BSN440 Weekly Lesson Plan

Topic  Learning
Objectives
Preparation  Assessment
Week One:
Nurse Case
Management

Discuss the
evolution and
development of
nursing case
management.
Discuss the role
transition form
caregiver to
case manager.
Read text – Case
management for
nurses: Chapter 1
Section 2: Issue 1
www.cmsa.org
Discussion Introductions:
Please post a brief introduction for your classmates,
describing your professional background and your goals
for completing this program.  What do you hope to take
away from this course that will enhance your current
position?  Share anything about your family, hobbies,
etc. that you are comfortable with.  Discussion
Question One:
Describe the roles and functions of the nurse case
manager in (1) acute care, (2) home care, and (3)
primary care organizations.
Discussion Question Two:
A patient is being discharged from the hospital after
exacerbation of congestive heart failure. Think about
the care provided and actions taken by the staff nurse
leading up to discharge. Now consider the role and
responsibilities of the nurse case manager. What
additional issues, steps, or considerations might the
nurse case manager address that the staff nurse would
not? What other members of the interdisciplinary
health care team would the case manager need to
interface with?
Discussion Question Three:
Often the case manager is a social worker rather than a
nurse. What skills would a nurse need to have to better
prepare to do a community health plan for a patient?
Week Two:
Case
Management
Models
Compare and
contrast case
management
models and
settings.
Apply the
phases of the
case
management
process.
Read text – Case
management for
nurses: Chapter 2
Issue 2 and Issue 6
Discussion Question One:
Explain how the concept continuum of care is used in
case management.
Discussion Question Two:
What are some of the weaknesses of discharge planning
as it is practiced in acute care settings today? How
could this be improved using a case management
model?

Assignment 1
Choose either a disease management (hypertension,
COPD, diabetes, asthma) or a high risk population (high
risk pregnancy, children with disabilities, neonates,
post-trauma) that you would like to study further.
Propose this topic to your instructor. Once approved,
begin to search in the online library for best practices in
case management. This assignment will be submitted in
four parts during the weeks of the course. For this Part
One of your Project, write a paper in APA format and
address: The population (e.g., high risk pregnancy,
children with disabilities, neonates, post-trauma, etc.)
or the disease processes (e.g., hypertension, COPD,
diabetes, asthma, etc.) that you have selected for your
project. The scope of this issue in the general
population and on the health care system. Why there
should there be a formal case management program.
Potential benefits to implementing a systematic case
management plan (economics, quality of life/care,
social disruption, etc.) Why nursing should coordinate
this plan of care. The other team members–who should
be included and why? Include a minimum of two
scholarly references.
Week Three:
Reimburseme
nt and
Financing
Models
Describe the
types of
reimbursement
strategies.
Compare and
contrast
managed care
coverage with
other types of
health care
coverage.
Read text – Case
management for
nurses: Chapters 3
and 4 Issue 4

American
Association of
Managed Care
Nurses: www.aam
cn.org

Discussion Question One:
What are some strategies for getting case management
funded within health plans?
Discussion Question Two:
What is the major difference between a service and a
reimbursement strategy?
Discussion Question Three:
What is your opinion of linking hospital reimbursement
to performance outcomes? Cite the literature.

Week Four:
Quality
Improvement
and Case
Management
Discuss
strategies to
improve the
quality of care
in case
management.
Cite
accreditation
agencies’
definitions and
measures of
quality care.
Read text – Case
management for
nurses: Chapter 5
Issue 3

Supplemental
Reading 1

Review the
National
Committee for
Quality Assurance
certification
criteria: www.ncqa
.org

Review the
Utilization Review
Accreditation
Commission
guidelines for
accreditation and
certification
programs: www.ur
ac.org

Discussion Question One:
What are some of the approaches case managers use to
promote the highest quality of care with careful use of
resources?
Discussion Question Two:
What are the key components of accreditation? How
does accreditation contribute to quality outcomes?

Assignment 2
For this Part Two of your Project, write a paper in APA
format and address these elements that should be used
in developing the overall case management plan:
Best practices
Published guidelines
Clinical pathways
Include a minimum of two scholarly references.
Week Five:
Quality
Outcomes
Determine
methods and
models used to
evaluate cost
effectiveness of
case
management.
Determine
models used to
measure
outcomes of
Read text – Case
management for
nurses: Chapter 5
Issue 3

National Quality
Forum: www.quali
tyforum.org

Discussion Question One:
How is risk management practiced in your work
environment?
Discussion Question Two:
There are a number of components of quality
indicators: accessibility, appropriateness, continuity,
effectiveness, efficacy, efficiency, timeliness, patient
perspective issues, and safety of care environment.
Take one of these components and start a discussion
thread that gives examples of how a breakdown could
impact patient care and quality outcomes.
case
management.

Week Six:
Case
Management
Documentatio
n and Tools

Describe how to
form a
collaborative
team.
Describe various
approaches to
case
management
implementation
in a variety of
settings.
Explore
documentation
strategies used
during
implementation
.
Read text – Case
management for
nurses: Chapter 7
Review clinical
guidelines located
at www.guideline.
gov and www.ahc
pr.gov.

Discussion Question One:
Why is a variance analysis an important component of
clinical pathways? How can this be used to improve
care or reduce costs?
Discussion Question Two:
What questions would you need to consider if you were
evaluating a clinical pathway developed by another
organization?
Discussion Question 3:
Many clinical information systems now embed practice
guidelines and clinical pathways into their electronic
medical record systems. What are some of the
advantages and disadvantages of this?

Assignment 3
For this Part Three of your Project, develop a detailed
assessment guide and an overall plan of care using the
format below. Reference your recommendations and
any statements that you make about the economics,
psycho-social situations, and health care expectations.

You may use http://www.lifecarewriter.com/about.asp
to assemble your plan. This software can be used for
free for one month.

· Medical Intake/ History Review
· Medical Records Providers
· Chief Complaint and Subjective History
· Effects of Injury/ Illness on Daily Living
· Current Physical Complaints
· Past Medical History
· Current Medical and Rehabilitation Situation
· Financial Summary
· Family / Community Support
· Expected Outcomes
· Conclusion

Appendices
· Future Routine Medical Care
· Surgical Intervention or Aggressive Treatment Plan
· Drug Needs
· Supplies
· Diagnostic Testing / Educational Assessment
· Projected Evaluations
· Projected Therapeutic Modalities
· Aids for Independent Function
· Orthotics/ Prosthetics
· Wheelchair Needs and Accessories
· Orthopedic Equipment
· Home Care/ Institutional Care
· Transportation
· Home Furnishings and Accessories
· Architectural Renovations/ Housing Options
· Leisure Time and/or Recreational Equipment
· Potential Complications
Week Seven:
The Consumer
Examine case
management
legislation
directed toward
increasing
efficiency of
health care.
Discuss ethical
issues pertinent
to the practice
of nursing case
management.
Read text – Case
management for
nurses: Chapter 6
Issue 5
Search the site for
US Department of
Health and Human
Services “Hospital
Compare” and use
the interactive
database to
compare and
contrast health
plans, hospitals,
etc. How might you
use this site with
patients as a case
manager?
Discussion Question One:
What is demand management and how does this
increase consumer involvement in care?
Discussion Question Two:
How is disease management different from case
management?

Week Eight:
Putting It All
Together
Synthesize
knowledge from
the course in
order to
develop a case
management
plan for a
specified
disease or
population.
None.  Discussion Question One:
Start a discussion thread with a summary of your paper
and your key findings. Share particularly helpful
resources with your colleagues.
Discussion Question Two:
Would you consider a career as a case manager? Why
or why not?

Assignment 4
For this Part Four of your Project, write a paper in APA
format and address:
How you would implement this case management
protocol in your own organization or in the community.
What approach would you use to get the buy-in of key
stakeholders? Key outcomes of this case management
plan.

Assignment 1
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered.  Then, include an introduction and conclusion to tie the paper together.  If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
Choose either a disease management (hypertension, COPD, diabetes, asthma) or a high risk population (high risk pregnancy, children with disabilities, neonates, post-trauma) that you would like to study further. Propose this topic to your instructor. Once approved, begin to search in the online library for best practices in case management. This assignment will be submitted in four parts during the weeks of the course.
For this Part One of your Project, write a paper in APA format and address:
o    The population (e.g., high risk pregnancy, children with disabilities, neonates, post-trauma, etc.) or the disease processes (e.g., hypertension, COPD, diabetes, asthma, etc.) that you have selected for your project.
o    The scope of this issue in the general population and on the health care system.
o    Why there should there be a formal case management program.
o    Potential benefits to implementing a systematic case management plan (economics, quality of life/care, social disruption, etc.).
o    Why nursing should coordinate this plan of care.
o    The other team members–who should be included and why?
Include a minimum of two scholarly references.
It is required that you submit this assignment to be checked by TurnItIn.com. You will need to upload the TurnItIn Originality report along with your writing assignment below. Need a refresher on how to use TurnItIn? Check out the “Need Help?” box in the top right corner.
Grading Rubric PDF
Grading Rubric
Competency    15—13 points    12—5 points    4—1 points    0 points    Points Earned
Illustrates the population.    Illustrates the population.    Explains the population.    Identifies the population.    Does not address the population.    /15
Evaluates the population (size, seriousness, special needs, etc.).    Evaluates the population (size, seriousness, special needs, etc.).    Reviews the population (size, seriousness, special needs, etc.).    Names the population (size, seriousness, special needs, etc.).    Does not address the population (size, seriousness, special needs, etc.).    /15
Assesses why there should be a formal case management program.    Assesses why there should be a formal case management program.    Explains why there should be a formal case management program.    Lists why there should be a formal case management program.    Does not address why there should be a formal case management program.    /15
Argues the potential benefits to implementing a systematic case management plan (economics, quality of life/care, social disruption, etc.).    Argues the potential benefits to implementing a systematic case management plan (economics, quality of life/care, social disruption, etc.).    Classifies the potential benefits to implementing a systematic case management plan (economics, quality of life/care, social disruption, etc.).    Lists the potential benefits to implementing a systematic case management plan (economics, quality of life/care, social disruption, etc.).    Does not address the potential benefits to implementing a systematic case management plan (economics, quality of life/care, social disruption, etc.).    /15
Analyzes why nursing should coordinate this plan of care.    Analyzes why nursing should coordinate this plan of care.    Discusses why nursing should coordinate this plan of care.    Recalls why nursing should coordinate this plan of care.    Does not address why nursing should coordinate this plan of care.    /15
Identifies the other team members who should be included and why.    Identifies the other team members who should be included and why.    Recognizes the other team members who should be included and why.    Lists the other team members who should be included and why.    Does not address the other team members who should be included and why.    /15
Competency    10—8 points    7—4 points    3—1 points    0 points    Points Earned
Organization
Spelling, grammar, punctuation, mechanics, usage, and typing
Sources
APA Compliance    Organization is logical, ideas are clear, and transitions are smooth.
Spelling, grammar, punctuation, mechanics and usage correct and consistent with Standard American English.
No typographical errors.
References are relevant, scholarly and contemporary.
Correct APA format.    Organization good, ideas usually clear and transitions usually smooth.
Spelling, grammar, punctuation, mechanics, and usage good and consistent with Standard American English; errors do not interfere with meaning or understanding.
There are a few minor typographical errors.
Minimum two references are relevant, scholarly and contemporary.
Minimal APA format errors.    Organization minimally effective; problems with clarity and/or transitions.
Spelling, grammar, punctuation, mechanics, and usage distracting and could interfere with meaning or understanding.
There are multiple typographical errors.
One reference is relevant, scholarly and contemporary.
Poor use of APA format.    Organization does not meet requirements.
Spelling, grammar, punctuation, mechanics and/or usage interfere with understanding and do not reflect scholarly writing.
There are major typographical errors.
Poor use and/or selection of references, or no references.
No use of APA format.
/10
Total    /100
Assignment 2
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered.  Then, include an introduction and conclusion to tie the paper together.  If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
For this Part Two of your Project, write a paper in APA format and address these elements that should be used in developing the overall case management plan:
o    Best practices
o    Published guidelines
o    Clinical pathways
Include a minimum of two scholarly references.
It is required that you submit this assignment to be checked by TurnItIn.com. You will need to upload the TurnItIn Originality report along with your writing assignment below. Need a refresher on how to use TurnItIn? Check out the “Need Help?” box in the top right corner.
Grading Rubric PDF
Grading Rubric

Competency    30—25 points    24—12 points    11—1 points    0 points    Points Earned
Justifies best practices.    Justifies best practices.    Reviews best practices.    Does not review best practices.    Does not address best practices.    /30
Evaluates published guidelines.    Evaluates published guidelines.    Interprets published guidelines.    Identifies published guidelines.    Does not address published guidelines.    /30
Appraises clinical pathways.    Appraises clinical pathways.    Lists clinical pathways.    Does not list clinical pathways.    Appraises clinical pathways.    /30
Competency    10—8 points    7—4 points    3—1 points    0 points    Points Earned
Organization
Spelling, grammar, punctuation, mechanics, usage, and typing
Sources
APA Compliance    Organization is logical, ideas are clear, and transitions are smooth.
Spelling, grammar, punctuation, mechanics and usage correct and consistent with Standard American English.
No typographical errors.
References are relevant, scholarly and contemporary.
Correct APA format.    Organization good, ideas usually clear and transitions usually smooth.
Spelling, grammar, punctuation, mechanics, and usage good and consistent with Standard American English; errors do not interfere with meaning or understanding.
There are a few minor typographical errors.
Minimum two references are relevant, scholarly and contemporary.
Minimal APA format errors.    Organization minimally effective; problems with clarity and/or transitions.
Spelling, grammar, punctuation, mechanics, and usage distracting and could interfere with meaning or understanding.
There are multiple typographical errors.
One reference is relevant, scholarly and contemporary.
Poor use of APA format.    Organization does not meet requirements.
Spelling, grammar, punctuation, mechanics and/or usage interfere with understanding and do not reflect scholarly writing.
There are major typographical errors.
Poor use and/or selection of references, or no references.
No use of APA format.
/10
Total    /100

Assignment 3
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered.  Then, include an introduction and conclusion to tie the paper together.  If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
For this Part Three of your Project, develop a detailed assessment guide and an overall plan of care using the format below. Reference your recommendations and any statements that you make about the economics, psycho-social situations, and health care expectations.
You may use LifeCare Planner to assemble your plan. This software can be used for free for one month.
o    • Medical Intake/ History Review
o    • Medical Records Providers
o    • Chief Complaint and Subjective History
o    • Effects of Injury/ Illness on Daily Living
o    • Current Physical Complaints
o    • Past Medical History
o    • Current Medical and Rehabilitation Situation
o    • Financial Summary
o    • Family / Community Support
o    • Expected Outcomes
o    • Conclusion
Appendices
o    • Future Routine Medical Care
o    • Surgical Intervention or Aggressive Treatment Plan
o    • Drug Needs
o    • Supplies
o    • Diagnostic Testing / Educational Assessment
o    • Projected Evaluations
o    • Projected Therapeutic Modalities
o    • Aids for Independent Function
o    • Orthotics/ Prosthetics
o    • Wheelchair Needs and Accessories
o    • Orthopedic Equipment
o    • Home Care/ Institutional Care
o    • Transportation
o    • Home Furnishings and Accessories
o    • Architectural Renovations/ Housing Options
o    • Leisure Time and/or Recreational Equipment
o    • Potential Complications
It is required that you submit this assignment to be checked by TurnItIn.com. You will need to upload the TurnItIn Originality report along with your writing assignment below. Need a refresher on how to use TurnItIn? Check out the “Need Help?” box in the top right corner.
Grading Rubric PDF
Grading Rubric

Competency    30—25 points    24—12 points    11—1 points    0 points    Points Earned
Develops a detailed assessment guide.    Develops a detailed assessment guide.    Outlines a detailed assessment guide.    Defines an assessment guide.    Does not provide an assessment guide.    /30
Designs an overall plan of care.    Designs an overall plan of care.    Relates an overall plan of care.    Outlines an overall plan of care.    Does include an overall plan of care.    /30
Interprets the complete format included in the assignment description.    Interprets the complete format included in the assignment description.    Reviews the format included in the assignment description with some omissions.    Defines the format included in the assignment description with several omissions.    Does not use the format included in the assignment description.    /30
Competency    10—8 points    7—4 points    3—1 points    0 points    Points Earned
Organization
Spelling, grammar, punctuation, mechanics, usage, and typing
Sources
APA Compliance    Organization is logical, ideas are clear, and transitions are smooth.
Spelling, grammar, punctuation, mechanics and usage correct and consistent with Standard American English.
No typographical errors.
References are relevant, scholarly and contemporary.
Correct APA format.    Organization good, ideas usually clear and transitions usually smooth.
Spelling, grammar, punctuation, mechanics, and usage good and consistent with Standard American English; errors do not interfere with meaning or understanding.
There are a few minor typographical errors.
Minimum two references are relevant, scholarly and contemporary.
Minimal APA format errors.    Organization minimally effective; problems with clarity and/or transitions.
Spelling, grammar, punctuation, mechanics, and usage distracting and could interfere with meaning or understanding.
There are multiple typographical errors.
One reference is relevant, scholarly and contemporary.
Poor use of APA format.    Organization does not meet requirements.
Spelling, grammar, punctuation, mechanics and/or usage interfere with understanding and do not reflect scholarly writing.
There are major typographical errors.
Poor use and/or selection of references, or no references.
No use of APA format.
/10
Total    /100

Assignment 4
Please use the grading rubric to create an outline of your assignment. Each section of the rubric should be a section of your final paper and could become the headings. Your assignment will be graded based on each element of the rubric. Compare each section of your paper with the rubric to ensure all elements are covered.  Then, include an introduction and conclusion to tie the paper together.  If you have any questions regarding the assignment please contact your instructor using the Course Help forum.
Combine all sections of your course project (including the final section that is due this week) into a single paper before submitting.
For this Part Four of your Project, write a paper in APA format and address:
o    How you would implement this case management protocol in your own organization or in the community.
o    What approach would you use to get the buy-in of key stakeholders?
o    Key outcomes of this case management plan.
It is required that you submit this assignment to be checked by TurnItIn.com. You will need to upload the TurnItIn Originality report along with your writing assignment below. Need a refresher on how to use TurnItIn? Check out the “Need Help?” box in the top right corner.
Grading Rubric PDF
Grading Rubric

Competency    30—25 points    24—12 points    11—1 points    0 points    Points Earned
Constructs an implementation plan.    Constructs an implementation plan.    Illustrates an implementation plan.    Defines an implementation plan.    Does not include an implementation plan.    /30
Proposes approach to gain buy-in from key stakeholders.    Proposes approach to gain buy-in from key stakeholders.    Indicates an approach to gain buy-in from key stakeholders.    States an approach to gain buy-in from key stakeholders.    Does not address an approach to gain buy-in from key stakeholders.    /30
Examines key outcomes of the case management plan.    Examines key outcomes of the case management plan.    Identifies key outcomes of the case management plan.    Lists key outcomes of the case management plan.    Does not address key outcomes of the case management plan.    /30
Competency    10—8 points    7—4 points    3—1 points    0 points    Points Earned
Organization
Spelling, grammar, punctuation, mechanics, usage, and typing
Sources (Additional sources optional)
APA Compliance    Organization is logical, ideas are clear, and transitions are smooth.
Spelling, grammar, punctuation, mechanics and usage correct and consistent with Standard American English.
No typographical errors.
References are relevant, scholarly and contemporary.
Correct APA format.    Organization good, ideas usually clear and transitions usually smooth.
Spelling, grammar, punctuation, mechanics, and usage good and consistent with Standard American English; errors do not interfere with meaning or understanding.
There are a few minor typographical errors.
Minimum two references are relevant, scholarly and contemporary.
Minimal APA format errors.    Organization minimally effective; problems with clarity and/or transitions.
Spelling, grammar, punctuation, mechanics, and usage distracting and could interfere with meaning or understanding.
There are multiple typographical errors.
One reference is relevant, scholarly and contemporary.
Poor use of APA format.    Organization does not meet requirements.
Spelling, grammar, punctuation, mechanics and/or usage interfere with understanding and do not reflect scholarly writing.
There are major typographical errors.
Poor use and/or selection of references, or no references.
No use of APA format.     /10
Total    

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