Last edited by Vudal
Thursday, October 15, 2020 | History

5 edition of Case management in health care found in the catalog.

Case management in health care

Peggy Rossi

Case management in health care

by Peggy Rossi

  • 14 Want to read
  • 4 Currently reading

Published by Saunders in Philadelphia .
Written in English

    Subjects:
  • Community health services -- Case studies,
  • Medical care -- Case studies

  • Edition Notes

    Includes bibliographical references and index.

    StatementPeggy A. Rossi.
    GenreCase studies.
    Classifications
    LC ClassificationsRA427 .R67 2003
    The Physical Object
    Paginationxxv, 805 p. :
    Number of Pages805
    ID Numbers
    Open LibraryOL18385777M
    ISBN 100721695582
    LC Control Number2 00304075
    OCLC/WorldCa51336855

    Introduction to Health Care Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics. Filled with examples to engage the reader's imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and . This resource describes a randomized controlled trial to evaluate the effects of a case management intervention called V1SAGES (Vulnerable Patients in Primary Care: Nurse Case Management. and Self-management Support) on psychological distress and patient activation among patients with chronic disease and complex care needs.

    This special report, Healthcare Benchmarks: Case Management, provides actionable information from 78 healthcare organizations on the role of case management in the healthcare continuum, from targeted populations and conditions to the advantages and challenges of embedded case management and care sites to case management hiring and evaluation . decide to implement case management or modify their current case management activities. This summary is excerpted from the main text, in which references to the research appear. Research suggests two reasons why case management is effective as an adjunct to substance abuse treatment. First, retention in treatment is associated with better outcomes.

    Case management is a managed care technique within the health care coverage system of the United involves an integrated system that manages the delivery of comprehensive healthcare services for enrolled patients. Case managers are employed in almost every aspect of health care and these employ different approaches in the control of clinical actions. This strategic management approach has become the de facto standard for health care management as leadership and strategic management are more critical than ever in coping with an industry in flux. This book provides heath care management students as well as health care administrators with foundational guidance on strategic management concepts.


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Case management in health care by Peggy Rossi Download PDF EPUB FB2

Case Management in Health Care is a comprehensive reference designed to educate nurses and other health care professionals on the processes involved in case management.

This reference discusses interventions and collaboration efforts that are necessary to move the patient through the continuum of care. It explores the changes in case management /5(5).

Written for new case managers, this book is a practical guide for nurses, social workers, and others responsible for coordinating and managing the care of the individual patient within the healthcare system. It is also used as a text for graduate level courses and an excellent 'prep' guide for the Case Management Certification (CCM) exam/5(37).

Care Management Process Tools: 1. Care Management Definition 2. Case Management Definition 3. Care Management Conceptual Framework 4.

Outreach Overview 5. CM Component Timeframes and Standards 6. Initial Health Screen (IHS) Scoring Strategy and health condition list 7.

Comprehensive Needs Assessment (CNA) 8. Care Plan Requirements 9. Monitoring File Size: KB. Case management is a process by which a patient's condition is assessed and options are discussed with the appropriate doctors and nurses to ensure the.

47, Health Care Case Management jobs available on Apply to Case Manager, Registered Nurse, Patient Advocate and more. Care/Practice Setting Highlights; Payor-based case manager • May implement the Case Management Process for a client upon direct contact via the telephone by the client/support system or upon referral from other professionals working for the payor organization such as a medical director, a claims adjuster, a clerical person, or a quality/performance improvement.

This Action Guide provides the steps to start a health center care management program for high-risk patients. The outlined recommendations meet the requirements of Chronic Care Management (CCM) services defined by CMS and, therefore, are eligible for reimbursement. High-risk care management involves intensive, one-on-one services, provided by aFile Size: KB.

Chronic Care Management Outreach Campaign on Geographic and Minority/Ethnic Health Disparities. Chronic Conditions in Medicare. Chronic Conditions Data Warehouse. Transitional Care Management.

Transitional Care Management Services Fact Sheet (PDF) Transitional Care Management Services FAQs (PDF) Page Last Modified: 11/20/ PM. The Role of Case Management in Value-based Health Care Providers sharing patient data across the care continuum – using safe, appropriate, holistic, prevention-based treatments.

Visibility to proven, measureable results that improve the quality and quantity of life. These needs are fundamental for true value-based health care. Introduction. Case management for high-cost patients is a cost-containment strategy that has recently gained tremendous popularity.

The service is currently offered by virtually all private health insurance companies, most health care benefits management firms, and many small independent by: Definition of Case Management.

Case Management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote patient safety, quality of care, and cost effective outcomes.

Introduction to Health Care Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of healthcare settings, from hospitals to nursing homes and clinics.

Filled with examples to engage the reader’s imagination, the important issues in healthcare management, such as ethics, cost management, strategic planning and. CMBOK is an online resource tool developed by the Commission for Case Manager Certification (the Commission) for all case managers and other health care professionals across all practice settings.

The Commission is a thought leader in case management and is well known for its certification examination. The Commission’s research and leadership. CMSA Standards of Practice for Case Management 1 © Through case management, health care providers and organi-zations are able to meet or exceed the quality, safety, and cost related expectations of these key regulations and programs.

Professional case File Size: 2MB. Case Management for Children and Pregnant Women is a Texas Medicaid benefit for eligible patients who have medical-related needs that might affect their health care. The patients must be eligible for Medicaid and be either: A child birth through age 20 with a health condition or health risk.

A woman of any age who has a high-risk pregnancy. Case Management in Health Care is a comprehensive reference designed to educate nurses and other health care professionals on the processes involved in case management.

This reference discusses interventions and collaboration efforts that are necessary to move the patient through the continuum of care. It explores the changes in case management and it explains the.

Case Management If you're being treated for chronic, high-risk, high-cost, catastrophic or terminal illnesses, you can get case management services at no extra cost. Case managers are usually nurses or social workers who can help patients and families figure out complex health care and support systems.

To locate a case manager, contact. Health Insurance Case Manager. The health insurance company’s case manager receives information from hospital case managers, home health care companies, physician’s offices, social workers and other health care providers.

Depending on the insurer and the location, the case manager may even visit a patient in the hospital. Case management is a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client's health and human service needs.

It is characterized by advocacy, communication, and resource management and promotes quality and cost-effective interventions and outcomes. Online Case Management Certificate Programs As the person who guides patients through the managed care system, you could be employed in a healthcare field, such as nursing or counseling.

Read about how a case management certificate can be earned through online learning and find out what kinds of courses you can expect to ication: Certified Case Manager through the Commission for Case Manager Certification. Professional Case Management (PCM) is seeking high-quality evidence-based articles on case management practice in healthcare.

The Journal will consider papers on a wide range of topics on best practices, industry benchmarks, patient care, and original research of case managers.

Also, the Journal welcomes articles that provide practical, hands.The principles of effective case management have been extensively studied, and are presented in Table 3 as they apply for mental health services. There is a great deal of unmet need in Australia for case management (Groom et al ).

The lack of a case manager was mentioned repeatedly in the consultations as a major barrier to recovery.The need for close communication is even more important, especially since legal problems often extend out for years and include transition to adult systems of care and oversight.

Primary Goals of Case Management/Care Coordination An effective clinical approach to FASDs, especially at the point of first diagnosis, should recognize the likely.