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Effective Health Care Program

Topic Suggestion Description

Date submitted: March 10, 2009

Briefly describe a specific question, or set of related questions, about a health care test or treatment that this program should consider.

For all patients, addressing continuum of care, has research analysis been performed to promote the benefit of certified nurse case managers working with physicians to promote appropriate utilization of services and to facilitate cost containment in an effective health care program?

Does your question include a comparison of different health care approaches? (If no, your topic will still be considered.)

no

If yes, explain the specific technologies, devices, drugs, or interventions you would like to see compared:
What patients or group(s) of patients does your question apply to? (Please include specific details such as age range, gender, coexisting diagnoses, and indications for therapy.)

All ages and disease processes

Are there subgroups of patients that your question might apply to? (For example, an ethnic group, stage or severity of a disease.)
Describe the health-related benefits you are interested in. (For example, improvements in patient symptoms or problems from treatment or diagnosis.)

Access to services and medical coverage for all people.

Describe any health-related risks, side effects, or harms that you are concerned about.

Appropriateness for EHC Program

Does your question include a health care drug, intervention, device, or technology available (or likely to be available) in the U.S.?

no

Which priority area(s) and population(s) does this topic apply to? (check all that apply)
EHC Priority Conditions (updated in 2008)
None
AHRQ Priority Populations
None
Federal Health Care Program
None

Importance

Describe why this topic is important.

Need for a Universal Health Plan to be implemented.

What specifically motivated you to ask this question? (For example, you are developing a clinical guideline, working with a policy with large uncertainty about the appropriate approach, costly intervention, new research you have read, items in the media you may have seen, a clinical practice dilemma you know of, etc.)

I believe that nurse case management can play a significant role in reducing the costs for medical care in this country.

Does your question represent uncertainty for clinicians and/or policy-makers? (For example, variations in clinical care, controversy in what constitutes appropriate clinical care, or a policy decision.)

yes

If yes, please explain:

Universal medical care will require a gatekeeper to develop and implement appropriate standards of medical care and guidelines to be followed.Private insurance companies are threatened by this but there could be an opportunity for them to remain operational within this framework.

Potential Impact

How will an answer to your research question be used or help inform decisions for you or your group?

Nurse case managment will become a highly recognized component of the health care system with the greatest impact on cost effective healthcare.

Describe the timeframe in which an answer to your question is needed.

I would like to make a contribution.

Describe any health disparities, inequities, or impact on vulnerable populations your question applies to.

All.

Nominator Information

Other Information About You: (optional)
Please choose a description that best describes your role or perspective: (you may select more than one category if appropriate)

Nurse case managment will become a highly recognized component of the health care system with the greatest impact on cost effective healthcare.

Are you making a suggestion as an individual or on behalf of an organization?

Individual

Please tell us how you heard about the Effective Health Care Program
None
Outpatient Case Management for Adults With Medical Illnesses and Complex Care Needs: Future Research Needs Outpatient Case Management for Adults With Medical Illness and Complex Care Needs