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Technology can make a huge difference in the practice of case management, but you should choose carefully and deliberately to avoid pitfalls in the future, cautions Marcia Diane Ward, RN, CCM, PMP, a case management consultant based in Columbus, Ohio.
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As part of a program targeting at-risk Medicaid fee-for service members, case managers at Hudson Health Plan are using a software tool that helps them focus in on the needs of their clients they should address first.
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When the Centers for Medicare and Medicaid Services (CMS) begins its Medicare Shared Savings Program for Accountable Care Organizations (ACOs) providing care for fee-for service Medicare patients in January, 2012, it's likely to mean new opportunities for case managers, says Bruce Merlin Fried, JD, senior member of SNR Denton's Health Care group and former director of the Center for Health Plans and Providers at CMS.
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Hip fractures are among the most debilitating and expensive diagnoses to treat, but hospitals can significantly improve outcomes and lower costs if they move hip-fracture patients into surgery quickly, explains Anthony Balsamo, MD, an orthopedic surgeon and head of the Geriatric Fracture Care Program (GFCP) at Geisinger Wyoming Valley Medical Center in Wilkes-Barre, PA.
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When case managers for Medical Management International visit clients and providers, they use the latest information technology equipment to enter documentation, create and transmit reports, forward orders for durable medical equipment, tests or procedures, and send letters to patients, physicians, attorneys, or other interested parties, all in real time while they are still with the patients.
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Patient education managers must stay abreast of the latest technology for delivering patient education to involve the learner and provide individualizing teaching to meet the needs of the learner, says Fran London, MS, RN, a health education specialist at The Emily Center, Phoenix (AZ) Children's Hospital.
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When patients don't follow their discharge plan and end up back in the hospital or fail to keep their chronic disease under control, resulting in complications, it could be that they simply don't understand what they're expected to do.
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A program that provides face-to-face case management and hormone injection services for women at risk for pre-term birth has reduced the spontaneous pre-term birth rate by 8% among the Medicaid population served by the program.
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In a study reported online by the American Journal of Cardiology, Henry J. Michtalik, MD, MPH, and his colleagues tested heart failure patients on admission and discharge for levels of a protein that's considered a marker for heart stress.
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A proactive approach to hospital readmissions by Health Alliance Plan (HAP) resulted in a 14% decline in readmissions for heart failure in the Medicare population when compared to the previous year.
