Case Management Process II

Master of Science in Nursing

NRS 516

Breyer State University

Instructor: Dominick L. Flarey, Ph.D., MBA, RN,CS, CNAA, FACHE

SYLLABUS

COURSE OVERVIEW: This course, NRS 516, is a graduate level course in the curriculum for the Degree, Master of Science in Nursing. We are pleased to offer you this course, which will be an important course for your advanced clinical practice. This is an exciting course. We have the opportunity in this course to explore the concepts of quality improvement and quality assurance as it relates to the role of the professional case manager and case management practice. This course is structured to present theories of quality improvement in health care delivery services, from a case management perspective. Professional case managers prepared at the graduate level practice in more advanced roles today, and are intimately involved in the analysis and improvement of care service design and delivery.

This course is formatted at the graduate level of study. It is intended to provide graduate students with the theory, knowledge and application necessary to practice at a more advanced level of case management. Many concepts are presented that impact patient care on a daily basis. If you complete this course you will have a far-reaching knowledge base in which to provide for sound quality improvements in case management practice. You will also be able to commensurate your roles in case management as high level, professional “advocates” for clients. This course also focuses on disease models of case management, as well as complimentary/alternative care modalities and how they may positively impact quality outcomes.

This course will also stimulate higher levels of awareness regarding the need to develop departmental and organizational compliance programs which address adherence to quality mandates. It will also assist advanced practice case managers in taking on a more active role within institutional settings regarding quality assessment and improvement.

TIME FRAME: This is a six-semester hour course. This course is allotted ten weeks of time. You must complete all of the requirements for the course successfully by the end of the ten-week period. The first day of week one will begin the day that you register for the course, or the day which you notify me that your text book(s) have arrived and you are ready to begin your studies. Please be cognizant of the time frame. It is rare that extensions of time are permitted, unless the student has good justification. Upon successful completion of this course, you will be awarded six semester hours of credit.

TEXTBOOKS: There is one required textbooks for this course.

Book 1: Advanced Case Management: Outcomes and Beyond, Suzanne K. Powell, Lippincott, Williams and Wilkins, Philadelphia, 2000. ISBN #: 0781722349.

You can purchase your text from:

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EXAMINATIONS: There is one comprehensive final examination for this course. The examination must be taken by the end of the tenth week in the course.

GRADING: The grading scale for this course is as follows:

90- 100%   = A
80-89%      = B
70-79%      = C
Below 70% = Fail

COMMUNICATION: You are encouraged to communicate with me. I am available as a teacher, coach, and mentor to assist you in meeting your goals for this course. Primarily, communication is through email. However, I am also available for conversation by telephone if you would like. Our classroom for this course has a “chat” room. I am also very willing to meet with you one-on-one in the chat room at your request. From time to time, depending on how many students are enrolled in this course at a particular time, we will have some scheduled group chats. You will receive more detailed information at the time such chat sessions are scheduled

WRITTEN ASSIGNEMENTS: There are written assignments for this course. Students will be provided complete directions for the written assignments upon enrollment.

ABOUT YOUR INSTRUCTOR: Dominick L. Flarey, Ph.D, MBA, RN,CS, FACHE, is President of Breyer State University. He holds a BSN degree, a Masters in Business Administration, a Masters in Health Science Education, and PhDs in Nursing Administration and Management. He is a Registered Nurse and a Certified and Licensed Adult Nurse Practitioner. He has held positions as Associate Administrator Patient Care, Chief Operating Officer, and Administrator in acute care. He has also held positions with several national health care consulting firms and has conducted many administrative consulting projects. He is also a Certified Specialist in Legal Nurse Consulting and continues to consult on medical malpractice cases across the country. He has taught many seminars related to case management over the past 8 years. He also practiced as a case management consultant in a national health care consulting practice.

Dr. Flarey is the past Editor-in-Chief of a journal in Healthcare Law, Ethics & Regulation. He lectures extensively across the country on management and clinical issues in health care, as well as law and ethics. He is certified in Nursing Administration Advanced by the American Nurses Credentialing Center, and is a Fellow in the American College of Health Care Executives.

He is the co-author/editor of 7 texts books in health care, and has authored over 60 articles in peer-reviewed journals.

COURSE OBJECTIVES: Upon completion of this course, you will be able to:

1). Understand the concepts and theories of process improvement.
2). Understand the concept of disease management.
3). Define the role of the professional case manager in disease.
4). Management models of care.
5). Discuss quality improvement for disease management models of care.
6). Define and discuss outcomes management as it relates to case management practice.
7). Discuss the role of process teams used for improvements.
8). Discuss complementary and alternative care modalities and benefits to enhance quality of care services.
9). Understand the imperatives of advanced practice case managers to participate actively in quality improvement initiatives.
10). Understand the tools used in quality improvement initiatives.
11). Understand compliance and regulatory issues related to quality improvement and quality assurance.
12). Research the use of quality improvement initiatives in case management practice.

COURSE CONTENT:

1). Overview of Disease Management.
2). The Process of Disease Management.
3). Overview of Outcomes Management.
4). A Case Management/Outcomes Management Program.
5). Quality Improvement Projects.
6). Overview of Continuous Quality Improvement.
7). Tools for Process Improvement.
8). The Continuous Quality Improvement Process.
9). Case Managers Working in Project Teams.
10). Complementary and Alternative Medicine: An Introduction to Modalities
11). The Integration of Complementary and Alternative Medicine.
12). Complementary and Alternative Medicine: Implications for Case Managers.

PREREQUISITE: You must be officially enrolled into the MS degree program in case management at Breyer State University.

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