Download or read book The Use of Case Management in the Delivery of Long term Care Services written by Robert G. Esdale and published by . This book was released on 1987 with total page 306 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book CMSA s Integrated Case Management written by Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN and published by Springer Publishing Company. This book was released on 2018-01-28 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by case managers for case managers, this reference manual for nurses and other health professionals presents a CMSA tested approach towards systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act, Mental Health Parity, Transition of Care & Chronic Care Management and the Medicare Act and CHIP Authorization Act (MACRA), health care workers must competently know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice. CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, CMSA Standards of Practice 2016 as well as the CMSA Core Curriculum for Case Management Third Edition.

Download or read book Improving the Quality of Long Term Care written by Institute of Medicine and published by National Academies Press. This book was released on 2001-02-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.

Download or read book Long term Care Case Management written by Robert Applebaum and published by . This book was released on 1990 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: A broadly based synthesis of information regarding case management program design and evaluation, in three parts: designing case management, evaluating and assuring the quality of case managed care, and past experiences and future challenges. Annotation copyrighted by Book News, Inc., Portland, OR

Download or read book Integrating Social Care into the Delivery of Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-01-30 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health was released in September 2019, before the World Health Organization declared COVID-19 a global pandemic in March 2020. Improving social conditions remains critical to improving health outcomes, and integrating social care into health care delivery is more relevant than ever in the context of the pandemic and increased strains placed on the U.S. health care system. The report and its related products ultimately aim to help improve health and health equity, during COVID-19 and beyond. The consistent and compelling evidence on how social determinants shape health has led to a growing recognition throughout the health care sector that improving health and health equity is likely to depend â€" at least in part â€" on mitigating adverse social determinants. This recognition has been bolstered by a shift in the health care sector towards value-based payment, which incentivizes improved health outcomes for persons and populations rather than service delivery alone. The combined result of these changes has been a growing emphasis on health care systems addressing patients' social risk factors and social needs with the aim of improving health outcomes. This may involve health care systems linking individual patients with government and community social services, but important questions need to be answered about when and how health care systems should integrate social care into their practices and what kinds of infrastructure are required to facilitate such activities. Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation's Health examines the potential for integrating services addressing social needs and the social determinants of health into the delivery of health care to achieve better health outcomes. This report assesses approaches to social care integration currently being taken by health care providers and systems, and new or emerging approaches and opportunities; current roles in such integration by different disciplines and organizations, and new or emerging roles and types of providers; and current and emerging efforts to design health care systems to improve the nation's health and reduce health inequities.

Download or read book Effective Management of Long Term Care Facilities written by Douglas A. Singh and published by Jones & Bartlett Learning. This book was released on 2021-11-10 with total page 495 pages. Available in PDF, EPUB and Kindle. Book excerpt: Effective Management of Long-Term Care Facilities, Fourth Edition examines the complex operations of the long-term care facility and offers critical skills to current and future long-term care administrators for delivering quality, cost-effective services. An excellent resource for both new and seasoned long-term care managers, this logically organized text begins with an understanding of what long-term care is and why it's an integral part of the health care delivery system. It moves on to explore the legal and regulatory parameters and payment constraints within which long-term care facilities must be managed; each of the main functional departments that administrators must understand and oversee; and, effective governance and leadership and management of human resources, marketing and quality—much of which is unique to nursing home administration. The final section of the book offers case studies to simulate situations that the administrator is likely to encounter in practice.

Download or read book Case Management Agency Systems of Administering Long term Care written by Peter Kemper and published by . This book was released on 1990 with total page 12 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Outpatient Case Management for Adults With Medical Illness and Complex Care Needs written by U. S. Department Human Services and published by Createspace Independent Publishing Platform. This book was released on 2013-04-10 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic diseases are the leading cause of illness, disability, and death in the U.S. Providing medical care for chronic illness is often complex, as patients require multiple resources, treatments, and providers. One strategy for improving care for chronic conditions is to develop programs that improve care coordination and implement care plans. Case management (CM) is one such supplemental service, in which a person takes responsibility for coordinating and implementing a patient's care plan, either alone or in conjunction with a team of health professionals. CM tends to be more intensive in time and resources than other chronic illness management interventions, and it is important to evaluate its specific value. CM is often utilized when the coordination and integration of care is difficult for patients to accomplish on their own. CM usually involves high-intensity engagement with patients, and case managers often adopt a supervisory role in comprehensively attending to patients' complex needs. Conceptually, a case manager can be seen as an agent of the patient, taking a "whole-person" (rather than solely clinical or disease-focused) approach to care, and serving as a bridge between the patient, the practice team, the health system, and community resources. The coordinating functions performed by a case manager include helping patients navigate health care systems, connecting them with community resources, orchestrating multiple facets of health care delivery, and assisting with administrative and logistical tasks. Case managers also can perform clinical functions, including disease-oriented assessment and monitoring, medication adjustment, health education, and self-care instructions. Such clinical functions are often the defining aspects of other chronic illness management interventions. In the context of chronic illness care, they are central to the role of a case manager, but a case manager also performs coordinating functions. The Agency for Healthcare Research and Quality (AHRQ) commissioned this review to examine the evidence for the effectiveness of CM programs for chronic illness patients with complex care needs. Specifically, we considered interventions in which case managers had a substantive role in performing both clinical and coordinating functions. This report summarizes the existing evidence addressing the following Key Questions: KQ1: In adults with chronic medical illness and complex care needs, is case management effective in improving: a. Patient-centered outcomes, including mortality, quality of life, disease-specific health outcomes, avoidance of nursing home placement, and patient satisfaction with care? b. Quality of care, as indicated by disease-specific process measures, receipt of recommended health care services, adherence to therapy, missed appointments, patient self-management, and changes in health behavior? c. Resource utilization, including overall financial cost, hospitalization rates, days in the hospital, emergency department use, and number of clinic visits (including primary care and other provider visits)? KQ2: Does the effectiveness of case management differ according to patient characteristics, including but not limited to: particular medical conditions, number or type of comorbidities, patient age and socioeconomic status, social support, and/or level of formally assessed health risk? KQ3: Does the effectiveness of case management differ according to intervention characteristics, including but not limited to: practice or health care system setting; case manager experience, training, or skills; case management intensity, duration, and integration with other care providers; and the specific functions performed by case managers?

Download or read book Real People Real Problems written by Jo Harris-Wehling and published by National Academies. This book was released on 1995 with total page 314 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Journal of Human Services Abstracts written by and published by . This book was released on 1984 with total page 382 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Long term care Case Management written by United States. General Accounting Office and published by . This book was released on 1993 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Managing to Care written by Ann Dill and published by Routledge. This book was released on 2017-09-04 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: The point of departure for Managing to Care is widespread concern that the present delivery of health and social welfare services is fragmented, uncoordinated, inefficient, costly, wasteful, and ultimately detrimental to clients' health and wellbeing. Dill traces the evolution of case management from its start as a tool for integrating services on the level of the individual client to its current role as a force behind the most significant trends in health care. Those trends include the entrenchment of bureaucracy, the challenges of once dominant professions, and the rise of corporate control. The author's purpose in adopting this analysis is to invite further scrutiny of the case management profession, and at the same time to identify new possibilities for its application.This volume brings together thoughts developed over many years of observing and participating in case management programs. It provides a multilayered perspective of case management, showing linkages among its social and historical contexts and the ways it is practiced today in diverse service settings. The author emerged convinced about the essential need for care coordination, and that present ways of providing care can work against our highest objectives in doing so. The paradoxes and contraindications embedded in case management practice became a major theme of the book.Managing to Care is highly critical of the ways case management has come to absorb and reflect the organizational flaws of the very service systems it was intended to reform. Too often management of the case comes to dominate care. The author does not call for a rejection of professional systems in favor of a resurrected informal community. While much can and should be done to strengthen our ties to one another, there will always be people whose problems require more expert help. Dill argues here that case management can provide such help, and provide it well, but only if it is grounded in the human dimension of a caring relatio

Download or read book Social Work Case Management written by Betsy Vourlekis and published by Routledge. This book was released on 2017-07-05 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new practice text provides a series of readings focusing on case management in a number of fields and in a variety of settings with different client populations. Each chapter examines a major component of case management practice by presenting information about an innovative program from a different location around the country. In conjunction, these readings provide a road map to social work case management.In addition to offering up-to-date practice approaches and examining the functions and skills of case management in depth, the authors provide the policy information needed for putting this traditional form of social work practice into today's service delivery context.

Download or read book Long Term Care Case Management written by U. S. Government Accountability Office ( and published by BiblioGov. This book was released on 2013-06 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt: Pursuant to a congressional request, GAO reviewed six states' long-term care case management efforts, focusing on: (1) what constitutes case management, (2) case managers' roles and performance barriers; and (3) standards for case managers. GAO found that: (1) states use various organizational structures, agencies, and operational approaches to provide case management to the elderly; (2) in all six states, case managers perform five core case management functions including comprehensively assessing client needs, developing care plans based on needs, arranging services, monitoring client status through regularly scheduled contacts, and periodically reassessing client needs and care plans; (3) case managers may perform additional functions that are specific to their agency; (4) the case management process should focus on the client's medical and social needs, client involvement in service planning, efficient service coordination, knowledge of service providers and the quality of their care, and continued training to maintain and improve case managers' skills; (5) large caseloads do not allow for accurate monitoring of clients and on-going training for case managers; (6) barriers to effective case management include a lack of financial resources, scarcity of services, and excessive administrative requirements; (7) specific standards for case management functions, caseloads, and case manager qualifications vary from state to state; and (8) two national organizations have established general standards for long-term care case management activities.

Download or read book Long term Care and Proposals to Improve Medicare s Skilled Nursing Facility and Home Health Benefits written by United States. Congress. House. Committee on Ways and Means. Subcommittee on Health and published by . This book was released on 1991 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Long term Care and the Older Americans Act written by United States. Congress. House. Select Committee on Aging. Subcommittee on Health and Long-Term Care and published by . This book was released on 1981 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Medicare and Medicaid Catastrophic Protection written by United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health and the Environment and published by . This book was released on 1988 with total page 612 pages. Available in PDF, EPUB and Kindle. Book excerpt: