ABSTRACT

Healthcare has continued to evolve over the years. It is challenging to keep up with clinical information and technology, let alone the impacts of the fi nancial and quality aspects of care. Organizations needed to ask themselves, “How can care be coordinated on a daily basis while managing the resources? Who is going to be able to incorporate the clinical, quality, and fi nancial aspects while being a patient advocate?” Nurses are challenged with directly taking care of the patient and may not take care of the same patient every day. In addition, nurses may work at various times, including 8-or 12-hour shift s or only weekends. Th ese aspects limit the nurses’ continuity of coordinating the patient’s care and managing resources on a daily basis. Because hospitals needed to manage their resources and coordinate care, case management has been brought into the picture.