Utilization Management in Case Management in the Home Care Setting

I. Read at least 5 articles from peer reviewed journals on your topic and print out. As you read through, write in the margin area what you think are the most salient points.
II. Synthesize 5 main ideas from the articles (7-8 if you are doing a joint project).
III. Make an outline for your main ideas.
IV. Format your paper in the following way:
A) Write an introduction paragraph. Describe the topic that you are going to discuss. Then introduce the 5 main ideas (7-8 for joint projects) that you will explore. You can write a brief sentence for each. Or for example; you can use this technique ?The five main sections that will be explored in relationship to ????..case-management are: (a) idea #1 (b) idea #2; (c) idea #3 etc. Then write a transition sentence to bring the reader to the first of the main idea.
B) Each time you start to describe a main idea, begin a new paragraph and introduce the idea. Then develop the paragraph. A paragraph should not be a page long, so each main idea might have more than one paragraph. When you finish with one main idea, there should again be a transition sentence that brings the reader to the next main idea.
C) When you have completed discussion of the main ideas, write a summary paragraph that includes all of the main ideas discussed in the paper. It is essential to finish with how you think this aspect of case-management will impact current nursing practice and improving healthcare and; how it will be used in relation to the projected health care reform of Affordable Health Care Act.

CM concept is chosen from items listed under Unit Objectives and is
a) identified b)defined c) explained why it is of interest

Student clearly incorporates a), b), c) in paper (3 points)

Student incorporates two of the a),b),c) components in paper (2 points)

Student incorporates one of the a),b),c) components in paper (1 point)

Student doe not incorporate any of the a),b),c) components in paper (0 point)
Cultural Competence (7 points)
Describe how the CM concept is relevant to or influenced by cultural competence.

Student discusses the relationship between the CM concept and cultural competence using real or simulated examples.(7points)

Student discusses the relationship between the CM concept and cultural competence without examples.(6points)

Student discusses cultural competence or CM concept (5 points)

Student minimally discusses cultural competence or CM concept (4 or less points)
Case Management (5 points)
Discuss how the culturally competent CM concept can improve CM practice.

Student discusses how the culturally competent CM concept can improve CM practice using real or simulated examples (5points)

Student discusses how the culturally competent CM concept can improve CM practice without examples.(4points)

Student discusses the culturally competent CM concept only. (3 points)

Student does not discuss the culturally competent CM concept (2 or less points)
Structure/Format (5 points)
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