CONTENTS PART ONE Basics : The Meaning of Outcomes in Todays Health Care Environment 1 Sustainable Partnerships : The Journey Toward Health Care Integration, / TIM PORTER-OGRADY ... 2 2 Managed Care : The Driving Force for Case Management, / CONSTANCE S. BURGESS ... 12 3 Consumer Voice : From Whimper to Roar, / LINDA F. GOLODNER ... 20 4 The Ethics of Case Management : The Quality/Cost Conundrum, / Sr. CAROL TAYLOR ; ROBERT J. BARNET ... 27 5 Nursing-Sensitive Patient Outcomes : Development and Importance for Use in Assessing Health Care Effetiveness, / MARION JOHNSON ; MERIDDEAN L. MAAS ... 37 6 The Economic and Financial Implications of Case Management, / JUDITH LLOYD STORFJELL ; STEPHEN JESSUP ... 49 7 Zen Leadership in a Time of Rapid Change, / JANE W. SWANSON ... 55 8 Transformational Leadership in a Changing World, / SUSAN C. FRY ... 66 9 The Role of Health Care Philanthropy in Community Health Outcomes, / ELIZABETH LUNA MOURNING ... 73 PART TWO New Roles : Restructuring the System 10 Emerging Competencies for Nurse Case Managers : Blending the Strengths from the Past, / MARY H. MUNDT ; ELAINE L. COHEN ... 86 11 The Health Action Model : Academias Partnership with the Community, / SANDRA SCHMIDT BUNKERS ; MARGOT L. NELSON ; CHERY ... 92 12 Clinical Nurse Specialists in Clinical Case Management : Evolution of a Model in a Large Tertiary Medical Center, / DEBORAH B. MANGAN ; BONNIE L. CLOSSON ; JANICE L. ... 101 13 Mental Health Nursing and Case Management in Great Britain, / BEN THOMAS ; KARINA LOVELL ... 112 14 The Broker Model of Case Management, / ROBERTA M. CONTI ... 122 15 Carondelet/Santa Cruz Parish Nurse Program : The Church as a Place of Healing, / BELINDA J. ACOSTA ; DELMA B. HUGGINS ; ISELA LUNA ... 132 16 New Roles in Building Healthier Communities : Relationship-Centered Care, / ELAINE R. COLVIN ; RANDI FRIEDL ; JULIE MacDONALD ... 143 17 Longitudinal Profiling : A Differentiated Community Nursing Model, / GWENNETH A. JENSEN ; JoELLEN GOERTZ KOERNER ... 152 18 The Changing Environment for Outcomes Management : Which Way to Go, / MARITA MacKINNON SCHIFALACQUA ; VICKI M. GEORGE ... 162 19 Future Collaborative Partners in Health Care Delivery / PHYLLIS E. ETHRIDGE ... 171 20 Leading the Change One Step at a Time, / PAM L. BROMLEY ; KAY W. GARCIA ... 177 21 Practice Innovations in Academic Nursing : Targeting Outcomes, / MADELINE WAKE ; WARY ANN LOUGH ; CHRISTINE R. SHA ... 186 PART THREE New Rules : Parameters of the Playing Field 22 Redefining Quality : Designing New Partnerships for Consumers and Providers, / TONI C. SMITH ; ANN MARIE T. BROOKS ... 198 23 Interdisciplinary Collaborative Team Practice in Managed Care : The Provider Perspective, / VIVIEN DE BACK ... 207 24 Promoting Self-Management of Chronic Illness : Possibilities for Outcome Evaluation of Case Management, / MARILYN J. RANTZ ; JILL SCOTT ... 215 25 Automated Outcomes Management : Criteria for Selection of Information Systems, / ROY L. SIMPSON ... 226 26 An Integrated Electronic Assessment Process : From Concept to Application, / KAREN A. PRUSSING ... 235 27 Computers Across the Continuum, / ALICE P. WEYDT ; LINDA HERTZ ; LAURIE FRAHM ; JUL ... 244 28 Cost and Quality : Joint Imperatives for Case-Managed Care, / ANN VAN SLYCK ; DEBORAH CRIST-GRUNDMAN ... 252 29 Managed Care : Legal and Policy Issues, / ELLEN K. MURPHY ... 256 30 Healthy Workers - Healthy Business : Understanding and Managing the Correlation Within the Arena of Alternative Medicine, / NANCY N. BOYER ... 268 RART FOUR New Relationships : The Power of Partnering 31 Huduma Kwa Wagonjwa : An African Perspective on Case Management, / KAREN A. IVANTIC-DOUCETTE ; Sr. GENOVEFA MAASHAO ... 276 32 Community Intervention and Partnership, / MARJORIE K. JAMIESON ... 286 33 Case Management : A Strategy to Achieve Reform in Australias Public Health Care Delivery System, / MAGGIE L. BRECKON ; BERNADETTE M. BRENNAN ... 296 34 Achieving Family Health and Cost-Containment Outcomes : Innovation in the New Zealand Health Sector Reforms, / MERIAN LITCHFIELD ; MAUREEN LAWS ... 306 35 Value-Added Outcomes : Featuring a Professional Nursing Practice Model, / MARY KAY KOHLES ; WILLIAM G. BAKER Jr ; PAM COWAR ... 317 36 The Ethics of Case Management : Communication Challenges, / ROBERT J. BARNET ; Sr. CAROL TAYLOR ... 328 37 Sustaining Therapeutic Alliances Through the Community Nursing Organization, / GRACE McCORMACK DALY ... 339 38 New Partnerships in the Integrated Environment : The Brookwood Experience, / JEAN NEWSOME ; DEREK T. SPELLMAN ; GLENDA ETHRIDG ... 346 39 Case Management by Design : New Roles in Acute Care, / SHARON MASS ; ELIZABETH JOHNSON ; CAROLYN E. AYDI ... 357 40 Outcomes of Academic and Service Partnership, / MARJORIE PECK ; JON D. CHRISTENSEN ; DONNA FOSBIN ... 372 41 Haircuts and Health Promotion : A Community-Based Curriculum in a Baccalaureate Nursing Program, / BERNARDINE M. LACEY ; JEWEL MOSELEY-HOWARD ... 379 42 Medicine, Nursing, and Public Health : Partnering to Improve the Communitys Health, / SHEILA A. RYAN ; JANE MARIE KIRSCHLING ; RICHARD ... 384 43 The Best of Both Worlds : An Academic and Business Partnership in Nursing Case Management, / PATRICIA CHIVERTON ; PATRICIA HINTON WALKER ; PAT ... 389 44 Bridging the Gap : Collaborative Partnerships Between Academia and Service, / JUDITH PAPENHAUSEN ; CAROL BRADLEY ELEANOR G. FER ... 400 45 Discovering Outcomes of a Wellness-Promotion Program Utilizing the Kaseman Evaluation Model, / DEBORA S. SNARR ; LISA M. ZERULL ; DIANNE F. KASE ... 412 Epiloge / MARGARET M. MURPHY ... 428