Implementing Nursing Case Management

Abstract

While nursing literature abounds with information on nursing case management (NCM), articles discussing actual NCM implementation problems, particularly in the acute rehabilitation setting, are virtually nonexistent. As hospitals seek ways to combat the economic and quality problems stemming from fragmented care, nursing case management provides a viable approach. Yet, it is imperative that those seeking to implement case management realize the importance of careful planning in avoiding common pitfalls. This article discusses NCM and uses a case analysis approach to illustrate problems commonly encountered in implementing the care delivery model. Recommendations for ensuring a smooth transition from primary nursing to nursing case management are presented.