Case Management Regulations Overview
BY GARRY CARNEAL, JD, MA
The U.S. medical system is dynamic and always evolving. Understanding the regulatory landscape is essential for case managers to optimize their patient-centered mission.
Author runderwood
The Importance of Quality Measures: Making Care Matter
BY REBECCA PEREZ, MSN, RN, CCM
Everyone aspires to provide quality healthcare. The definition of healthcare quality would seem straightforward; however, establishing metrics is not necessarily so straightforward, a point recognized by Avedis Donabedian, a Lebanese physician and founder of the study of healthcare quality over half a century ago.
The Power of the Medical-Legal Partnership in Population Health
BY MELANIE A. PRINCE, RN, BSN, MSN, NE-BC, CCM, FCM, FAAN
A strong case can be made for the inherent links between law, social factors and health.
MAKE PLANS TO ATTEND THE CASE MANAGEMENT EVENT OF THE YEAR
CMSA’s conferences are unparalleled with top-notch education, inspiring content, industry vendors and experts, professional connections and lasting friendships made. The list could go on and on! Register today to join us for the CMSA Annual Conference June 27-30, 2023, at the Mandalay Bay Resort in Las Vegas to discover new solutions for impacting health outcomes and drive change to elevate the professional practice of case management.
Case Management Standards of Practice: A Road Map to Excellence
BY SHERRY ALIOTTA, BSN, RN-BC, CCM
The Standards of Practice for Case Management have been updated. The newly revised standards need not be a reference volume or an unrealistic ideal. They represent a philosophy, statement of beliefs, values to guide a program, its context and the role of the individual(s). They can serve as a road map to excellence and serve as a guidepost for case managers seeking environments that support the practice of case management.
Call to Action to Support Emergency Department Follow-up Care
BY VALERIE LINZEY, DNP, APRN, FNP-C
Primary care practices are faced with many challenges when their patients are admitted or visit an outside facility or hospital. One of the major problems is a breakdown of communication when patients are discharged from the health facility or hospital and need to follow with primary care.
An Electronic Road Trip: Visiting Evidence-based Practice Resources, Part 3
BY DR. COLLEEN MORLEY, DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM
Are we there yet? As we come to the final installment of my Electronic Road Trip series, I hope you have found some great new resources and revisited familiar ones with new perspective.
Gene Therapy: The Next Big Thing
BY MARY PAQUETTE, RN, BSN, CCM, AND MELINDA BAXTER, RN, MSN, CCM
Gene therapy is the latest high-cost challenge facing health plans and reinsurers alike. The need to understand issues associated with treatments, medical management, network management and contracting will evolve and persist.
There’s an App for That
BY DR. COLLEEN MORLEY, DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM
Digital technologies are electronic tools, systems, devices and resources that generate, store or process data. Social media, online games, multimedia, patient portals and “apps” are just a few examples on how healthcare has leveraged digital technologies.
The Value of Evidence-based Practice & Research in Case Management
BY DR. LISA PARKER-WILLIAMS DNP, MBA, RN, CCM, AND KATHLEEN PARRY, BSN, RN, CCM
When one thinks about evidence-based practice (EBP), some of us in the healthcare world question whether it is a “buzz” word or if this is being implemented into practice.