Case Management Models Second Edition
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| Author | : Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN |
| Publisher | : Springer Publishing Company |
| Total Pages | : 316 |
| Release | : 2018-01-28 |
| Genre | : Medical |
| ISBN | : 0826169511 |
Written by case managers for case managers, this reference manual for nurses and other health professionals presents a CMSA tested approach towards systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act, Mental Health Parity, Transition of Care & Chronic Care Management and the Medicare Act and CHIP Authorization Act (MACRA), health care workers must competently know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice. CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, CMSA Standards of Practice 2016 as well as the CMSA Core Curriculum for Case Management Third Edition.
| Author | : Karen Zander |
| Publisher | : Hcpro, a Division of Simplify Compliance |
| Total Pages | : 0 |
| Release | : 2017-06-28 |
| Genre | : Accountable care organizations (Medical care) |
| ISBN | : 9781683085614 |
Explains the differences between case management and social work and the ways in which case management functions have evolved over time. Case management is continuously evolving to meet the needs of patients and manage the quality, financial, and legal risks health care systems and accountable care organizations (ACO) face.
| Author | : Kathleen Walsh |
| Publisher | : |
| Total Pages | : 0 |
| Release | : 2014-11-14 |
| Genre | : |
| ISBN | : 9781615693801 |
From defining goals, clarifying roles, and understanding the necessary knowledge and skills required, Emergency Department Case Management: The Compendium of Best Practices, 2nd Edition will ensure that ED case management staff have a solid and sustainable foundation in place. After exploring models and reviewing emergency department infrastructure, this compendium will help readers outline key partnerships, present multiple options for case finding, tackle observation status accurately, address quality and evaluation issues, and identify ways ED RN case managers and social workers coordinate care for complex cases, such as pediatric, psychiatric, homeless, and uninsured populations. In addition to many new tools, this book is also packed with more than 20 detailed spotlights and case studies discussing ED case management strategies, best practices, and experiences of ED professionals from across the country. The new edition includes: The presence of case management RNs and Social Workers in emergency departments (ED) has become a standard since the first edition of this text was published in 2007. Ever-expanding and changing regulations for EDs and hospitals have emerged, while best practices have evolved to address these challenges. This new edition discusses these changes and provides updated guidance on running a compliant, effective, and efficient case management team in the ED. It also provides insight on adapting the role of case management based on unique ED patient populations and helps ED case managers stay ahead of the curve by examining what lies ahead in their profession.
| Author | : Jack Rothman |
| Publisher | : Prentice Hall |
| Total Pages | : 0 |
| Release | : 1998 |
| Genre | : Hospitals |
| ISBN | : 9780205265688 |
This book embodies many of the concepts and terms that you will need as a professional social worker, and will be a valuable tool to use in your professional practice.
| Author | : Charles A. Rapp |
| Publisher | : OUP USA |
| Total Pages | : 343 |
| Release | : 2011-10-31 |
| Genre | : Medical |
| ISBN | : 0199764085 |
Presenting a compelling alternative to the traditional medical approach, The Strengths Model demonstrates an evidence-based approach to helping people with a psychiatric disability identify and achieve meaningful and important life goals. Since the first edition of this classic textbook appeared, the strengths model has matured into a robust vision of mental health services. Both a philosophy of practice and a specific set of tools and methods, the strengths model is designed to facilitate a recovery-oriented partnership between client and practitioner. This completely revised edition charts the evolution of the strengths model, reviews the empirical support behind it, and illustrates the techniques and values that guide its application. Features new to this edition: - An extensive update of the strengths literature, focusing on recovery as the dominant paradigm in mental health services - Richly drawn case vignettes demonstrating the application of methods - Integration of empirical research and consumers>' own experiences - Completely updated strengths assessment and fidelity scales - In-depth discussions and examples guide practitioners from theory to applied practice - Descriptions of how to teach and successfully supervise large-scale implementations of strengths model work For social workers and other mental health specialists working with clients to move beyond the disabling effects of mental illness to a life filled with meaning, purpose, and identity, this remains the crucial text.
| Author | : Arthur J. Frankel |
| Publisher | : Oxford University Press, USA |
| Total Pages | : 217 |
| Release | : 2019 |
| Genre | : Medical |
| ISBN | : 0190858885 |
Over the course of twenty years and across three editions, this text has approached case management as both an art and a science by providing students and practitioners with the basics of case management theory, skills, and applications. This fourth edition, which focuses on both the social work and nursing professions, offers trainers, instructors, and students detailed information about how case management is delivered, major issues encountered in practice, how services are affected by different populations, and the unique skills that are required by case managers in order to be effective. Chapter exercises and numerous case examples help readers practice some of the skills associated with the content offered.Case Management is unique in that it brings together the major professions that conduct case management in the United States. It is focused on skill learning more than on theory, and discusses not only the importance of case management in the current social work and medical milieu, but also the challenges that case managers face in helping clients. In addition, the text offers a model for integrated case management between professions and in numerous settings, including nursing centers, community mental health facilities, and criminal justice centers.
| Author | : Roger G. Kathol, MD |
| Publisher | : Springer Publishing Company |
| Total Pages | : 319 |
| Release | : 2010-06-03 |
| Genre | : Medical |
| ISBN | : 082610634X |
Designated a Doody's Core Title! An ideal reference guide for case managers who work with complex, multimorbid patients, The Integrated Case Management Manual helps readers enhance their ability to work with these patients, learn how to apply new evidence-based assessments, and advocate for improved quality and safe care for all patients. This text encourages case managers to assess patients with both medical and mental health barriers to improvement in order to coordinate appropriate integrated health interventions and treatment planning. Built upon the goals and values of the Case Management Society of America (CMSA), this manual guides case managers through the process of developing new and important cross-disciplinary skills. These skills will allow them to alter the health trajectory of some of the neediest patients in the health care system. Key Features: Tools and resources for deploying an Integrated Health Model (physical and mental health treatment) to the medically complex patient Complexity assessment grids: a color-coded tool for tracking patient progress and outcomes throughout the trajectory of the illness Methods for building collaborative partnerships in emerging models of care delivery within multidisciplinary health care teams Strategies for using an integrated case management approach to improve efficiency, effectiveness, accountability, and positive outcomes in clinical settings Guidance on connecting multi-disciplinary teams to assist with health issues in the biological, psychological, and social domains to overcome treatment resistance, reduce complications, and reduce cost of care
| Author | : Peggy Rossi, Bsn, Mpa, CCM |
| Publisher | : Hcpro, a Division of Simplify Compliance |
| Total Pages | : 0 |
| Release | : 2014-06-12 |
| Genre | : Health services administration |
| ISBN | : 9781615692910 |
The Hospital Case Management Orientation Manual Guide is a comprehensive resource that supplements of initial training for new case managers. This book explains what to document, where to document it to ensure appropriate level of care and reimbursement, and how to avoid unnecessary denials. This book's focus is utilization management, discharge planning, and relevant CMS regulations. It can help new case managers learn how to perform their jobs effectively on their own time. It can also serve as a wide-ranging resource for more experienced case managers, particularly those whose training was less than adequate.
| Author | : Suzanne K. Powell |
| Publisher | : Lippincott Williams & Wilkins |
| Total Pages | : 914 |
| Release | : 2018-02-26 |
| Genre | : Medical |
| ISBN | : 1496384261 |
Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management
| Author | : Lee Ann R. Grubbs, PhD, CRC, CFLE |
| Publisher | : Springer Publishing Company |
| Total Pages | : 305 |
| Release | : 2005-11-01 |
| Genre | : Medical |
| ISBN | : 0826104851 |
A new classic updated to provide the following: Improved Management Model with new terminology New chapters on case classifications in the VR process, rehabilitation caseload in the private sector, and technology Section on prime factors for establishing control New Service-Decision Model and Rehabiliation-Decision Model
