Case Management Advisor – January 1, 2003

January 1, 2003

• How to face down ethical dilemmas in case management

  If youre a typical case manager, you are faced with ethical dilemmas several times a day. The job is pressure-filled. Case managers are under pressure from insurers to contain costs, from employers to return people to work.

  Read more about How to face down ethical dilemmas in case management

• How to know when you’re facing an ethical dilemma

  When youre confronted with an issue that just doesnt feel right, ask yourself: Am I truly doing the right thing at the right time for the right reason?

  Read more about How to know when you’re facing an ethical dilemma - Case Management Advisor – January 1, 2003

• Confidentiality may involve sticky legal, ethical issues

  When it comes to confidentiality issues, case managers often walk a tightrope, Mindy Owen, RN, CRRN, CCM, asserts.

  Read more about Confidentiality may involve sticky legal, ethical issues - Case Management Advisor – January 1, 2003

• Initiatives target publicly insured young people

  A series of case management initiatives to improve the health of their publicly insured young populations has paid off for Horizon/ Mercy.

  Read more about Initiatives target publicly insured young people - Case Management Advisor – January 1, 2003

• Program stresses childhood immunizations

  Before Trenton, NJ-based Horizon/Mercy started its Childrens Health Assessment, Maintenance, and Preventative Services (CHAMPS) program for publicly insured mothers with infants, many of the mothers didnt realize the importance of getting immunizations and well-child visits for their children, says Giavanna Ernandes, RN, MSN, APNC, team leader for disease management, including the CHAMPS program.

  Read more about Program stresses childhood immunizations - Case Management Advisor – January 1, 2003

• Sickle cell program prevents ED visits, admits

  In the first four months, Horizon/Mercys sickle cell disease management had identified 111 members with sickle cell and started an education program to help them avoid a painful crisis and hospital admissions.

  Read more about Sickle cell program prevents ED visits, admits - Case Management Advisor – January 1, 2003

• Lead levels plummet with intensive case management

  When Horizon/Mercy compiled the six-month outcomes report for its program to reduce the level of lead in its young members blood, the figures were so astonishing that the state epidemiologist monitoring the program checked them himself.

  Read more about Lead levels plummet with intensive case management - Case Management Advisor – January 1, 2003

• Program gives members tools to manage own health

  Thanks to BlueHealthConnection, a new integrated care management program, more than a million members with coverage through Blue Cross Blue Shield of Michigan have just one source for answers about their health care needs.

  Read more about Program gives members tools to manage own health - Case Management Advisor – January 1, 2003

• Redesign puts CM programs under one umbrella

  BlueHealthConnections, a care management program in use at Blue Cross Blue Shield of Michigan in Detroit, pulls together a lot of care management programs that have been in place for many years.

  Read more about Redesign puts CM programs under one umbrella - Case Management Advisor – January 1, 2003

• Integrating CM was a long, complicated process

  Before Blue Cross Blue Shield of Michigan developed its BlueHealthConnection representatives of almost every department in the company spent considerable time deciding exactly how to integrate all of the Detroit-based insurers patient care services.

  Read more about Integrating CM was a long, complicated process - Case Management Advisor – January 1, 2003

• Depression guidelines help chronically ill

  Kaiser Permanente, one of the countrys largest integrated health care organizations, has developed guidelines for incorporating depression management into its disease management programs.

  Read more about Depression guidelines help chronically ill - Case Management Advisor – January 1, 2003

• Reports From the Field: Health insurance declining among workers

  Health benefits are declining for Americans for the first time since 1993, according to the Employee Benefit Research Institute (EBRI).

  Read more about Reports From the Field: Health insurance declining among workers - Case Management Advisor – January 1, 2003

• Reports From the Field: Physicians report frustration with managed care red tape

  Sixty percent of physicians responding to a survey by the Pennsylvania Medical Society expressed frustration with eroding patient-doctor relationships and blame lack of time for the problem.

  Read more about Reports From the Field: Physicians report frustration with managed care red tape - Case Management Advisor – January 1, 2003

• Reports From the Field: Mental health, musculoskeletal conditions, impact productivity

  Musculoskeletal conditions, including arthritis, low back pain, repetitive motion strain, and mental health problems, mostly depression, have the biggest negative impact on worker productivity, according to a new survey by the Institute for Health and Productivity Management (IHPM), a nonprofit research organization with headquarters in Scottsdale, AZ.

  Read more about Reports From the Field: Mental health, musculoskeletal conditions, impact productivity - Case Management Advisor – January 1, 2003

• Reports From the Field: White Paper addresses HIPAA concerns, disease management

  A comprehensive analysis of the Health Insurance Portability and Accountability (HIPAA) and its impact on disease management has concluded that the new privacy regulations will not hamper disease management programs, according to the Disease Management Association of America (DMAA).

  Read more about Reports From the Field: White Paper addresses HIPAA concerns, disease management - Case Management Advisor – January 1, 2003