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In this section, crisp, compact articles are directed to the professional pursuits of today's busy case manager. Ranging from advice from clinical leaders to explorations of the prominent trends of the industry to best-of examples of programs and initiatives from around the country, this section will orient you with the most salient ideas and tendencies in the practice today. Begin below, or start by exploring a category to the left.
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Best Practice
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Written by BRENDA RANDALL, RN, CCM
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Wednesday, 12 August 2009 14:51 |
 Best Practices in Telemanagement
The cost of managing chronic illness has become astronomical. Congestive heart failure is now a major chronic condition in the United States, with an estimated 5 million Americans living with the disease. The impact of heart failure and pulmonary hypertension is particularly severe among the elderly because of emotional and economic burdens like perpetual hospitalizations and functional decline, as well as lack of support systems, long-term medication therapy and depression.
In an effort to break an endless cycle of rehospitalizations and provide quality, cost-effective care, the Orlando Health Visiting Nurse Association (VNA), a hospital-based home health agency in Florida, piloted a Telehealth Disease Management Program in 2006 with 16 monitors. The evidence-based practice proved superior to other forms of practice in achieving better measurable outcomes. Thanks to Orlando Health hospital support, VNA now has 65 home telemonitors and has successfully improved patient outcomes and reduced cost while monitoring greater than 300 patients.
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Profession
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Written by DONNA MERRICK, MED, BSN, AND SUSAN OHR, RN, MSHS, RN-C, CPHQ
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Wednesday, 12 August 2009 14:45 |
 A Look at URAC’s Revised Standards and New Measures
In April 2008, URAC began revising the case management standards with the help of 40 industry volunteers. The standard revisions and new measures were approved by URAC’s Board of Directors in December 2008. The measures call on the industry to conscientiously address transitions of care throughout the case management process. In this time of health care practitioner shortages, these standards provide further guidance on the use of non-case manager support personnel and clarify the requirements for practicing as a case manager as well as a supervisor. This revision also sets the stage for the industry to establish data collection tools, uniform assessment categories and care plan templates designed to provide the data needed to determine if program performance measures are being met.
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Profession
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Written by BARBARA A. FUCHS, RN, BSN, MS, CCMEP, CPHQ
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Wednesday, 12 August 2009 14:42 |
 Managing Before, During and After the Crisis
Workers in all professions are losing their jobs at an alarming rate. Whether as a result of organizations closing, merging or needing to reduce operating expenses, health care professionals will either be a casualty, a survivor, or the acquaintance of someone who has lost their job.
Down-sizing, right-sizing and re-engineering were the buzzwords of the 1980s and 1990s. Back then, displaced workers numbered around 3.5 million, according to a report on the Economist website. The most frequent words used for today’s crisis are down-sizing and restructuring. The reasons — organizations closing, merging or drastically reducing operating expenses — are the same.
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