The Impact of Case Management on Reducing Readmission for Patients Diagnosed With Heart Failure and Diabetes.

Purpose Of The Study: To determine the impact of integrated case management services versus treatment as usual (TAU) for patients diagnosed with diabetes and concomitant heart failure.

Primary Setting: This medical chart review was conducted at a single-site facility. The retrospective study design can be implemented at other facilities with a similar landscape.

The Clinical Nurse Leader (CNL)(R): point-of-care safety clinician.

The vision for the Clinical Nurse Leader CNL(R) role began in 2003-2004 in response to the Institute of Medicine's quality and safety reports. The CNL was envisioned as a nurse who would provide direct clinical leadership at the point of care, working to insure that care delivery is safe, evidence-based, and targeted towards optimal quality outcomes for the cohort of clients served by the CNL. In this article the authors describe the background and intent of the CNL role and explain how the CNL is prepared to facilitate a culture of safety and to enhance safety of the care provided for a group of patients.