Case Management Advisor – October 1, 2005
October 1, 2005
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Medical management program offers advice by secured e-mail, telephone
A new, innovative medical management program by Blue Cross and Blue Shield of Illinois helps members take charge of their own health by providing interactive tools and information about health conditions, including opportunities to e-mail a nurse care advisor, personal trainer, registered dietitian, or health coach and get an answer back within one business day. -
Predictive modeling helps identify CM candidates
Predictive modeling is an invaluable tool in early identification of people who can benefit from case management, but using the score alone doesnt go far enough, says Kay Sherwin, RN, CCM, director of client services for Integrated Healthcare Information Services (IHCIS), a Waltham, MA-based predictive modeling and information solutions firm. -
Take lead in filling your patients’ ‘perception gap’
A perception gap often exists today between what health care providers say, prescribe, and advise, and what patients actually understand and carry out in their self-care. Many factors can influence this gap, including a lack of language comprehension. Yet, even when a patient is well educated, highly conversant, and appears to understand what the health care provider is saying, a perception gap can result. -
Clinical redesign cuts LOS, reduces denials
A clinical redesign project partnering social work and case management has resulted in a 15% drop in length of stay and a 66% reduction in denials during a period when the average number of cases increased by 24% at Childrens National Medical Center in Washington, DC. -
Early ‘100,000 Lives’ participant sees benefits
One of the better known ongoing collaborations in the United States is the Cambridge, MA-based Institute for Healthcare Improvements (IHI) 100,000 Lives Campaign, whose goal is to save 100,000 lives through targeted QI interventions by June 14, 2006. -
OSHA plans 4,400 unannounced visits