Navigating the Building Blocks of Healthcare


Collaboration supports and strengthens legislation to move the mission forward

Presenters: CMSA Public Policy Chair: Jenny Quigley-Stickney RN, MSN, MHA, CCM, CPHM and CMSA Vice Chair, Susan Plough, MSN, APRN, BC, CCM

CMSA Strategic Mission

Case Management Society of America is the leading membership association providing professional collaboration across the health care continuum to advocate for patients’ wellbeing and improved health outcomes through:

  • Fostering case management growth and development
  • Impacting health care policy and
  • Providing evidence-based tools and resources

CMSA Public Policy Committee Objectives

cmsa public policy

• Promote the CMSA mission by serving as a communication and educational resource for health policy issues related to case management professional practice

• Enable legislators and policy makers to better understand the role case management plays in health care delivery

• Guide and support CMSA chapters in the development of tools and processes that will enhance their ability to educate and mobilize members in the public policy arena

• Educate CMSA members about public policy matters relevant to case managers.

Building Blocks of Public Policy Change

building blocks of public policy change

  • Professional Case Management Standards of Practice for Case Management
  • Professional Case Management Model Act

CMSA Public Policy Team

cmsa public policy team

CMSA Public Policy Legislative Agenda

Nurse Licensure Compact

nurse licensure compact

Is an interstate compact, that authorizes a nurse to hold one multistate license in the primary state of residence to practice either physical or via telehealth in any compact state

Telehealth Act

telehealth act

There is growing evidence that telehealth expands access to care, improves health outcomes and healthcare quality, increases patient engagement, and reduces healthcare costs.

Opioid Crisis Act

opioid crisis act

The Opioid Crisis Response Act of 2018 is the result of 6 bipartisan hearings on opioid crisis to improve the ability of the Department of Health and Human Services, the Food and Drug Administration, the National Institutes of Health, the Centers for Disease Control and Prevention, the Substance Abuse and Mental Health Services Administration, and the Health Resources and Services Administration and Departments of Education and Labor, to address the crisis, including the ripple effects of the crisis on children, families, and communities, help states implement updates to their plans of safe care, and improve data sharing between states

Protecting the Professional Case Manager from Workplace Violence

protecting the professional case manager from workplace violence

Workplace Violence Prevention for Health Care RN and Social Service Workers Act (H.R. 1309) Legislation helps professional RN, SW and case managers to have workplace safety culture to help protect them from changes hostile changes in the workplace environment in hospital and the community.

Care Act

care act

The Family caregiver is recorded when a loved one is admitted into a hospital or rehabilitation facility. The family caregiver is notified if the loved one is to be discharged to another facility or back home. The hospital or rehabilitation facility must provide an explanation and live instruction of the medical tasks – such as medication management, injections, wound care and transfers – that the family caregiver will perform at home.

Strategizing for the Quadruple Aim through the CMSA legislative process

Patient Experience

  • The Caregiver Act 2018
  • The Opioid Crisis Act 2018

Population Health

The Telehealth Act, URAC Telehealth programs and Case Management CPT codes for care delivery

Reducing Cost

The Nurse Licensure Compact providing care across the continuum to reduce need to change caregiver and maintin cost effectiveness for patient care plan and improved outcomes

Caregiver Team and Wellbeing

Protecting the professional case manager from workplace violence

strategizing for the quadruple

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