The role of home health nurse case manager has become much more difficult in my agency and in the large HMO we are a part of. Productivity expectations, skill mix, ever increasing paperwork, sicker patients, and coordinating care in a chaotic health care environment are some of the factors that have impacted the role in recent years. It has caused us to lose excellent nurses and to have problems with recruitment. Many nurses choose to work on-call to avoid the stresses of the role. I'm wondering about what ideas other people have regarding strategies that promote successful home health nursing case management?
One idea that we have tried is giving nurses credit for the telephone calls we make to coordinate care for patients or in place of a visit. I think it's a step in the right direction