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| care management program description: Closing the Quality Gap Kaveh G. Shojania, 2004 |
| care management program description: CMSA's Integrated Case Management Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN, Rebecca Perez, MSN, RN, CCM, FCM, Corine Latour, PhD, RN, 2018-01-28 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. |
| care management program description: Health Professions Education Institute of Medicine, Board on Health Care Services, Committee on the Health Professions Education Summit, 2003-07-01 The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system. |
| care management program description: Introduction to Health Care Management Buchbinder, Nancy H. Shanks, 2016-03-28 This concise, reader-friendly, introductory healthcare management text 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 marketing, information technology, and human resources, are all thoroughly covered. |
| care management program description: Encyclopedia of Health Care Management Michael J. Stahl, 2003-10-21 The most comprehensive one-volume reference work on health care management published in the last 10 years, this work brings together much useful information and will appeal to a broad audience. Health science libraries, college libraries, and large public libraries will want to invest in this title. --BOOKLIST This volume should be considered by academic and public libraries with large healthcare management or business collections as the only current reference on this topic. --LIBRARY JOURNAL The Encyclopedia of Health Care Management would be useful for those involved in any aspect of health care, whether as a student, instructor, practitioner, researcher, or administrator. This book would be of great use in reference collections at public, university, hospital, and corporate libraries. --E-STREAMS Health care is one of today′s most discussed and debated topics. From issues such as accessibility to costs to quality, the debates range widely among doctors, patients, employers, and insurers. A popular topic in political campaigns and the media, health care and health care management is also a quiet and unremitting concern in the private and personal lives of individuals who worry about someday having to choose between food and prescription drugs. For this reason, in today′s health care industry, good business practices may be as important as the practice of medicine in assuring the continued health of the industry. The Encyclopedia of Health Care Management will prove invaluable to libraries serving students and professionals in health and business. It will also be an essential reference for physicians, providers and their employees, and students and professors in health and management for responsible and successful practice and administration in the health care industry. This encyclopedia is the most comprehensive reference work on the business of health care, with up-to-date information across a broad range of issues affecting every aspect of the industry and the people it serves, employs, and influences. Key Features The most comprehensive reference work on health care management Broad range of timely topics, spanning academic, corporate and governmental arenas Over 600 entries More than 160 expert contributors in the fields of medicine, public health, and business Tables on Health Care Acronyms Medical Degrees Medical Legislation Medical Organizations Medical Specialties About the Editor Michael J. Stahl, Ph.D. is Director of the Physician Executive MBA Program and Distinguished Professor of Management in the College of Business at the University of Tennessee, Knoxville. Dr. Stahl received his B.S. in Electrical Engineering from the State University of NY at Buffalo and his Ph.D. in Management from Rensselaer Polytechnic Institute. From 1982-1989, Stahl was Head of the Management Department at Clemson University He was Associate Dean in the College of Business at the University of Tennessee from 1989-1997. Dr. Stahl has published over 50 journal articles in a variety of areas including Strategic Management, TQ, and healthcare, as well as twelve books including Strategic Management, Perspectives in TQ, and The Physician′s Essential MBA. He teaches strategy and business planning in the Physician EMBA, Taiwan EMBA, and MBA Programs. Recommended Libraries Academic, Public, Special, Private/Corporate |
| care management program description: Integrating Social Care into the Delivery of Health Care National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Integrating Social Needs Care into the Delivery of Health Care to Improve the Nation's Health, 2020-01-30 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 †at least in part †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. |
| care management program description: The 1st Annual Crossing the Quality Chasm Summit Institute of Medicine, Board on Health Care Services, Committee on the Crossing the Quality Chasm: Next Steps Toward a New Health Care System, 2004-09-13 In January 2004, the Institute of Medicine (IOM) hosted the 1st Annual Crossing the Quality Chasm Summit, convening a group of national and community health care leaders to pool their knowledge and resources with regard to strategies for improving patient care for five common chronic illnesses. This summit was a direct outgrowth and continuation of the recommendations put forth in the 2001 IOM report Crossing the Quality Chasm: A New Health System for the 21st Century. The summit's purpose was to offer specific guidance at both the community and national levels for overcoming the challenges to the provision of high-quality care articulated in the Quality Chasm report and for moving closer to achievement of the patient-centerd health care system envisioned therein. |
| care management program description: Health and Human Services Issues United States. General Accounting Office, 1993 Discussing major policy, management, and program issues facing Congress and the Clinton administration in the area of health and human services, this pamphlet provides recommendations for the Department of Health and Human Services (HHS) regarding the social security system, the welfare system, preventing child abuse, and safeguarding the nation's food supply. Following an overview of important issues facing the nation, the second section suggests steps to bolster public confidence in the social security system, including building the system's trust fund by increasing contribution levels and modernizing computer systems. The next section provides recommendations for continuing the welfare reform movement and the implementation of the Family Support Act, such as developing automated data systems to effectively manage caseloads, setting goal-oriented program performance standards, and identifying and sharing effective initiatives between states. The fourth section suggests that HHS provide states with greater flexibility in using government funds to prevent child abuse through early intervention and that a national foster care system be developed to provide outcome-oriented data on child welfare services. The final section proposes that an agency-wide system for tracking regulation development be implemented in the Food and Drug Administration to improve agency effectiveness and better allocate existing resources. Includes references for 22 related GAO products. (BCY). |
| care management program description: The Role of Telehealth in an Evolving Health Care Environment Institute of Medicine, Board on Health Care Services, 2012-11-20 In 1996, the Institute of Medicine (IOM) released its report Telemedicine: A Guide to Assessing Telecommunications for Health Care. In that report, the IOM Committee on Evaluating Clinical Applications of Telemedicine found telemedicine is similar in most respects to other technologies for which better evidence of effectiveness is also being demanded. Telemedicine, however, has some special characteristics-shared with information technologies generally-that warrant particular notice from evaluators and decision makers. Since that time, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth modalities, including issues related to reimbursement, licensure, workforce, and costs. Also, some areas of telehealth have developed a stronger evidence base than others. The Health Resources and Service Administration (HRSA) sponsored the IOM in holding a workshop in Washington, DC, on August 8-9 2012, to examine how the use of telehealth technology can fit into the U.S. health care system. HRSA asked the IOM to focus on the potential for telehealth to serve geographically isolated individuals and extend the reach of scarce resources while also emphasizing the quality and value in the delivery of health care services. This workshop summary discusses the evolution of telehealth since 1996, including the increasing role of the private sector, policies that have promoted or delayed the use of telehealth, and consumer acceptance of telehealth. The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary discusses the current evidence base for telehealth, including available data and gaps in data; discuss how technological developments, including mobile telehealth, electronic intensive care units, remote monitoring, social networking, and wearable devices, in conjunction with the push for electronic health records, is changing the delivery of health care in rural and urban environments. This report also summarizes actions that the U.S. Department of Health and Human Services (HHS) can undertake to further the use of telehealth to improve health care outcomes while controlling costs in the current health care environment. |
| care management program description: Negation and Speculation Detection Noa P. Cruz Díaz, Manuel J. Maña López, 2019-02-15 Negation and speculation detection is an emerging topic that has attracted the attention of many researchers, and there is clearly a lack of relevant textbooks and survey texts. This book aims to define negation and speculation from a natural language processing perspective, to explain the need for processing these phenomena, to summarise existing research on processing negation and speculation, to provide a list of resources and tools, and to speculate about future developments in this research area. An advantage of this book is that it will not only provide an overview of the state of the art in negation and speculation detection, but will also introduce newly developed data sets and scripts. It will be useful for students of natural language processing subjects who are interested in understanding this task in more depth and for researchers with an interest in these phenomena in order to improve performance in other natural language processing tasks. |
| care management program description: The Case Manager's Handbook Catherine M. Mullahy, 2013-06-20 Written by renowned author Catherine Mullahy, The Case Manager’s Handbook, Fifth Edition is the ultimate how-to guide for case managers. This practical resource helps case managers build fundamentals, study for the Certified Case Manager (CCM) exam, and most importantly, advance their careers after the exam. Written for all professionals in all practice settings in case management, it uses real-life examples and an easy-to-read, conversational style to examine the case management process while presenting practical procedural information. An excellent daily reference and training guide for new case managers and seasoned professionals in various setting, The Case Manager’s Handbook, Fifth Edition is the “go-to” resource for facing the day-to-day challenges of case management, especially as the nation navigates through the many changes introduced by the landmark Patient Protection and Affordable Care Act. Significantly updated and revised, it contains eight new chapters: * Hospital Case Management: Changing Roles and Transitions of Care * Patient Centered Medical Home, ACOs, Health Exchanges * Evidence-Based Practice * Public Sector Reimbursement * Predictive Modeling * Pain Management * Health Technology, Trends, and Implications for Case Managers * The Affordable Care Act of 2010: Implications for Case Managers Included with each new print book is an Access Code for a Navigate Companion Website for students with objectives, multiple choice questions, and bonus appendices. |
| care management program description: Advances in Patient Safety Kerm Henriksen, 2005 v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products. |
| care management program description: Patient Safety and Quality Ronda Hughes, 2008 Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043). - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/ |
| care management program description: Career Opportunities in Health Care Management Sharon Buchbinder, Jon Thompson, 2010-10-22 Career Opportunities in Healthcare Management is a concise, reader-friendly, introductory healthcare management book that covers a wide variety of career opportunities in a broad range of direct healthcare settings--such as hospitals, physician practices, nursing homes, and clinics--and non-direct health care settings, such as associations, managed care and health insurance companies, consulting firms, and medical supplier firms. Filled with first person accounts from health care managers working in the field, these profiles will engage the reader’s imagination, inform them of key issues associated with these important roles, as well as what makes these health care managers happy and eager to go to work in the morning. Beginning with an individualized 'Health Care Management Talent Quotient Quiz' and ending with a guide to finding a job in healthcare management, this hands on student-friendly and teacher-friendly text is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. Features: • The experienced authors use an active voice to grab the reader’s attention. • An individualized Health Care Management Talent Quotient Quiz to assess each student’s baseline aptitude and identify skills gaps that need to be addressed. • Over forty lively, first person profiles of health care managers working in the field covering everything from educational background and how they first became aware of health care management, through advice to future health care managers. • Detailed appendices that include: resources for learning more about health care management; sample programs of study; job hunting advice; frequently used terms in advertisements, sample position descriptions, do’s and don’ts of interviewing, and a sample cover letter and resume. |
| care management program description: Dimensions of Long-term Care Management Mary Helen McSweeney-Feld, Carol Molinari, Reid M. Oetjen, 2017 The field of long-term care is experiencing significant growth and near-constant change. Older adults and people with disabilities today make up a larger segment of society than ever before, with this shift in demographics comes an increased demand for long-term services and supports. This introductory book examines the various dimensions of long-term care and explores the facets of management essential to success in this evolving environment. |
| care management program description: The Integrated Case Management Manual Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel, 2018-06-14 Thoroughly revised and updated since its initial publication in 2010, the second edition of this gold standard guide for case managers again helps readers enhance their ability to work with complex, multimorbid patients, to apply and document evidence-based assessments, and to advocate for improved quality and safe care for all patients. Much has happened since Integrated Case Management (ICM), now Value-Based Integrated Case Management (VB-ICM), was first introduced in the U.S. in 2010. The Integrated Case Management Manual: Valued-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition emphasizes the field has now moved from “complexity assessments” to “outcome achievement” for individuals/patients with health complexity. It also stresses that the next steps in VB-ICM must be to implement a standardized process, which documents, analyzes, and reports the impact of VB-ICM services in removing patient barriers to health improvement, enhancing quality and care coordination, and lowering the financial impact to patients, providers, and employer groups. Written by two expert case managers who have used VB-ICM in their large fully disseminated VB-ICM program and understand its practical deployment and use, the second edition also includes two authors with backgrounds as physician support personnel to case managers working with complex individuals. This edition builds on the consolidation of biopsychosocial and health system case management activities that were emphasized in the first edition. A must-have resource for anyone in the field, The Integrated Case Management Manual: Value-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition is an essential reference for not only case managers but all clinicians and allied personnel concerned with providing state-of-the-art, value-based integrated case management. |
| care management program description: The Future of the Public's Health in the 21st Century Institute of Medicine, Board on Health Promotion and Disease Prevention, Committee on Assuring the Health of the Public in the 21st Century, 2003-02-01 The anthrax incidents following the 9/11 terrorist attacks put the spotlight on the nation's public health agencies, placing it under an unprecedented scrutiny that added new dimensions to the complex issues considered in this report. The Future of the Public's Health in the 21st Century reaffirms the vision of Healthy People 2010, and outlines a systems approach to assuring the nation's health in practice, research, and policy. This approach focuses on joining the unique resources and perspectives of diverse sectors and entities and challenges these groups to work in a concerted, strategic way to promote and protect the public's health. Focusing on diverse partnerships as the framework for public health, the book discusses: The need for a shift from an individual to a population-based approach in practice, research, policy, and community engagement. The status of the governmental public health infrastructure and what needs to be improved, including its interface with the health care delivery system. The roles nongovernment actors, such as academia, business, local communities and the media can play in creating a healthy nation. Providing an accessible analysis, this book will be important to public health policy-makers and practitioners, business and community leaders, health advocates, educators and journalists. |
| care management program description: Relationship-Based Care Mary Koloroutis, RN, MS, 2004-06-15 The result of Creative Health Care Management's 25 years experience in health care, this book provides health care leaders with basic concepts for transforming their care delivery system into one that is patient and family centered and built on the power of relationships. Relationship-Based Care provides a practical framework for addressing current challenges and is intended to benefit health care organizations in which commitment to care and service to patients is strong and focused. It will also prove useful in organizations searching for solutions to complex struggles with patient, staff and physician dissatisfaction; difficulty recruiting and retaining and developing talented staff members; conflicted work relationships and related quality issues. Now in it's 16th printing, Relationship-Based Care has sold over 65,000 copies world-wide. It is the winner of the American Journal of Nursing Book of the Year Award. |
| care management program description: Foundations of Health Care Management Bernard J. Healey, Marc C. Marchese, 2012-08-09 Foundations of Health Care Management Leaders and managers throughout the health care system are facing ever more challenging changes in the way care is delivered, paid for, and evaluated. Foundations of Health Care Management: Principles and Methods offers an innovative, concise, reader-friendly introduction to health care management and administration. It addresses the need for new skills in managers of health care facilities and for those planning to enter health care management positions. The book covers such critical topics as leadership training, change management, conflict management techniques, culture building, quality improvement, and communications skills, as well as collaboration in the improvement of population health. Foundations of Health Care Management also concentrates on innovations and describes steps in the transition to more decentralized and creative approaches to the management of health care facilities. The book covers physician management from the physician's viewpoint, a valuable perspective for health care managers. The book serves important dual purposes for faculty and students by providing both insights into the health care field as well as foundational content on essential management and leadership competencies. A full set of support materials is available for instructors at the book's companion Web site. |
| care management program description: Leadership and Nursing Care Management Diane Huber, 2010 This new edition addresses basic issues in nurse management such as law and ethics, staffing and scheduling, delegation, cultural considerations and management of time and stress. It also provides readers with the core concepts that separate adequate and exceptional nurse managers. |
| care management program description: Social Work Case Management Betsy Vourlekis, 2017-07-05 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. |
| care management program description: Textbook of Urgent Care Management John Shufeldt, 2014-03-17 Cutting-edge tips and techniques from industry thought leaders. Time-tested tools to help open, manage, and sell your urgent care center. Edited by urgent care industry thought leader. Designed to help all levels of management improve the profitability, efficiency, and scale of their urgent care business. A must-read for anyone thinking of opening, managing, or selling their primary care practice or urgent care center. |
| care management program description: Advanced Case Management Norma Radol Raiff, Barbara K. Shore, 1993-08-19 This overview of issues pertinent to case management in the social services illustrates the diversity of innovative approaches which have been developed. These include: new forms of outreach and assessment; alternative methods for engaging family members and natural supports; and strategies attuned to the needs of culturally diverse constituencies. The degree to which existing services are available to meet clients' needs, and variations in service philosophies and resources are among the issues discussed. Examples from many practice settings illustrate the adaptability of case management. |
| care management program description: Health Care Comes Home National Research Council, Division of Behavioral and Social Sciences and Education, Board on Human-Systems Integration, Committee on the Role of Human Factors in Home Health Care, 2011-06-22 In the United States, health care devices, technologies, and practices are rapidly moving into the home. The factors driving this migration include the costs of health care, the growing numbers of older adults, the increasing prevalence of chronic conditions and diseases and improved survival rates for people with those conditions and diseases, and a wide range of technological innovations. The health care that results varies considerably in its safety, effectiveness, and efficiency, as well as in its quality and cost. Health Care Comes Home reviews the state of current knowledge and practice about many aspects of health care in residential settings and explores the short- and long-term effects of emerging trends and technologies. By evaluating existing systems, the book identifies design problems and imbalances between technological system demands and the capabilities of users. Health Care Comes Home recommends critical steps to improve health care in the home. The book's recommendations cover the regulation of health care technologies, proper training and preparation for people who provide in-home care, and how existing housing can be modified and new accessible housing can be better designed for residential health care. The book also identifies knowledge gaps in the field and how these can be addressed through research and development initiatives. Health Care Comes Home lays the foundation for the integration of human health factors with the design and implementation of home health care devices, technologies, and practices. The book describes ways in which the Agency for Healthcare Research and Quality (AHRQ), the U.S. Food and Drug Administration (FDA), and federal housing agencies can collaborate to improve the quality of health care at home. It is also a valuable resource for residential health care providers and caregivers. |
| care management program description: Providing Integrated Care for Older People with Complex Needs Nick Goodwin, Anna Dixon, Geoff Anderson (College teacher), Walter Wodchis, King's Fund (London, England), 2014-01 This report synthesises evidence from seven case studies covering Australia, Canada, the Netherlands, New Zealand, Sweden, the United Kingdom and the United States. It considers similarities and differences of programmes that are successfully delivering integrated care, and identifies lessons for policy-makers and service providers to help them address the challenges ahead. |
| care management program description: Introduction to Health Care Management Sharon B. Buchbinder, Nancy H. Shanks, 2011-07-19 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 marketing, information technology, and human resources, are all thoroughly covered. Guidelines and rubrics along with numerous case studies make this text both student-friendly and teacher friendly. It is the perfect resource for students of healthcare management, nursing, allied health, business administration, pharmacy, occupational therapy, public administration, and public health. “Drs. Buchbinder and Shanks have done a masterful job in selecting topics and authors and putting them together in a meaningful and coherent manner. Each chapter of the book is designed to give the student the core content that must become part of the repertoire of each and every healthcare manager, whether entry level or senior executive. Each of the chapters and accompanying cases serve to bring to life what it means to be a truly competent healthcare manager.” —Leonard H. Friedman, PhD, MPA, MPH, Professor, Dept of Health Services Management and Leadership, and Director of the Master of Health Services Administration program, George Washington University, School of Public Health and Health Services “I am very happy with Health Care Management and will be adopting it for a new course that I will be teaching. This is probably the best management text I have seen so far. I was thrilled to receive it.” —Sally K. Fauchald, PhD, RN, Assistant Professor of Nursing, The College of St. Scholastica “A solid text that covers a wide range of management topics.” —Michael H. Sullivan, Director HCA Program, Methodist University, Fayetteville, North Carolina |
| care management program description: International Best Practices in Health Care Management Sandra C. Buttigieg, Cheryl Rathert, Wilfried von Eiff, 2015-02-27 Advances in Health Care Management Volume 17 helps to shape emerging thinking about best practices in international health care management. The volume is divided into two sections: a set of commentaries from US and European scholars, and research articles that compare two or more health systems and focus on specific topics in health care delivery. |
| care management program description: The Hospital Case Management Orientation Manual Peggy Rossi, Bsn, Mpa, CCM, Karen Zander, 2014-06-12 The Hospital Case Management Orientation Manual Guide is a comprehensive resource that supplements of initial training for new case managers. This book explains what to document, where to document it to ensure appropriate level of care and reimbursement, and how to avoid unnecessary denials. This book's focus is utilization management, discharge planning, and relevant CMS regulations. It can help new case managers learn how to perform their jobs effectively on their own time. It can also serve as a wide-ranging resource for more experienced case managers, particularly those whose training was less than adequate. |
| care management program description: Ask a Manager Alison Green, 2018-05-01 From the creator of the popular website Ask a Manager and New York’s work-advice columnist comes a witty, practical guide to 200 difficult professional conversations—featuring all-new advice! There’s a reason Alison Green has been called “the Dear Abby of the work world.” Ten years as a workplace-advice columnist have taught her that people avoid awkward conversations in the office because they simply don’t know what to say. Thankfully, Green does—and in this incredibly helpful book, she tackles the tough discussions you may need to have during your career. You’ll learn what to say when • coworkers push their work on you—then take credit for it • you accidentally trash-talk someone in an email then hit “reply all” • you’re being micromanaged—or not being managed at all • you catch a colleague in a lie • your boss seems unhappy with your work • your cubemate’s loud speakerphone is making you homicidal • you got drunk at the holiday party Praise for Ask a Manager “A must-read for anyone who works . . . [Alison Green’s] advice boils down to the idea that you should be professional (even when others are not) and that communicating in a straightforward manner with candor and kindness will get you far, no matter where you work.”—Booklist (starred review) “The author’s friendly, warm, no-nonsense writing is a pleasure to read, and her advice can be widely applied to relationships in all areas of readers’ lives. Ideal for anyone new to the job market or new to management, or anyone hoping to improve their work experience.”—Library Journal (starred review) “I am a huge fan of Alison Green’s Ask a Manager column. This book is even better. It teaches us how to deal with many of the most vexing big and little problems in our workplaces—and to do so with grace, confidence, and a sense of humor.”—Robert Sutton, Stanford professor and author of The No Asshole Rule and The Asshole Survival Guide “Ask a Manager is the ultimate playbook for navigating the traditional workforce in a diplomatic but firm way.”—Erin Lowry, author of Broke Millennial: Stop Scraping By and Get Your Financial Life Together |
| care management program description: ADKAR Jeff Hiatt, 2006 In his first complete text on the ADKAR model, Jeff Hiatt explains the origin of the model and explores what drives each building block of ADKAR. Learn how to build awareness, create desire, develop knowledge, foster ability and reinforce changes in your organization. The ADKAR Model is changing how we think about managing the people side of change, and provides a powerful foundation to help you succeed at change. |
| care management program description: Handbook of Geriatric Care Management Cathy Cress, 2007 This book is a reference which addresses the many settings that geriatric care managers find themselves in, such as hospitals, long-term care facilities, and assisted living and rehabilitation facilities. It also includes case studies and sample forms. |
| care management program description: Opportunities for Improving Programs and Services for Children with Disabilities National Academies of Sciences, Engineering, and Medicine, Health and Medicine Division, Board on Health Care Services, Committee on Improving Health Outcomes for Children with Disabilities, 2018-08-06 Although the general public in the United States assumes children to be generally healthy and thriving, a substantial and growing number of children have at least one chronic health condition. Many of these conditions are associated with disabilities and interfere regularly with children's usual activities, such as play or leisure activities, attending school, and engaging in family or community activities. In their most severe forms, such disorders are serious lifelong threats to children's social, emotional well-being and quality of life, and anticipated adult outcomes such as for employment or independent living. However, pinpointing the prevalence of disability among children in the U.S. is difficult, as conceptual frameworks and definitions of disability vary among federal programs that provide services to this population and national surveys, the two primary sources for prevalence data. Opportunities for Improving Programs and Services for Children with Disabilities provides a comprehensive analysis of health outcomes for school-aged children with disabilities. This report reviews and assesses programs, services, and supports available to these children and their families. It also describes overarching program, service, and treatment goals; examines outreach efforts and utilization rates; identifies what outcomes are measured and how they are reported; and describes what is known about the effectiveness of these programs and services. |
| care management program description: Leadership by Example Institute of Medicine, Committee on Enhancing Federal Healthcare Quality Programs, 2003-05-21 The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector. Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation's health care system. The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care. The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement. The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government's role in health care. |
| care management program description: Case Management Models, Second Edition Karen Zander, 2017-06-28 Explains the differences between case management and social work and the ways in which case management functions have evolved over time. Case management is continuously evolving to meet the needs of patients and manage the quality, financial, and legal risks health care systems and accountable care organizations (ACO) face. |
| care management program description: An Overview of Child Care Center Management (First Edition) Colleen Fawcett, 2017-07-18 The anthology An Overview of Child Care Center Management features outstanding articles that are directly related to the assignments required for credentialing. The material is organized into three primary sections covering administrative organization, financial and legal issues, and childcare and educational programming. Specific topics include writing a center philosophy and mission statement, conducting evaluations, developing a budget and marketing plan, complying with employment law and health and safety guidelines, designing curriculum and learning activities, and planning a system of parent support. Chapters can be taught in any order, which allows instructors to tailor their programs of instruction. Each chapter includes discussion questions that promote critical thinking and student engagement. An Overview of Child Care Center Management was developed specifically to meet the needs of students pursuing a director's credential program in the state of Florida but can be used in any credential program. The book is particularly well-suited to classes in child care center management and early childhood development. |
| care management program description: Human Resources Management for Health Care Organizations Joan E. Pynes, Donald N. Lombardi, 2012-01-24 This book is a comprehensive guide to the essential areas of health care human resources management, and is an immediately useful practical handbook for practitioners as well as a textbook for use health care management programs. Written by the authors of Handbook for the New Health Care Manager and Human Resources Management for Public and Nonprofit Organizations, the book covers the context of human resources management in the unique health care business arena from a strategic perspective includes SHRM and human resources planning, organizational culture and assessment, and the legal environment of human resources management. Managing volunteers and job analysis performance appraisal instruments, training and development programs, and recruitment, targeted selection and hiring techniques are covered. Compensation policies and practices, employer-provided benefits management, implementation of training and organizational development programs, as well as labor-management relations for health care organizations and healthcare human resource information technology are covered, with practical examples and proven strategies amply provided in each chapter. |
| care management program description: Long-Term Care Administration and Management Darlene Yee-Melichar, EdD, Cristina M. Flores, Edwin P. Cabigao, 2014-02-07 Print+CourseSmart |
| care management program description: Conditions of Participation for Hospitals United States. Social Security Administration, 1966 |
| care management program description: Living a Healthy Life with Chronic Conditions Kate Lorig, 2000 Drawing on input from people with long-term ailments, this book points the way to achieving the best possible life under the circumstances. |
| care management program description: Case Management Mary Hubbard Linz, Patricia L. McAnally, Colleen Ann Wieck, 1989 |
Care management program description 2022 - CountyCare
Feb 22, 2022 · CountyCare’s Care Management (CM) Program supports members by augmenting patient-centered medical homes with multidisciplinary care management teams. Members, …
Care Management Program Description 2022 - Louisiana …
Humana Healthy Horizons in Louisiana (Plan) offers a comprehensive Care Management (CM) Program to support members, regardless of age, based on an individualized assessment of …
Care Management Program Description - somosinnovation.com
The Care Management (CM) Program provides the clinical and administrative identification, coordination, and evaluation of the services delivered to a patient who requires close …
Complex Care Management Guidelines - Mi-CCSI
This document is a guide to help you prepare, refine, and train for the complex care management of individuals with multiple chronic conditions, limited functional status, and/or psychosocial …
MLN909188 – Chronic Care Management Services - Centers …
CMS recognizes chronic care management (CCM) as a critical primary care service that contributes to better Medicare patient health and care. We pay for CCM services provided to …
Case Management/Care Coordination, Complex Case …
This comprehensive case management program description includes a discussion of program scope, objectives, structure and resources, population assessment, clinical information …
Complex Case Management: Program Description
This program strives to meet the needs of the most fragile members through clinical intervention(s) and case management services. These members may have multiple chronic …
POLICY AND PROCEDURE Medical Management : Care …
The Medical Management and Quality Improvement departments will maintain a Care Management Program Description which contains the goals and objectives of the program, …
Care management program description2022
May 1, 2022 · CountyCare’s Care Management (CM) Program supports members by augmenting patient-centered medical homes with multidisciplinary care management teams. Members, …
SOMOS CM 101.1 Care Management Program Description
The Care Management (CM) Program provides the clinical and administrative identification, coordination, and evaluation of the services delivered to a member who requires close …
WHY CARE MANAGEMENT - nachc.org
This Action Guide outlines a set of steps that health centers can take to build a care management program for high-risk patients. STEP 1 Identify or Hire a Care Manager: Identify staff to serve …
Care Management Matrix 101707 - CHCS
Care management programs apply systems, science, incentives, and information to improve medical practice and assist consumers and their support system to become engaged in a …
care managemenT program manual - CountyCare
Care Management Program (otherwise known as complex case management, a NCQA term): Care Management applies systems, science, incentives, and evidence-based information to …
Implementation of the Medicare Chronic Care Management …
DESCRIPTION OF PROGRAM: The Chronic Care Management Program is a reimbursable Medicare service for beneficiaries that began in January 2015 to reimburse providers for a …
Care Management Program Description - somosinnovation.com
The Care Management (CM) Program provides the clinical and administrative identification, coordination, and evaluation of the services delivered to a patient who requires close …
POLICY AND PROCEDURE - Louisiana Department of Health
To describe the LHCC’s Care Management Program POLICY: The Medical Management and Quality Improvement departments will maintain a Care Management Program Description …
care managemenT program manual
Care Management Program (otherwise known as complex case management, a NCQA term): Care Management applies systems, science, incentives, and evidence-based information to …
CARE MANAGEMENT - NACHC
This Action Guide outlines a set of steps that health centers can take to build a care management program for high-risk patients. STEP 1 Identify or Hire a Care Manager: Identify staff to serve …
Complex Care Management Program Overviews: General
Members are prioritized based on risk and opportunity for care management. The program aims to identify members with advanced illness (for example, terminal illness) and chronic illness, …
Care Management Program Description - Louisiana …
Care Management Program Description 20242025 . CM Program Description 20254 Page 2 of 3030 Table of Contents ... Louisiana Utilization Management Program Description AJ v. LDH …
Care management program description 2022 - CountyCare
Feb 22, 2022 · CountyCare’s Care Management (CM) Program supports members by augmenting patient-centered medical homes with multidisciplinary care management teams. Members, …
Care Management Program Description 2022 - Louisiana …
Humana Healthy Horizons in Louisiana (Plan) offers a comprehensive Care Management (CM) Program to support members, regardless of age, based on an individualized assessment of …
Care Management Program Description
The Care Management (CM) Program provides the clinical and administrative identification, coordination, and evaluation of the services delivered to a patient who requires close …
Complex Care Management Guidelines - Mi-CCSI
This document is a guide to help you prepare, refine, and train for the complex care management of individuals with multiple chronic conditions, limited functional status, and/or psychosocial …
MLN909188 – Chronic Care Management Services - Centers …
CMS recognizes chronic care management (CCM) as a critical primary care service that contributes to better Medicare patient health and care. We pay for CCM services provided to …
Case Management/Care Coordination, Complex Case …
This comprehensive case management program description includes a discussion of program scope, objectives, structure and resources, population assessment, clinical information …
Complex Case Management: Program Description
This program strives to meet the needs of the most fragile members through clinical intervention(s) and case management services. These members may have multiple chronic …
POLICY AND PROCEDURE Medical Management : Care …
The Medical Management and Quality Improvement departments will maintain a Care Management Program Description which contains the goals and objectives of the program, …
Care management program description2022
May 1, 2022 · CountyCare’s Care Management (CM) Program supports members by augmenting patient-centered medical homes with multidisciplinary care management teams. Members, …
SOMOS CM 101.1 Care Management Program Description
The Care Management (CM) Program provides the clinical and administrative identification, coordination, and evaluation of the services delivered to a member who requires close …
WHY CARE MANAGEMENT - nachc.org
This Action Guide outlines a set of steps that health centers can take to build a care management program for high-risk patients. STEP 1 Identify or Hire a Care Manager: Identify staff to serve …
Care Management Matrix 101707 - CHCS
Care management programs apply systems, science, incentives, and information to improve medical practice and assist consumers and their support system to become engaged in a …
care managemenT program manual - CountyCare
Care Management Program (otherwise known as complex case management, a NCQA term): Care Management applies systems, science, incentives, and evidence-based information to …
Implementation of the Medicare Chronic Care Management …
DESCRIPTION OF PROGRAM: The Chronic Care Management Program is a reimbursable Medicare service for beneficiaries that began in January 2015 to reimburse providers for a …
Care Management Program Description
The Care Management (CM) Program provides the clinical and administrative identification, coordination, and evaluation of the services delivered to a patient who requires close …
POLICY AND PROCEDURE - Louisiana Department of Health
To describe the LHCC’s Care Management Program POLICY: The Medical Management and Quality Improvement departments will maintain a Care Management Program Description …
care managemenT program manual
Care Management Program (otherwise known as complex case management, a NCQA term): Care Management applies systems, science, incentives, and evidence-based information to …
CARE MANAGEMENT - NACHC
This Action Guide outlines a set of steps that health centers can take to build a care management program for high-risk patients. STEP 1 Identify or Hire a Care Manager: Identify staff to serve …
Complex Care Management Program Overviews: General
Members are prioritized based on risk and opportunity for care management. The program aims to identify members with advanced illness (for example, terminal illness) and chronic illness, …
Care Management Program Description - Louisiana …
Care Management Program Description 20242025 . CM Program Description 20254 Page 2 of 3030 Table of Contents ... Louisiana Utilization Management Program Description AJ v. LDH …
