Accession Number : ADA294877

Title :   Nursing Case Management: What Difference Does It Make? A Replication Study.

Descriptive Note : Master's thesis,

Corporate Author : AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH

Personal Author(s) : Pietrocola, Marlene R.

PDF Url : ADA294877

Report Date : 1995

Pagination or Media Count : 40

Abstract : Some researchers have argued that effectively implemented nursing case management can provide quality patient care and reduce unnecessary expenditure of human and material resources. The purpose of this study was to replicate a 1988 study to examine the impact of nursing case management on cost and length of stay for DRGs 107 (coronary artery bypass graft) and 106 (coronary artery bypass graft with angiography). The study reviewed trends in cost and length of stay over a four year period from 1988, when nursing case management was initially implemented, to 1992 when the present study was undertaken. These trends were established by comparing data from the original study and from fiscal year 1992. This descriptive study used a convenience sample (n=286) obtained from a population at a 600 bed medical center in the southeastern United States. The sample consisted of DRG 107 and DRG 106 patients, between the ages of 25and 85. The sample of patients' medical records for DRG 107 was 148; for DRG 106 it was 138. Data were analyzed based on distribution of means. Analysis of the data collected indicated that there had been a significant statistical increase in both cost and length of stay over the four year period.

Descriptors :   *MANAGEMENT, UNITED STATES, DISTRIBUTION, MATERIALS, POPULATION, COSTS, MEDICINE, QUALITY, RESOURCES, PATIENTS, RECORDS, TRANSPLANTATION, NURSING, CORONARY ARTERIES, ANGIOGRAPHY, SHUNTS.

Subject Categories : Administration and Management
      Medicine and Medical Research

Distribution Statement : APPROVED FOR PUBLIC RELEASE