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The 2002 version of the Case Management Society of Americas (CMSA) Standards of Practice are designed to reflect the role of the case manager in the changing health care system.
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There is an us-vs.-them scenario that occurs in health care, and the case manager sometimes is caught in between, trying to make sure the patient gets appropriate care, says Susan Gilpin, JD, chief executive officer of the Commission for Case Management Certification in Rolling Meadows, IL.
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Quality ratings for hospitals, health plans, and physicians have almost no impact on the choices consumers make, a new study by Harris Interactive has concluded.
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The move to limit the use of allergy and asthma drugs by increasing copayments, restricting access to newer drugs, and requiring preauthorization for their use may have had an adverse impact on allergy and asthma patients, according to the American College of Allergy, Asthma, and Immunology (ACAAI).
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The average hospital charge for treating a patient admitted for a heart attack increased by about one-third between 1993 and 2000, according to data from the Agency for Health-care Research and Quality (AHRQ).
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In these days of increasing health care costs and decreasing resources, its essential that case managers get more savvy about documenting and putting a dollar value to what theyve accomplished if theyre going to survive the inevitable budget cuts.
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By tracking the productivity in her department, Joann C. Milne, RN, BSN, CRRN, PHN, was able to show that she and her case managers were working at 160% productivity.
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How to calculate how long it takes to do your job
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Managing the care of patients should be a partnership between the case manager and the primary care physician, Ellen Aliberti, BSN, PHN, MS, CCM, says.
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Detailed documentation can help case managers minimize their risk if a patient or family member sues the organization for which they work, says Susan Gilpin, JD.
