BY AVERA WHITE, MSN, RN, CCM
Imagine growing up in a rural area where neighbors know each other and their children. Within a ten-mile radius, you find neighbors who are a close-knit community. Farmers share extra crops, while most neighbors have gardens and share their excess harvests, baked and canned goods and crafts with each other. There is no shortage of fresh foods.
BY DIANE SHIFLEY, PT, DPT
In May 2022, NorthShore-Edward Elmhurst Health, an integrated health system in Northern Illinois, recognized that patients were being bedded on the inpatient units from the emergency department who did not require the level of inpatient care.
BY SUSANE HAO, RN, MSN, CLCP, AND THERESA HERNANDEZ, CCM
Healthcare providers and case managers encounter patients who experience a combination of barriers related to social determinants of health (SDoH) that make it difficult for patients to manage their chronic medical conditions such as chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), diabetes mellitus, hyperlipidemia, hypertension and depression.
BY ELLEN FINK-SAMNICK, DBH, MSW, LCSW, ACSW, CCM, CCTP, CRP, FCM
Case managers are the stewards of resource management in their organizations. They monitor the moving parts of healthcare utilization from admission and readmissions, to the intensity of services utilized, severity of illness, and recurrent presenting needs.
BY ELAINE BRUNER, MSN, CMGT-BC (The opinions and content expressed here are the author’s and do not represent those of the United States government, the Department of Defense, or the United States Navy.) Introduction Active-duty service members (ADSM) face unique issues related to social determinants of mental health (SDoMH). Military…
BY BOB RALEIGH, PhD, AND DENNIS ROBBINS, PhD, MPH
We have been trying to make sense of one another for thousands of years. This is not an easy task as the human interface is the most complex interface of the most complex network that we have seen.
BY REBECCA PEREZ, MSN, RN, CCM Behavioral healthcare in the United States falls perilously short of being a functional, effective system. Mental health and substance use disorders (MH/SUD) are universally categorized as behavioral health disorders, and this label will be used throughout this article (Knutson, 2021). Currently, available services are underfunded,…
BY LYNNE BECKER, MSPH To make man whole.1 Pause, just for a moment, and think about what this means. It could be an alternative interpretation of a case manager’s role in the care of their chronically ill patients. In this article, we explore how this parallelism offers a second topic for consideration…
BY ROBIN SHAPIRO The primary role of a health advocate is to help patients find the best care possible and to help people have more choice, control (and therefore) power over their medical life. As this field of health advocacy has emerged, we have identified three areas advocates apply their role:…
CMSA FOUNDATION — 2020 CASE MANAGEMENT PRACTICE IMPROVEMENT AWARD RECIPIENT BY COLLEEN MORLEY, DNP, RN, CCM, CMAC, CMCN, ACM-RN Early in my case management career, I was making follow-up telephone calls to patients who had been recently discharged from the hospital. One particular patient was a focus for me due to…