BY JENNIFER HALLORAN, PhD, BCPA
As case managers, we are all too aware of the myriad problems with our current healthcare system. One of the most intractable issues, particularly for elders, involves “frequent flyers,” patients who are admitted to the ED or hospital on a revolving basis. Despite the implementation of telephone-based follow-ups and other forms of tracking, this problem has not budged.
BY DANA TAYLOR, LCSW AND SYLVIA TREIN
Beginning in October of 2012, the Social Security Act established standards for the Hospital Readmissions Reduction Program (HRRP) in an effort to measure and increase the quality of care at hospitals across the country. The 21st Century Cures Act of 2019 further refined the process, where hospitals with comparable numbers of patients on Medicare and Medicaid could be measured against each other.
BY KERRI WIZNER, MPH, CPH, AND KEEMIA VAGHEF, PhD
Managing injured or ill working-age people can be complicated when cases have co-occurring conditions or non-diagnostic factors (like the social determinants of health) driving people toward poor recovery outcomes. These complexities consume considerable time for case managers and can lead to longer recoveries, affecting the patient’s mental health and self-identity.
BY LISA SIMMONS-FIELDS, DNP, MSA, RN, CCM, CPHQ, AND LIBBY JACOBSON, MPH
As we know, the underlying causes of a condition can be much more than condition burden or symptoms. Social needs and untreated or undertreated conditions are common contributors to poor health.
BY JANET S. COULTER, MSN, MS, RN, CCM, FCM, AND, MARYANN OTT, BSN, RN, CCM, CPC
Leading a generationally diverse workforce is challenging. Effective leaders understand that each generation brings unique strengths, characteristics, values and challenges to the workplace.
BY DR. COLLEEN MORLEY, DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM This is one of my favorite issues of CMSA Today, our annual issue dedicated to the importance of evidence-based practices (EBP) in case management. In the ever-evolving field of healthcare, professional case management plays a crucial role in coordinating patient care…
Making an Impact on the Professional Practice of Case Management Launched in 2021, the Case Management Fellow (FCM™) program from the Case Management Society of America (CMSA) aims to honor distinguished individuals who have made significant contributions to the professional practice of case management through leadership, innovation and scholarship. ELEVATING…
BY THERESA M. LITZINGER, BA, MSN, RN, CCM
Walk through a neonatal intensive care unit (NICU) and you will see walls of monitors, rows of isolettes, ventilators, IV pumps and feeding tubes. There are a myriad of medical staff including physicians, nurses, social workers, respiratory therapist and others. Inside the isolettes are the tiniest of human beings.
BY KELVA EDMUNDS-WALLER, DNP, RN, CCM
As an adult, I have had three pets – Winnie, Roxie, and Gracie. My daughter was 5 years old when we got Winnie, a beautiful Labrador-golden retriever mix.
BY KELVA EDMUNDS-WALLER, DNP, RN, CCM, WITH NICOLE M. MEREDITH, BSN, RN, CNOR, CSSM
The United States of America, one of the world’s wealthiest and most technologically advanced countries, has a Black and Brown maternal and infant health crisis.