses, having worse functional status and being unable to assume self-care. Conclusions The identified predictors of workload are mostly associated with home nursing care. The results could be useful and applicable to different organisational models of HaH health systems. More studies that include physicians and proxy measures of workload are needed.

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“…Caseload management was the ability to provide quality care to clients within a given amount of time. 19,20 Workload, however, was broader and more widely encompassing than caseload and included a mechanism to address the amount of time it took staff to deliver various activities related to the AHS Home Care mandate. 8 Acuity meant the severity of illness or client condition that signified the need for staff interventions, and intensity was the amount and the complexity of care needed by clients.…”

Section: Initial Content Developmentmentioning

confidence: 99%

Measuring Home Care Caseloads

Collister

Slauenwhite

Fraser

et al. 2014

Home Health Care Management & Practice

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In response to caseloads that are increasing in numbers and acuity, Alberta Health Services developed the Caseload Intensity Tool (CIT). The development and testing process led to a valid and reliable tool that connects client clinical condition to clinician response. The CIT allows clinicians to discriminate between levels of client intensity quickly and accurately. The scores for each client are summarized first into a client intensity scale and then a caseload intensity scale. The CIT can facilitate caseload management including matching client needs to resources and improving staff resource management, for example, equitable caseloads. There is potential for the tool to validate the relatively invisible work of case managers making it understandable, measurable, and defensible during times of rising costs and budget restraint.

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Caseload Management Skills for Improved Efficiency

Cited by 9 publications

References 14 publications

Caseload profiling in district nursing: a systematic literature review

Caseload profiling in district nursing: a systematic literature review

Factors associated with the workload of health professionals in hospital at home: a systematic review

Measuring Home Care Caseloads

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