Patient-Tailored Case Management Initiative and Outcomes Among Patients in Postacute Care to Decrease 30-Day Hospital Readmissions for Chronic Obstructive Pulmonary Disease
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Departments: Case Management Matters Source Type: research

Advocating for Patients at End of Life During COVID-19
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Departments: CCMC News and Views Source Type: research

Do-Not-Resuscitate Orders in the Operating Room
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Departments: Legal & Regulatory Issues Source Type: research

A True Story
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Departments: The HeartBeat of Case Management Source Type: research

Managing the Cost of Catastrophic Injuries: The Difficult Decisions That Professional Case Managers Make
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Departments: CMSA Highlights Source Type: research

Safety-Net Accountable Health Model Partnership Drives Inpatient Connection to Outpatient Social Services, Reducing Readmissions in a Population Experiencing Homelessness
Purpose of Study: To evaluate whether screening for homelessness during hospitalization and deploying outpatient care managers (CMs) to the inpatient setting to rapidly connect patients to community social services reduce hospital readmissions. Primary Practice Setting: A large safety-net hospital in Minnesota. Methodology and Sample: A quality improvement pilot proactively engaged hospitalized adults experiencing homelessness and enrolled in the Hennepin Health Accountable Health Model (HH AHM). Patients were screened for homelessness using a novel housing indicator tool, and eligible patients were visit...
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Articles Source Type: research

INSTRUCTIONS: Health Literacy, Health Confidence, and Simulation: A Novel Approach to Patient Education to Reduce Readmissions
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: NCPD Tests Source Type: research

Health Literacy, Health Confidence, and Simulation: A Novel Approach to Patient Education to Reduce Readmissions
Conclusions: Data collected included the following: Participation in Simulation Laboratory (SIM LAB) experience: During the time frame of the project, 323 patients were identified as eligible for participation in the project. Of those identified as eligible, there were 130 patients who completed the intervention (37.15%).Readmission events within 30 days from index admission: The intervention period (January–December 2019) noted a readmission rate for the target population of patients with chronic obstructive pulmonary disease/congestive heart failure of 10.12% compared with a readmission rate of 21.05% for th...
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Articles Source Type: research

INSTRUCTIONS: The Social Determinants of Mental Health: Definitions, Distinctions, and Dimensions for Professional Case Management: Part 1
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: NCPD Tests Source Type: research

The Social Determinants of Mental Health: Definitions, Distinctions, and Dimensions for Professional Case Management: Part 1
Conclusion: Access to quality wholistic health care encompasses pathophysiology, psychopathology, and psychosocial circumstances, and is a considerable challenge across populations. Mental health, along with health disparities, has been fueled by enduring systematic racism that has facilitated inadequate funding, poor reimbursement, decreased treatment options, and pervasive stigma across diverse patient populations (e.g., race, ethnicity, gender, sexual orientation, familial status, disability, socioeconomic status). These SDoMH mandate a critical fresh lens by case management to ensure the most proactive and comprehe...
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Articles Source Type: research

The Ethical Context of Hope: Case Management's Ongoing Challenge
Case management's ethical tenets are timeless and remain a foundational pillar of case management practice. These tenets are independent of patient or situation context, even with the tremendous post/parapandemic times. Yet, the question beckons: Despite the times or their circumstances, how do health care professionals engage in ethical practice while still maintaining hope? (Source: Professional Case Management)
Source: Professional Case Management - April 15, 2021 Category: Health Management Tags: Departments: Editorial Source Type: research

INSTRUCTIONS: Case Management on the Front Lines of COVID-19: The Importance of the Individualized Care Plan Across Care Settings
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 10, 2021 Category: Health Management Tags: NCPD Tests Source Type: research

INSTRUCTIONS: Death and Grieving for Family Caregivers of Loved Ones With Life-Limiting Illnesses in the Era of COVID-19: Considerations for Case Managers
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 10, 2021 Category: Health Management Tags: NCPD Tests Source Type: research

Using an Innovative Staffing Approach to Enhance Engagement and Enrollment: Rethinking the Traditional Referral Process
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Departments: Case Management Matters Source Type: research

Lessons From COVID-19: Raising the Stakes for Learning on the Job
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Departments: CCMC News and Views Source Type: research

COVID-19 Changes in Laws and Regulations
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Departments: Legal & Regulatory Issues Source Type: research

Online Professionalism: A New Case Manager Competency
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Departments: The HeartBeat of Case Management Source Type: research

Considering Case Management Practice From a Global Perspective
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Departments: CMSA Highlights Source Type: research

Transitional Care Models for High-Need, High-Cost Adults in the United States: A Scoping Review and Gap Analysis
Purpose of Study: This scoping review explored research literature on the integration and coordination of services for high-need, high-cost (HNHC) patients in an attempt to answer the following questions: What models of transitional care are utilized to manage HNHC patients in the United States? and How effective are they in reducing low-value utilization and in improving continuity? Primary Practice Settings: U.S. urban, suburban, and rural health care sites within primary care, veterans' services, behavioral health, and palliative care. Methodology and Sample: Utilizing the Joanna Briggs Institute and P...
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Articles Source Type: research

A Literature Review on the Benefits for an Interprofessional Educational Program to Increase Novice Nurse Awareness of Case Management in Heart Failure
Conclusions: Evidence demonstrates that interprofessional collaboration on transitional care interventions for HF patients reduces 30-day readmissions. Implementation of an interprofessional education program for novice nurses can be an effective intervention to decrease readmissions by increasing knowledge of the nurse case manager role and development of interprofessional relationships. Implications for Case Management Practice: Increased awareness of HF case management is important for novice nurses. Understanding the nurse case manager role and early interprofessional collaboration can improve patient health...
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Articles Source Type: research

Case Management on the Front Lines of COVID-19: The Importance of the Individualized Care Plan Across Care Settings
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: CE Tests Source Type: research

Case Management on the Front Lines of COVID-19: The Importance of the Individualized Care Plan Across Care Settings
Purpose: Since the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and the disease known as COVID-19, case management has emerged as a critical intervention in the treatment of cases, particularly for patients with severe symptoms and medical complications. In addition, case managers have been on the front lines of the response across the health care spectrum to reduce risks of contagion, including among health care workers. The purpose of this article is to discuss the case management response, highlighting the importance of individual care plans to provide access to the right care and treatm...
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Articles Source Type: research

Death and Grieving for Family Caregivers of Loved Ones With Life-Limiting Illnesses in the Era of COVID-19: Considerations for Case Managers
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: CE Tests Source Type: research

Death and Grieving for Family Caregivers of Loved Ones With Life-Limiting Illnesses in the Era of COVID-19: Considerations for Case Managers
Conclusions: Precautions necessary in a COVID-19 era may add anxiety and stress to an already difficult situation of caring for loved ones at end-of-life and grieving with their loss. Utilization of CDC guidelines lessens the risk of infection while honoring loved ones' wishes and cultural traditions surrounding death and burial. Recognition of social and spiritual connections that comfort mourners must also be considered. Implications for Case Management Practice: Safety precautions are necessary for families and informal caregivers when death occurs during the COVID-19 era.We need to understand the various con...
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Articles Source Type: research

Case Management in a Time of Uncertainties
The year 2020 was a time of uncertainties and unpredictability. In this issue of Professional Case Management Journal, 2 articles discuss the issues of prolonged grief, complicated grief, and self-care. (Source: Professional Case Management)
Source: Professional Case Management - February 1, 2021 Category: Health Management Tags: Departments: Editorial Source Type: research

Professional Case Management and Military Service as a Social Determinant of Health
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Departments: Case Management Matters Source Type: research

Treating the Whole Person: A Psychologist Case Manager's Perspective
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Departments: CCMC News and Views Source Type: research

Nurse Practitioners Bridging the Gap: The Absence of Medical Doctors During the COVID-19 Crisis
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Departments: Legal & Regulatory Issues Source Type: research

Aging Case Managers as a Valuable Resource
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Departments: The HeartBeat of Case Management Source Type: research

Canaries in the Coal Mine
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Departments: CMSA Highlights Source Type: research

Roles, Training, and Qualifications of a Case Manager in the Canadian Health Care Industry: A Narrative Review
Conclusion: The main role of case managers is to help clients meet their goals. Assessment, monitoring, interpersonal communication, and collaboration are essential roles and competencies of case managers. Many case managers come from regulated health care professions and have prior years of professional experience, and many of them come from a nursing profession. This article is a narrative review based on the current literature about case managers' roles, training, and competencies in the Canadian health care industry and how to improve Canadian case management practice. Certification and standardization of case mana...
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Articles Source Type: research

Reducing Frequency of Emergency Department and Inpatient Visits Through Focused Case Management
This study involves case management interventions for high ED users and high-risk patients. The patients in the study must be enrolled in SoonerCare choice to be case managed. Methodology and Sample: Patients who visited the ED 3 times or more in 12 months prior to their HAN enrollment and patients with 12 months of data preenrollment and postenrollment were included in the study. A historical control was used to compare ED and inpatient use per patient per month pre- and post-HAN case management. Chi-square and Wilcoxon's signed-rank tests were used to assess the data. Results: A total of 29 patients met the...
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Articles Source Type: research

Acute Care Management During a Pandemic
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: CE Tests Source Type: research

Acute Care Management During a Pandemic
Conclusions: Patients transitioning to the community setting following discharge are vulnerable and at risk for adverse sequelae, and transitional care management that does not end when the patient leaves the hospital setting is integral to promoting positive patient outcomes (Naylor, Aiken, Kurtzman, Olds, & Hirschman, 2011). The care management approach during the pandemic in one health care system precipitously shifted to an entirely virtual, remote model, and the team continued to provide transitional care support for hospitalized patients to avoid the common pitfalls that are associated with unfavorable outcom...
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Articles Source Type: research

Community and Case Management Interventions to Address Social Determinants of Health in Infectious Disease
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: CE Tests Source Type: research

Community and Case Management Interventions to Address Social Determinants of Health in Infectious Disease
Conclusions: Findings from data and information conducted among the clinic patients and health care team members revealed many important barriers in key aspects of SDH occurring in each clinic. As a result, case managers and other health care team members were able to examine distinct differences in what they predicted their patients would say versus what patients actually answered about SDH aspects of their care experiences, including barriers in access to care, health monitoring, and treatment of HBV. Implications for Case Management Practice: The study and data results have implications for case management pr...
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Articles Source Type: research

COVID-19 Time Capsule 2: DATE: July 23, 2020
This Editorial is the second of COVID-19 Time Capsule. The first was dated on March 15, 2020. Time Capsule 2 is for July 23, 2020, but will publish in January/February 2021. Consider them “historical” documents—snapshots in time. (Source: Professional Case Management)
Source: Professional Case Management - November 23, 2020 Category: Health Management Tags: Departments: Editorial Source Type: research

Case Managers Caring for Patients in a Managed Health Care Organization in South Africa, Part 2
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Departments Source Type: research

Shared Decision-Making: Grounded in Case Management Ethics
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Departments Source Type: research

Case Managers Caring for Patients in a Managed Health Care Organization in South Africa, Part 1
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Departments Source Type: research

I Feel So Alone
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Departments Source Type: research

Case Management
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Departments Source Type: research

Implementing a Nurse Discharge Navigator: Reducing 30-Day Readmissions for Heart Failure and Sepsis Populations
Purpose/Objectives: The purpose of this quality improvement project was to evaluate the impact of a nurse discharge navigator on reducing 30-day readmissions for the heart failure and sepsis populations. Primary Practice Setting: The 238-bed community hospital in central Virginia is part of a health care system that encompasses 13 acute care facilities. Methodology and Sample: The aim of this project was to identify, implement, and evaluate the transition of care of high-risk readmission patients from January 2019 to April 2019. Inclusion criteria included patients who were 55 years and older, English speaking, dia...
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Articles Source Type: research

Community Health Centers Primary Care Physicians' Asthma Management Perception of Uninsured Patients
Purpose of Study: Explore the perceptions of primary care physicians (PCPs) from community health care centers (CHCs) in Franklin County, Ohio, regarding factors that contribute to their inability to consistently provide sustainable asthma management services to their uninsured patient population. Primary Practice Setting: Asthmatic patients are not consistently receiving sustainable asthma management in CHCs in Ohio. Primary care physicians in CHCs play a pivotal role in closing health care gaps for asthmatic patients. To minimize the barriers that impede the efforts of PCPs to control asthma for their uninsured pati...
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Articles Source Type: research

Work-Sampling Study of an Innovative Care Coordination Program Aimed at Children With Chronic Health Conditions
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: CE Tests Source Type: research

Work-Sampling Study of an Innovative Care Coordination Program Aimed at Children With Chronic Health Conditions
Purpose of Study: To estimate time allocation and labor cost for care coordinators (CCs), community health workers (CHWs), and mental health workers (MHWs) to conduct care coordination tasks in a pediatric care coordination program. Primary Practice Setting: A public tertiary academic medical center in Chicago, IL. Methodology and Sample: A work-sampling study was conducted using a text message-based survey on 5 CCs, 20 CHWs, and 4 MHWs who volunteered to participate. Workers were randomly sampled within working hours to collect information on who was the subject of interaction and what service was being delivered ...
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Articles Source Type: research

Implementation of a Disease Management Program in Adult Patients With Heart Failure
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: CE Tests Source Type: research

Implementation of a Disease Management Program in Adult Patients With Heart Failure
Background: Approximately 5.7 million people in the United States are diagnosed and living with heart failure (HF), with projected prevalence rates to increase 46% by 2030. Heart failure leads hospital admissions in the United States for individuals 65 years or older, with many acute exacerbation admissions resulting from a lack of medication management, poor patient treatment plan adherence, and lack of appropriate follow-up within the health care system. In 2017, the 30-day HF readmission rate at the facility of implementation was 27%, 3% higher than the national average and, more specifically, 18.5% for the cardiac ca...
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Articles Source Type: research

The Professional Case Manager and Social Justice, Inclusion, and Equity: A Time for Reflection and Action
Social justice, inclusion and equity are everyone's responsibility. We achieve these values when we recognize and accept the characteristics of every person as a unique individual. Professional case managers, or other healthcare practitioners and leaders, have an obligation to advance the health, human and social outcomes of the people they serve, regardless of the social group they belong to and irrespective of their determinants of diversity. It is time to address social justice, inclusion and equity as ethical principles of practice for the professional case manager. (Source: Professional Case Management)
Source: Professional Case Management - October 10, 2020 Category: Health Management Tags: Departments Source Type: research

The Impact of COVID-19 and the Critical Need for Case Management
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - July 30, 2020 Category: Health Management Tags: Departments Source Type: research