BY FRANK MICCICHE Certainty is, to say the least, a limited commodity these days. But a genuine consensus across healthcare has emerged that telehealth, done right, can be an important tool for providing care more effectively to more people. And tracking the quality of the care provided via telehealth is imperative.…
BY REBECCA PEREZ, MSN, RN, CCM “The most expensive and challenging populations found in the current healthcare system will remain underserved until there is a unified effort rather than small incremental steps to improve care for the nation’s high needs patients.” —National Academy of Medicine Care provided to individuals with complex health…
BY ANNE LLEWELLYN, MS, BHSA, RN-BC, CCM, CRRN 2021 will be an important year for the practice of case management. As the healthcare industry changes, so will case managers. When there is disruption—there is innovation. Case managers who have their finger on the pulse of the industry know when to pivot…
BY GARRY CARNEAL, JD, MA As a father and health insurance expert, I have been challenged to leverage my professional expertise to support family and friends. One of the biggest tests was watching my firstborn deal with addiction issues which pervaded her teenage years and early adulthood. A related pain point…
BY DINA WALKER, RN, MSN, ACM-RN, RN-BC The role of a case manager has changed as a result of the COVID-19 pandemic. Effectively managing a patient caseload in inpatient rehab isn’t easy under our normal conditions. Case managers are accustomed to “managing during a crisis.” They often have patients who have…
BY BONNIE GELD, MSW The global COVID-19 pandemic will have significant impacts for both health systems and patients. It is clear there will be economic, clinical, and psychosocial consequences, among others. While these consequences continue to be better understood, especially the magnitude of the financial losses to hospitals, the silver lining…
BY DIANA CARTCHI CHIONG CLARETE, RN, BSN, LISA LOBDELL, RN, MSN, CCM, SAHLEE BALAJADIA, MSN-PH, RN-BC, WCC, LINDA VALLES-GUTIERREZ, DNP, FNP-BC, AND MARK D. CHAMBERS, MD It is said that radiology often serves as the patient entry point into the cancer care system (Weldon, 2016). As part of a thorough assessment, imaging studies are often included…
BY JONATHAN J. MORELLO, MSN, RN, CCM, AND ERICA W. OBERMAN, BSN, RN, CCM In September 2019, as a part of our contract with the New Hampshire Department of Health and Human Services (DHHS), our New Hampshire (NH) Healthy Families Medical Management Leadership team developed and went live with a transitional care…
BY MELANIE A. PRINCE, MSN, BSN, NE-BC, CCM October 11 – 17th was National Case Management Week, although many of us co-opt the entire month of October to recognize case managers with celebrations, proclamations, educational programs, awards, and many other activities. The CMSA 2020 theme was, “Case Managers Can________ (fill in…
BY MICHAEL J. DEMORATZ, PhD, LCSW, CCM Case managers working in acute and outpatient settings have probably heard about palliative care a lot recently with the increased penetration of palliative care programs across the United States and especially in acute care hospitals. This article will highlight some of the important aspects…