Advancing the Roles of Case Managers in Quality Improvement

Source: CMSA Today BY KATHLEEN MOREO, RN-BC, BSN, BHSA, CCM, CDMS Quality improvement (QI) has been woven into the fabric of case management practice since the first CMSA Standards of Practice for Case Management were released in 1995. Since then, and through three revisions to the Standards of Practice, the consistent delivery of improved care …

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Becoming an Influential Case Manager

Source: CMSA Today BY JOSE ALEJANDRO, PhD, RN-BC, MBA, CCM, FACHE, FAAN Case managers throughout the healthcare continuum often find themselves in the most complex situations. This means case managers need the necessary negotiation skills, process improvement techniques, knowledge base and skills to influence a complicated and transforming healthcare system. How many times have we …

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Transitions of Care: The Importance of Post-Acute Continuum Relationships

Source: CMSA Today BY JOSE ALEJANDRO, PhD, RN-BC, MBA, CCM, FACHE, FAAN The summer has come to a close quickly after such a wonderful CMSA Annual Conference & Expo in Chicago. Each year, this event allows me to network and learn from peers on innovative ways to tackle the intricate supply and demand relationships within …

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Case Management Ethics: When Roles, Responsibilities and Expectations Are Not Set

BY JOSE ALEJANDRO, PhD, RN-BC, MBA, CCM, FACHE, FAAN Oftentimes, we as case managers find ourselves in difficult situations due to our complex roles and responsibilities, the diverse populations being served, limited resources if not also conflicting viewpoints that we encounter when advocating for our patient population. As these situations occur, case managers can be …

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Case Management Opportunity—Facilitating Integration of Physical and Behavioral Health into Whole Person Health

BY CARRIE MARION, RN, BSN, CCM For the past twenty years or so, the healthcare industry has been talking about holistic medical care, now termed whole person care. Of adults with behavioral health disorders, 67 percent do not receive adequate treatment. We know that one-fifth of patients who have heart attacks have depression. We also …

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Mental Health Advocacy

BY JOSE ALEJANDRO, PhD, RN-BC, MBA, CCM, ACM, FACHE, FAAN Traditionally, May is Mental Health Awareness Month. However, as case managers, we know the importance of recognizing how the mental and emotional well-being of our patients and the clients we serve significantly impacts their ability to maintain a healthy and balanced life year-round. Comprehensive case …

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