Uncategorized

Source: CMSA Today BY ANITA MINGO, MSW, LICSW, CAROLINA MOSLEY, RN, MSN, CCM, CPHQ, CPHM, AND CATOVIA RAYNER, DHA, MPH, MSW, LCSW The social drivers of health (SDoH) can affect a wide range of health outcomes and quality of life outcomes. There are five common domains; economic stability, education, health and healthcare, neighborhood and built environment, and social

Source: CMSA Today BY JANET COULTER, MSN, MS, RN, CCM, FCM Food insecurity, defined as the lack of consistent access to enough food for an active, healthy life, is an issue affecting millions of individuals and families. Understanding the causes of food insecurity and implementing targeted interventions are essential for case managers. Food insecurity can be

Source: CMSA Today BY BARRY GRANEK, LMHC, PAMELA MATTEL, LCSW, AND GERALDO RAMOS, MSW, MPA Introduction Pathway Home was launched in 2014 with a mission to provide essential care transition support to individuals navigating critical healthcare transitions. The Case Management Society of America Foundation is a non-profit organization advancing the practice of case management by

Source: CMSA Today By PETER MISKA, RT The healthcare industry has witnessed a substantial transformation with the introduction of value-based payment models, aiming to enhance care quality while controlling costs. Among these, the Patient-Driven Groupings Model (PDGM) stands out as a significant development in home healthcare reimbursement under the Medicare program. Implemented on January 1,

Source: CMSA Today BY PAUL BORJA, RN, MBA, DNP, EdD, PhD, PHN, CCM, ACM-RN, CMAC, CMCN, CNML, CMGT-BC, CDONA, FACDONA, FAACM, AND TERESA CAPINA, RN, MSN Ever wondered if you or your loved ones qualify for skilled nursing facility (SNF) for rehabilitation or skilled nursing services? This article summarizes the requirements and important considerations. The

Source: CMSA Today BY PATRICIA RESNIK, MJ, MBA, FACHE, RRT, CPHQ, CHC, CHPC Introduction Quality, case management (CM) and utilization management (UM) are key to the financial success of a healthcare organization and play a vital role in the revenue cycle. This article focuses on important connections between quality, CM and UM, and the potential

Source: CMSA Today BY LAWANNA GADDY, MSN, RN Quality improvement and accreditation are crucial in the healthcare continuum within a rapidly changing industry landscape. Care management programs and care managers ensure that healthcare delivery is not only effective but also maintains the desired levels of quality every time. This article delves into the essential role