Case Management Advisor – January 1, 2007
January 1, 2007
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Take a holistic approach to managing the care of your health plan members
Health plans are beginning to take a holistic approach to managing patient care, focusing on the member's overall health instead of just one condition or episode of care. -
Multi-tiered model helps manage chronic diseases
An intensive case management program that provides case management, disease management, and behavioral health coordination for high-risk, high-cost members has resulted in savings of $6.1 million in a 12-month period for Keystone Mercy Health Plan. -
Program follows members through continuum
Under a new holistic case management program at Regence BlueCross BlueShield, one case manager, called a care advocate, follows members along the continuum of care, no matter what their health care needs. -
CMs coordinate all their clients' health care needs
At Crescent PPO, case managers follow their clients through the continuum, helping them with all of their needs, whether it's disease management, case management, education about a chronic condition, or help navigating the health care system. -
Programs face challenge with older patients
With individuals who are ages 65 and older undergoing almost one-third of the 25 million surgical procedures performed annually, and with people ages 85 and older representing the fastest growing segment of our population, it is important that any surgical program pay close attention to the special needs of older patients. -
Documentation confirms educational needs met
Similar to teaching, documentation must meet the needs of a patient. While some documentation is better than no documentation, more detail benefits the patient because it directs staff members on the status of the education process. -
SHHH takes NY hospital 'back to the basics'
To enhance patients' satisfaction levels, not to mention their ability to rest and heal Montefiore Medical Center in Bronx, NY, has gone "back to the basics," says Elodia Mercier, RNC, MS, ANM, administrative nurse manager.