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Case Management
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2013 Winners Announced
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Access the Case In Point Platinum Issue

4th Annual Case In Point Platinum Awards 

2013 Winners and Honorable Mentions

Congratulations to the 2013 finalists of the Case In Point Platinum Awards, a unique awards program that recognizes the most successful and innovative case management programs working to improve health care across the care continuum. This fourth annual awards competition sets the standard for programs that deliver sustained success across a variety of disciplines and settings in the overarching continuum of care coordination.
 

= winner   = honorable mention

Case Management in Acute Settings

Case Management Provider Program:

  • Care Connections Comprehensive Care Management, Heartland Health
  • Banner Health Case Management Program, Banner Health
  • Heart Care at Home, Cleveland Clinic Foundation
  • “Engaging Patients and Families in Improving Hospital Discharge,” a Picker Institute Always Events grantee, Healthcare for All and The Massachusetts Coalition for the Prevention of Medical Errors
  • Department of Care Coordination, UCLA Health System
Discharge Planning Program:
  • Good to Go Patient Discharge Solution, Cullman Regional Medical Center
  • Patient Pathways Kidney Disease Discharge Planning, Patient Pathways
  • Home with a Trach....Safe and Sound, Connecticut Children's Medical Center
  • Care Transitions Program, Frederick Memorial Hospital
  • Case Management in Acute Settings, King's Daughters Medical Center
  • Transitional Care Coordination, South Shore Hospital

Emergency Department:

  • ED Cost Avoidance in Pediatric Medicaid Recipients, Nurse Response
  • Children’s Crisis Support Program, Access Services
  • ED Case Management Program, Essentia Health

Hospital Case Management:

  • Cary Medical Center Case Management Program, Cary Medical Center
  • Care Transitions Program, Frederick Memorial Hospital
  • Advocate Lutheran General, Advocate Lutheran General
  • Baptist Health Case Management Model, Baptist Healthcare System, Inc. dba Baptist Health-Lexington
  • Cleveland Clinic Care Management, Cleveland Clinic Health System
  • Case Management Department, Indiana Regional Medical Center
  • Blood & Marrow Transplant Case Management Program, Johns Hopkins Hospital
  • Case Management in Acute Settings, King's Daughters Medical Center
  • Hospital Care Management, Norton Healthcare

Long Term Care:

  • Senior Care - Changing Aging, Home Instead Senior Care
  • Male Caregiver Community, Homewatch CareGivers
  • Advisacare
  • LifeWise Renovations
  • Sutter Health Sacramento, Sierra Region Ambulatory Chronic Care Management

Transition of Care Programs (Acute Care):

  • Transition Care Program, Indiana University Health North Hospital
  • Safe Transitions of Care , South County Hospital Healthcare Systems
  • CKHN Transitions in Care-Case Management Program, Crozer Keystone Health System
  • Care Transitions Program, Frederick Memorial Hospital
  • Returning Home, Home Instead Senior Care
  • Transition of Care - Congestive Heart Failure Pilot Project, King’s County Hospital Center
  • Case Management in Acute Settings, King's Daughters Medical Center
  • Patient Pathways Kidney Disease Discharge Planning, Patient Pathways
  • ED to Home Program, Scottsdale Healthcare
  • Transitional Care Coordination, South Shore Hospital


Case Management in Managed Care:

Disease Management/Population Health:

  • Diabetic Management Program, Alicare Medical Management
  • Integrated Disease Management, Amerigroup Corporation
  • Heart Failure Population Management, Mercy Health
  • Broadspire Case Managers, Crawford & Company
  • Gateway to Lifestyle ManagementSM ,Gateway Health Plan®
  • HCR Home Care Cardiac Team, HCR Home Care
  • Health Partners Consulting Care Coordination Team, Health Partners Consulting
  • Renee Lindler, Nurtur
  • Collaborative Drug Therapy Management Program, PerformRx, Keystone Mercy Health Plan and AmeriHealth Mercy Health Plan
  • Oncology Support, WellPoint

Embedded Case Management Program:

  • Aetna Medicare Advantage Embedded Case Management Program, Aetna
  • Highmark's Patient Centered Medical Home (PCMH)
  • Medical Network One
  • Piedmont Physicians Medical Home

Managed Care Programs:

  • PerformRx Integrated Drug Therapy Management Program, PerformRx, Keystone Mercy Health Plan & AmeriHealth Mercy Health Plan
  • Leveraging Non-Clinical Resources, WellPoint
  • GEMCare Comprehensive Care Center, Managed Care Systems, L.P.
  • Opticare HEDIS Outreach, Opticare Managed Vision
  • Collaborative Transitions of Care, WellPoint
  • Ambulatory Intensive Case Management, WellPoint

Managed Care: Nurse Call Center:

  • Fresenius Medical Care of North America's Renal Case Management Nurse Call Center, Fresenius Medical Care
  • ED Cost Avoidance in Pediatric Medicaid Recipients, Nurse Response
  • Veterans Crisis Line

Transition of Care Programs:

  • Transition Management Program, Emory University Hospital Midtown
  • Sun Health Care Transitions, Sun Health
  • Transition of Care Program, Network Health Plan
  • Improving Care Transitions, Optum
  • Case Management Program, Qualis Health
  • Baylor College of Medicine Transition Clinic, Texas Children’s Hospital/Baylor College of Medicine
  • Collaborative Transitions of Care, WellPoint

Utilization Management Program:

  • Case Management Department, Indiana Regional Medical Center
  • Senior Nurse Reviewer, Crawford & Company
  • ED Cost Avoidance in Pediatric Medicaid Recipients, Nurse Response
  • St. Joseph Mercy Medical Center in Hot Springs, Ark.
  • University of Pittsburgh Medical Center, University of Pittsburgh Medical Center


Workers' Compensation/ Disability:

Disability Case Management Programs:

  • Allsup and its Community-Based Representatives Initiative (CBR Initiative), Allsup, Inc.
  • Cigna's Disability Management Clinical Pharmacist, Cigna insurance
  • Back in Control
  • Integrated Pain Solutions of South FL
  • Video Job Analysis

Workers' Compensation Case Management:

  • Chronic Pain Management, Crawford & Company
  • CSG Medical Case Management, Consolidated Services Group
  • Transitional Employment Program, Healthcare Solutions
  • Burton Blatt Institute (BBI) @ Syracuse University in cooperation with the BBI Employers’ Research Consortium


Case Management Specialty Programs

Behavioral Health Case Management:

  • Preventing Psychiatric Anniversary Readmissions, PsycHealth, Ltd.
  • Behavioral Health Services, Community Renewal Team, Inc.
  • DRMM's Treatment and Housing Services, Detroit Rescue Mission Ministries
  • OptumHealth NM Care Coordination, OptumHealth New Mexico
  • Behavioral Health Social Work, Anthem

Integrated Case Management:

  • Care Coordination for the Complex Patient, Gundersen Lutheran
  • Patient Services Division, Patient Advocate Foundation
  • Cigna's Absence Prediction and Prevention Program, Cigna insurance
  • Lehigh Valley Health Network Community Care Team, Lehigh Valley Health Network
  • LivHOME CareMonitor™, LivHOME®
  • Integrated Case Management, Network Health Plan
  • Clinical Coordination & Intervention Team, WellPoint
  • Co-Morbid Medical and Behavioral Health, WellPoint

Medicaid Case Management:

  • My Route to Health Sickle Cell Program, Centene Corporation
  • Diabetic Phone Program, Buckeye Community Health Plan
  • Healthy Start Newborn and Women Program, Peach State Health Plan
  • The Center for Health Care Strategies

Medicare Advantage Program:

  • Continually Improving Transitional Case Management, Optum
  • Ambulatory Intensive Case Management, WellPoint
  • Collaborative Transitions of Care, WellPoint

Military Case Management:

  • Southeast Epilepsy Centers of Excellence, U.S. Department of Veterans Affairs
  • Marjorie Ingelsby, Naval Hospital Case Management Program, Naval Hospital, Jacksonville, FL
  • Victoria Perez, Naval Hospital Pediatric Program, Naval Hospital Jacksonville, FL
  • Mona Polom, TRICARE Assistance Program (TRIAP), TriWest Healthcare Alliance
  • Steve McCullough, Truthconsulting

Pediatric Case Management:

  • Complex Case Management in Foster Care, Cenpatico
  • Home with A Trach....Safe and Sound, Connecticut Children's Medical Center
  • Start Smart for Your Baby, Centene Corporation
  • Pediatric Care Management, Neighborhood Health Plan
  • ED Cost Avoidance in Pediatric Medicaid Recipients, Nurse Response

Rehabilitation Case Management:

  • Cigna's Return and Receive Program, Cigna insurance
  • Sheltering Arms Hospital Case Management Program, Sheltering Arms Physical Rehabilitation Centers
  • Garrison's Prosthetic Services
  • Shepherd Center

Wellness/Prevention:

  • Colorectal Cancer Screening Campaign, Gateway Health Plan®
  • Logansport Memorial Hospital Health and Wellness, Logansport Memorial Hospital
  • Care Coordination and Care Advocacy, Carescout
  • Start Smart Baby Showers, Centene Corporation
  • LivHOME CareMonitor™, LivHOME®
  • Smoking Cessation Program, Neighborhood Health Plan
  • UHS Male Colorectal Cancer Screening Program, University Health System

Women/Children Case Management:

  • Start Smart for Your Baby, Centene Corporation
  • Healthy Start Newborn and Women Program, Peach State Health Plan
  • Start Smart Baby Showers, Centene Corporation
  • Patricia Edwards, The Little Pink Purse of Courage,Sage Resources, Inc.
  • Women in Distress


Individual Professional Categories

Case/Care Manager – Leadership:

  • Fern Parlier, Fresenius Medical Care of North America
  • John V. Silipigni , Magee - Women's Hospital of UPMC
  • Lota Bell, RN, BSN, MBA, CCM, Clinical Supervisor , Alere
  • Deb Cram, Saint Mary's Hospital
  • Michelle Cassell, Presbyterian Healthcare Services: Wound Program
  • Catherine Martin, Essentia Health
  • Janice McNab, WellPoint
  • Cynthia Peacock, MD and BCM Transition Clinic, Texas Children’s Hospital/Baylor College of Medicine
  • Lisa Watts, WellPoint

Case Care Manager - Patient Outreach:

  • Sherry Urmston, Alere
  • Karen Hoffman, Fresenius Medical Care
  • Deborah Johnson, Careforward

Disability Manager:

  • Jennifer Maxeiner, Cigna insurance
  • Susan A. Rogers, Rogers Professional Guidance, LLC
  • Janet Coulter, WORKSTAR Health Service Inc.

Geriatric Care Manager:

  • Emily Dexter, WellPoint
  • Laurel Felsenfeld, Aging Answers LLC
  • Stella Nsong, Woodlands at Eastland

Case/Care Manager - Independent Practice:

  • Deborah Johnson, Careforward
  • Deborah Ault, Ault International Medical Management
  • Lea Ann Biafora, Beacon Oncology Nurse Advocates
  • Sharon Gauthier, Patient Advocte 4U

 Medical Directors:

  • Christopher Phillips, M.D., F.A.C.S., F.C.C.P., F.A.C.C., Trinity Health
  • Terrence Flannery, MD, WellPoint
  • COL-Ret George Patrin, MD, FACHE, FAAP, Serendipity Alliance    
  • Lynne Fiscus MD, MPH, Fairview Clinics    


Social Worker:

  • Social Care Management/ Social Work, Network Health Plan
  • Cathy F. Bowers, National Patient Advocate Inc.
  • Brooke Lampe, Alere
  • Kathleen Sobczak, Kinship Cares, Broward Health Community Health Services
  • Diane Breslow, Northwestern’s Movement Center


Workers' Compensation Case Manager:

  • Patricia Angus, Healthcare Solutions
  • Jim Edleston, Independent Vocational Specialist
  • Mollie Kallen, Mollie Kallen Case Management, Inc.
  • Viki Solomon Freinberg, Viki Solomon & Associates, Inc.

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