Leveraging Interprofessional Team-Based Care Toward Case Management Excellence: Part 1, History, Fundamentals, Evidence
Conclusions: Interprofessional team-based care models demonstrate a successful means to achieve client-driven, quality, and cost-effective care across disease states and practice settings. Implications for Case Management Practice: With case management so closely linked to the fiscal imperatives of organizations, engagement in IPTBC is a necessity for every practice setting. Poor team collaboration contributes to unsuccessful outcomes for clients, increased costs, and concerning quality and risk management issues for the organization. The latest generation of value-based care initiatives and complex population health ...
Source: Professional Case Management - April 4, 2019 Category: Health Management Tags: Articles Source Type: research

Long-Term Services and Supports: A Primer for Case Managers: Part 2
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - April 4, 2019 Category: Health Management Tags: CE Tests Source Type: research

Long-Term Services and Supports: A Primer for Case Managers: Part 2
Conclusions: Historically, once Medicare recognizes a product or service, managed health plans and commercial insurance carriers follow suit. Professional case managers must become fluent in the language of LTSS, the implications of these CMS changes, and the impact on case management practice across the care continuum. Implications for Professional Case Management Practice: Professional case managers should understand LTSS, especially as it pertains to care transitions and continuity of health care services to our most vulnerable clients. (Source: Professional Case Management)
Source: Professional Case Management - April 4, 2019 Category: Health Management Tags: Articles Source Type: research

Social Determinants of Health: A Timely Topic for Case Management
Social determinants are a critical component of our patients' health, affecting people in both tangible and insidious ways. The World Health Organization (2017) defines Social Determinants of Health as those conditions in which people are born, grow, live, work, and age. Finding resources for those at social risk is a prime directive for case managers. (Source: Professional Case Management)
Source: Professional Case Management - April 4, 2019 Category: Health Management Tags: Departments: Editorial Source Type: research

Improving Early Discharge Using a Team-Based Structure for Discharge Multidisciplinary Rounds
Purpose of Study: Miscommunications during the complex process of discharging patients from acute care facilities can lead to adverse events, patient dissatisfaction, and delays in discharge. Brief multidisciplinary discharge rounds (MDRs) can increase communication between stakeholders and shorten a patient's length of stay (LOS). At our tertiary academic medical center, case managers (CMs) have historically been assigned patients by physical unit location rather than by provider teams caring for patients. As a result, medicine teams often interact with several unit-based CMs due to lack of geographically cohorted patie...
Source: Professional Case Management - March 1, 2019 Category: Health Management Tags: Articles Source Type: research

Evaluation of a Transitional Care Management Tool Using the Logic Model
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Departments: Case Management Matters Source Type: research

Field Case Management: A Unique Advocacy Role
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Departments: CCMC News and Views Source Type: research

Competency Versus Capacity
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Departments: Legal & Regulatory Issues Source Type: research

Technology: Is It Our Servant or Our Master?
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Departments: The HeartBeat of Case Management Source Type: research

Acute Care and Workers' Compensation Case Managers: A Necessary Alliance
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Departments: CMSA Highlights Source Type: research

Improving Early Discharge Using a Team-Based Structure for Discharge Multidisciplinary Rounds
Purpose of Study: Miscommunications during the complex process of discharging patients from acute care facilities can lead to adverse events, patient dissatisfaction, and delays in discharge. Brief multidisciplinary discharge rounds (MDRs) can increase communication between stakeholders and shorten a patient's length of stay (LOS). At our tertiary academic medical center, case managers (CMs) have historically been assigned patients by physical unit location rather than by provider teams caring for patients. As a result, medicine teams often interact with several unit-based CMs due to lack of geographically cohorted patie...
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Articles Source Type: research

Health Coaching for Patients With Type 2 Diabetes Mellitus to Decrease 30-Day Hospital Readmissions
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: CE Tests Source Type: research

Health Coaching for Patients With Type 2 Diabetes Mellitus to Decrease 30-Day Hospital Readmissions
Conclusions: Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program. The majority of patients reported accomplishment of goals with 16 out of 20 patients who did not require inpatient stay 30 days after discharge from the acute care facility. Implications for Case Management Practice: The T2DM piloted program can easily be modified to fit other chronic illness that require routine monitoring and complex regimens to remain healthy. Case managers have the opportunity to...
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Articles Source Type: research

Fostering Cross-Sector Partnerships: Lessons Learned From a Community Care Team
No abstract available (Source: Professional Case Management)
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: CE Tests Source Type: research

Fostering Cross-Sector Partnerships: Lessons Learned From a Community Care Team
Conclusions: Cross-sector CCTs composed of primary care and community service providers are a care coordination approach that attends to the individual's social determinants of health, enhances the individual's capacity to manage treatment and self-care demands of multiple chronic health conditions, improves the care experience, and impacts well-being. A collaborative CCT decreased the use of acute care services and the costs of care. Implications for Case Management Practice: As reported in this study, use of interprofessional collaborative health care teams in planning care and services for individuals is a standard...
Source: Professional Case Management - January 30, 2019 Category: Health Management Tags: Articles Source Type: research