Case Management Progress Notes

Advertisement



  case management progress notes: 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.
  case management progress notes: 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.
  case management progress notes: Case Management Arthur J. Frankel, Sheldon Gelman, Diane K. Pastor, 2019 Over the course of twenty years and across three editions, this text has approached case management as both an art and a science by providing students and practitioners with the basics of case management theory, skills, and applications. This fourth edition, which focuses on both the social work and nursing professions, offers trainers, instructors, and students detailed information about how case management is delivered, major issues encountered in practice, how services are affected by different populations, and the unique skills that are required by case managers in order to be effective. Chapter exercises and numerous case examples help readers practice some of the skills associated with the content offered.Case Management is unique in that it brings together the major professions that conduct case management in the United States. It is focused on skill learning more than on theory, and discusses not only the importance of case management in the current social work and medical milieu, but also the challenges that case managers face in helping clients. In addition, the text offers a model for integrated case management between professions and in numerous settings, including nursing centers, community mental health facilities, and criminal justice centers.
  case management progress notes: 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).
  case management progress notes: Writing Patient/Client Notes Ginge Kettenbach, Sarah Lynn Schlomer, Jill Fitzgerald, 2016-05-11 Develop all of the skills you need to write clear, concise, and defensible patient/client care notes using a variety of tools, including SOAP notes. This is the ideal resource for any health care professional needing to learn or improve their skills—with simple, straight forward explanations of the hows and whys of documentation. It also keeps pace with the changes in Physical Therapy practice today, emphasizing the Patient/Client Management and WHO’s ICF model.
  case management progress notes: Case Management Handbook for Clinicians Rand L Kannenberg, 2003 The text has a variety of user friendly lists, tables, charts, summaries, articles, practice tests, clinical documentation sample forms, resources and contact information about case management in healthcare and human services. There are more than 100 pages of material in addition to the handouts made available in the seminar. The contents of this case management handbook include the following: the differences between case management and social work; case management history; governmental responses in the past; other titles used for case managers; admission summaries; case management service and treatment plans; multi-cultural recommendations for case managers; case management confidentiality; continuity of care; philosophy of case management; case manager status; supervision of case managers; preventing unnecessary prescription problems; depression screenings; case manager attitudes with the chronically mentally ill; counseling and case management professional ethics; establishing rapport with providers; customer service and case management; avoiding case management burnout; hepatitis A/B/C screenings; HIV/AIDS screening; TB screening; release of information; screening for substance use disorders; progress notes; discharge summaries; social history/assessment; psychological history/assessment; medical/dental history/assessment; educational/vocational history/assessment; legal history/assessment; top work settings; top job titles; HMO models; insurance; legal/medical/insurance terms; and case management organizations.
  case management progress notes: CMMN Method and Style Bruce Silver, 2020-05-05 Case management is a branch of business process management dealing with unstructured processes. CMMN is a business-oriented language for case models, both descriptive and executable. This book shows how to use CMMN to create case models in which the logic is both clear from the printed diagrams and executable on a business automation platform.
  case management progress notes: Progress and Issues in Case Management Rebecca Sager Ashery, 1992
  case management progress notes: Case Conceptualization Len Sperry, Jon Sperry, 2020-05-27 Integrating recent research and developments in the field, this revised second edition introduces an easy-to-master strategy for developing and writing culturally sensitive case conceptualizations and treatment plans. Concrete guidelines and updated case material are provided for developing conceptualizations for the five most common therapy models: Cognitive-Behavioral Therapy (CBT), Psychodynamic, Biopsychosocial, Adlerian, and Acceptance and Commitment Therapy. The chapters also include specific exercises and activities for mastering case conceptualization and related competencies and skills. Also new to this edition is a chapter on couple and family case conceptualizations, and an emphasis throughout on trauma. Practitioners, as well as graduate students in counseling and in clinical psychology, will gain the essential skills and knowledge they need to master case conceptualizations.
  case management progress notes: The Leader's Guide to Hospital Case Management Stefani Daniels, Marianne Ramey, 2005 This text will address the role of the hospital case manager from a busniess perspective rather than a nursing perspective. Will engage all areas that are involved with the health care system, in pursuit of global objectives on behalf of every stakeholder.
  case management progress notes: The Practical Guide to Project Management Documentation John Rakos, Karen Dhanraj, Scott Kennedy, Laverne Fleck, Steve Jackson, James Harris, 2015-03-17 Project Management The one-stop resource for project management documentation and templates for all projects The success of any project is crucially dependent on the documents produced for it. The Practical Guide to Project Management Documentation provides a complete and reliable source of explanations and examples for every possible project-related document-from the proposal, business case, and project plan, to the status report and final post-project review. The Practical Guide to Project Management Documentation is packed with material that slashes the time and effort expended on producing new documents from scratch. Following the processes in the Project Management Institute's PMBOK® Guide, this one-stop, full-service book also offers tips and techniques for working with documents in each project process. Documentation for several project/client scenarios is addressed, including internal and externally contracted projects. A single project-the construction of a water theme park-is used as the case study for all the document examples. An included CD-ROM provides all the documents from the book as Microsoft Word(r) files. Readers can use these as a framework to develop their own project documents. The Practical Guide to Project Management Documentation is an unmatched reference for the numerous documents essential to project managers in all industries. (PMBOK is a registered mark of the Project Management Institute, Inc.)
  case management progress notes: Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies OECD, World Health Organization, 2019-10-17 This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
  case management progress notes: Case Management, Third Edition Arthur J. Frankel, Sheldon R. Gelman, 2011-08 Case managers provide an indispensable service, acting as both experts and liaisons to the wide variety of services, resources, and opportunities available to their clients. The authors use their extensive practice, classroom, and research experience to delineate clearly the steps of the case management process and to address the myriad roles case managers fill in different practice situations. By detailing the various processes and goals of case management and the different populations they help, the authors present a resource that is invaluable not only to social workers, but also to case managers in nursing centers, community mental health facilities, and criminal justice centers. The third edition of this book is updated to reflect the constantly changing nature of the helping professions. New and updated references provide readers with an array of options for pursuing specific aspects of case management. The book is attentive to the evolving needs of a variety of populations, and it now contains a new section on working with members of the military and their families. This edition also contains new information on case management within larger organizations that provide mental health services.
  case management progress notes: The Adult Psychotherapy Progress Notes Planner Arthur E. Jongsma, Jr., David J. Berghuis, 2014-01-27 Save hours of time-consuming paperwork with the bestselling treatment planning system The Adult Psychotherapy Progress Notes Planner, Fifth Edition contains complete prewritten session and patient presentation descriptions for each behavioral problem in The Complete Adult Psychotherapy Treatment Planner, Fifth Edition. The prewritten progress notes can be easily and quickly adapted to fit a particular client need or treatment situation. Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized progress notes Organized around 43 behaviorally based presenting problems, including depression, intimate relationship conflicts, chronic pain, anxiety, substance abuse, borderline personality, and more Features over 1,000 prewritten progress notes (summarizing patient presentation, themes of session, and treatment delivered) Provides an array of treatment approaches that correspond with the behavioral problems and DSM-5TM diagnostic categories in The Complete Adult Psychotherapy Treatment Planner, Fifth Edition Offers sample progress notes that conform to the requirements of most third-party payors and accrediting agencies, including CARF, The Joint Commission (TJC), COA, and the NCQA Identifies the latest evidence-based care treatments with treatment language following specific guidelines set by managed care and accrediting agencies
  case management progress notes: Clinical Supervision and Professional Development of the Substance Abuse Counselor United States. Department of Health and Human Services, 2009 Clinical supervision (CS) is emerging as the crucible in which counselors acquire knowledge and skills for the substance abuse (SA) treatment profession, providing a bridge between the classroom and the clinic. Supervision is necessary in the SA treatment field to improve client care, develop the professionalism of clinical personnel, and maintain ethical standards. Contents of this report: (1) CS and Prof¿l. Develop. of the SA Counselor: Basic info. about CS in the SA treatment field; Presents the ¿how to¿ of CS.; (2) An Implementation Guide for Admin.; Will help admin. understand the benefits and rationale behind providing CS for their program¿s SA counselors. Provides tools for making the tasks assoc. with implementing a CS system easier. Illustrations.
  case management progress notes: Handbook of Nursing Case Management Dominick L. Flarey, Suzanne Smith Blancett, 1996 AACN Protocols for Practice: Healing Environments discusses the benefits of creating a healing environment for critically ill patients and their families and how changes to a patient's environment can promote healing. Family needs, visitation, complementary therapies, and pain management are also covered.
  case management progress notes: The Severe and Persistent Mental Illness Treatment Planner David J. Berghuis, Arthur E. Jongsma, Jr., Timothy J. Bruce, 2011-02-17 The flexible format of The Severe and Persistent Mental Illness Treatment Planner, 2nd Edition enables you to choose between evidence based and traditional “best practice” treatment approaches for your patients. Fully revised to meet your needs as a mental health professional working in today’s long-term care facilities, this time-saving resource contains over 1,000 rewritten treatment goals, objectives, and interventions, plus space for recording specific treatment plan options. This guide is organized around 31 behaviorally based issues, from employment problems and family conflicts, to financial needs and homelessness, to intimate relationship conflicts and social anxiety.
  case management progress notes: The Early Childhood Education Intervention Treatment Planner David J. Berghuis, Julie A. Winkelstern, 2006-04-20 The Early Childhood Education Intervention Treatment Planner provides all the elements necessaryto quickly and easily develop formal education treatment plans that take the educational professional a step further past the writing of goals for Individualized Education Plans (IEPs) as well as mental health treatment plans. The educational treatment plan process assists the professional in identifying interventions and communicating to others the specific method, means, format, and/or creative experience by which the student will be assisted in attaining IEP goals. Critical tool for treating the most common problems encountered in treating children ages 3-6 Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized educational treatment plans Organized around 27 main presenting problems, including autism, cultural and language issues, depression, eating and elimination concerns, cognitive and neurological impairment, oppositional behavior, school entry readiness, and others Over 1,000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and educational interchange Easy-to-use reference format helps locate educational treatment plan components by disability Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)
  case management progress notes: Registries for Evaluating Patient Outcomes Agency for Healthcare Research and Quality/AHRQ, 2014-04-01 This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
  case management progress notes: 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/
  case management progress notes: The Maudsley Handbook of Practical Psychiatry Gareth Owen, Simon Wessely, Robin Murray, 2014-09-11 The Maudsley Handbook of Practical Psychiatry has long served trainees in psychiatry, presenting them with practical and essential advice. This new edition of the orange book provides guidance on the psychiatric and neuropsychiatric examination and interviewing of adults and childrennot just as a central skill, but as the basis for reaching a diagnosis, formulation and defining a treatment plan. It covers special interview situations, such as dealing with specific patient reactions, and other special problems, for example, conducting a complicated assessment in cases of self-harm. The book concludes with important legal issues and is supported by helpful appendices for ready-reference. As with previous editions, this sixth edition has been revised and rewritten with the full and active involvement of a group of consultant psychiatrists and trainees, making it a highly relevant and practical handbook for all psychiatrists whether learning or refreshing their skills.
  case management progress notes: STEPnotes(TM) Rhonda Sutton, 2013-08-28 This book is a way for counselors to conceptualize their therapy sessions with their clients. The STEPnotes structure aids in the therapeutic process, and provides a professional format for other administrative functions--Back cover
  case management progress notes: Case Management Suzanne K. Powell, Hussein M. Tahan, 2018-02-26 Prepare for a new career as a case manager—or just upgrade your skills to a whole new level—with the newly updated Case Management: A Practical Guide for Education and Practice, 4th Edition. Ideal for case management certification (CCMC) exam preparation, this is a thorough review of the case manager’s many roles and skills, from acute to post-acute care. Whether you are a nurse transitioning to case management or already active in it, this is your road map to coordinating successful patient care, from hospital to home. Build a strong case management career foundation, with expert, evidence-based direction: NEW chapter on case manager orientation programs that offers orientation checklists, competency assessment, and learning profiles, with available online tools NEW topics on current practice issues and developments, including the impact of the Patient Protection and Affordable Care Act and value-based care NEW content on experiential, problem-based learning—learning practices, training programs, case management team professional development Offers in-depth, evidence-based guidance on: The case manager’s roles, functions, and tasks Key concepts—quality management and outcomes evaluation, legal and ethical considerations, case management process, utilization management, transitions of care The role of the nurse case manager versus social worker role Strategies that ensure effectiveness of case management models Coordinating care, protecting privacy and confidentiality, health insurance benefit analysis, practice standards The Case Management Code of Professional Conduct, accreditation agencies and standards, specialty board certifications Management of resources and reimbursement concepts Case management in various settings—acute care, emergency department, admissions, perioperative services, disease management, insurance case management, palliative care, end-of-life care, hospice, home health care, physician groups, public health/community-based care, rehabilitation Ideal preparation for the CCMC exam—offers a large portion of CCMC exam content—and for Continuing Education Unit (CEU) for Case Management study A must-have desk reference that offers plentiful case studies—considered to be “the bible” of case management
  case management progress notes: Nursing Administration Handbook Howard S. Rowland, Beatrice L. Rowland, 1997 With the recent new and radical developments in the health care field that have been introduced at a breathless pace, nurse administrators must work to stay informed of the developments that affect their nursing departments both directly and indirectly. The Nursing Administration Handbook has a long track record, both as a textbook and as a hands-on tool for nurse executives seeking insight and step-by-step guidance in all aspects of administration. The fourth edition of this text surveys the entire field of nursing administration and incorporates the most significant new developments and current practices.
  case management progress notes: Home Health Assessment Criteria Barbara Acello, Lynn Riddle Brown, 2015-05-28 Ensure that no condition or symptom is overlooked and documentation is as accurate as possible with Home Health Assessment Criteria: 75 Checklists for Skilled Nursing Documentation.
  case management progress notes: Foundations for Community Health Workers Darouny Somsanith, 2024-06-12 A practical guide to becoming a community health worker Foundations for Community Health Workers provides a practical and comprehensive introduction to essential skills for professionals in community health roles. In the wake of the COVID-19 pandemic, there is a greater need than ever for compassionate community health workers trained in the core competencies and guiding principles that can empower individuals to lead healthy lives. With an emphasis on social justice, cultural humility, and client-centered practice, this book offers a solid background in professional skills and their application. Real-life case studies and quotes from community health workers illustrate the challenges and successes that learners will face on the job. Readers will also gain skills in conflict resolution, group facilitation, community organizing, trauma support, and more, equipping them to enter the public health field with confidence and safety. Learn about the public health field and the skills needed to become a community health worker Gain skills in interacting with people from diverse backgrounds and circumstances Develop a background in client interviewing, community advocacy, and facilitating community health trainings Read case studies from real community health workers This book, in its updated Third Edition, is a valuable introduction and reference for anyone working toward a career as a community health worker.
  case management progress notes: Enhancing Primary Care of Elderly People F. Ellen Netting, Frank G. Williams, 2014-02-25 This important work offers the first detailed analysis of recent changes in health care for the elderly. The contributors examine primary care in urban, suburban, and rural settings and show what makes each of these successful care-providers.
  case management progress notes: Transforming Health Care Management Ivan Barrick, 2009-10-06 Using straightforward, accessible language, this groundbreaking resource is a comprehensive primer on the most progressive tools and techniques currently used for assessing healthcare systems and healthcare process effectiveness. Typically these tools are embedded in programs such as Total Quality Management, continuous process improvement, process reengineering, protocol redesign, or most recently, Six Sigma and organizational transformation. Transforming Health Care Management presents an integrated, multi-disciplinary approach while focusing on fundamental concepts. It will thoroughly prepare the reader to design, implement, manage, operate, monitor or improve technology, processes, and programs and is an ideal text for those studying healthcare information technology, operations research, systems analysis, process improvement, or informatics. Features: Chapters cover highly technical subjects using clear and accessible language. Vignettes from the author’s years of professional experience illustrate particularly complex concepts. Focuses on key concepts and applications rather than theory and jargon. Accompanied by a complete package of instructor resources (downloadable Instructor’s Manual, TestBank, PowerPoint slides) to facilitate teaching and learning.
  case management progress notes: Complete Guide to Documentation Lippincott Williams & Wilkins, 2008 Thoroughly updated for its Second Edition, this comprehensive reference provides clear, practical guidelines on documenting patient care in all nursing practice settings, the leading clinical specialties, and current documentation systems. This edition features greatly expanded coverage of computerized charting and electronic medical records (EMRs), complete guidelines for documenting JCAHO safety goals, and new information on charting pain management. Hundreds of filled-in sample forms show specific content and wording. Icons highlight tips and timesavers, critical case law and legal safeguards, and advice for special situations. Appendices include NANDA taxonomy, JCAHO documentation standards, and documenting outcomes and interventions for key nursing diagnoses.
  case management progress notes: The Handbook of Child and Adolescent Clinical Psychology Alan Carr, 2003-09-02 Alan Carr provides a comprehensive, thorough and practical guide to modern child and adolescent psychology. The Handbook of Child and Adolescent Clinical Psychology covers all central concerns for practitioners in a single manual, including: conduct problems, emotional problems, learning disabilities, child protection, somatic illness, major depression, suicide, drug abuse, schizophrenia, divorce, foster care and bereavement. It will be essential reading for child and adolescent clinical psychologists, and valuable to many professionals in training, including educational psychologists, counselling psychologists, health psychologists, child psychotherapists, family therapists, psychiatrists, psychiatric nurses, counsellors and child care workers.
  case management progress notes: 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
  case management progress notes: COLLABORATE(R) for Professional Case Management Teresa Treiger, Ellen Fink-Samnick, 2015-04-15 This book is about the progressive improvement of case management beyond that which it exists to that of a practice specialty focused on professionalism and collegiality across all practice settings. Our desire to produce a framework for such practice began when we connected several years ago. It was a result of a dialogue; the sharing of our stories and experiences. Separately, we were already passionate about and committed to case management excellence. Together, our vision coalesced to form this competency-based framework for advancing case management captured by an acronym which defined the essence of professional practice---COLLABORATE. We spent hours discussing the implications of a perceived epidemic involving less than productive interactions between individuals working under the title of case manager with consumers, providers, and clinical colleagues. These accumulated experiences heightened our commitment to lead much-needed change. Our conversation endured over many months as we realized a shared: Respect for case management’s rich heritage in healthcare, across professional disciplines and practice settings; Concern for those factors which devalue case management’s professional standing; Agreement that while the practice of case management transcends many representative professional disciplines and educational levels, each stakeholder continues to cling to their respective stake in the ground; and Belief of the importance for case management to move from advanced practice to profession once and for all. COLLABORATE was borne from a vision; the mandate to solidify a foundation for case management practice which combines unique action-oriented competencies, transcends professional disciplines, crosses over practice settings, and recognizes educational levels. The ultimate focus is on improving the client’s health care experience through the promotion of effective transdisciplinary collaboration. COLLABORATE recognizes the hierarchy of competencies and practice behaviors defined by the educational levels of all professionals engaged; associate, bachelors, masters and doctoral degrees across practice disciplines. Through this approach, every qualified health and human service professional has a valued place setting at case management’s ever-expanding table. Each of the competencies are presented as mutually exclusive and uniquely defined however, all are complementary and call on the practitioner to conduct work processes in a wholly integrated manner. While appearing in order for the acronym’s sake, they are not necessarily sequential. Ultimately, case management is an iterative process. When united in a comprehensive and strategic effort, the COLLABORATE competencies comprise a purpose-driven, powerful case management paradigm. The agility of this model extends to use of key concepts that include both action-oriented verbs and nouns, which are significant elements in any professional case management endeavor. To date, case management practice models have been driven by care setting and/or business priorities. Unfortunately, this exclusivity has contributed to a lack of practice consistency due to shifting organizational and regulatory priorities. However, this is only one reason for a fragmented case management identity. COLLABORATE recognizes and leverages these important influencers as critical to successful practice and quality client outcomes. Interprofessional education and teamwork are beginning to emerge as the means to facilitate relationship-building in the workplace. Through this approach, health care practitioners absorb the theoretical underpinning of intentionally work together in a mutually respectful manner which acknowledges the value of expertise of each care team stakeholder. This educational approach provides the opportunity to engage in clinical practice that incorporates the professional standards to which we hold ourselves accountable Innovative and emerging care coordination models, defined by evidence-based initiatives, appear across the industry. Each promotes attention to interprofessional practice in order to achieve quality patient-centered care. Herein lies an opportunity to demonstrate the value drawn from diverse expertise of case managers comprising the collective workforce. However a critical prefacing stage of this endeavor involves defining a core practice paradigm highlighting case management as a profession. The diverse and complex nature of population health mandates that case management intervene from an interprofessional and collaborative stance. While inherent value is derived from the variety of disciplines, this advanced model unifies case management’s unique identity. Now is the time to define and adopt a competence-based model for professional case management. COLLABORATE provides this framework. This text is presented in four sections: Section 1: Historical validation of why this practice paradigm is critical for case management to advance to a profession; Section 2: Presentation of the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; Section 3: Practical application of the book’s content for use by the individual case manager and at the organizational level; and The Epilogue: Summarizes the COLLABORATE approach in a forward-looking context. For the reader with limited time, reviewing Section 2 provides the substantive meat associated with each of the competencies. Our ultimate desire is that the COLLABORATE approach provides an impetus for all stakeholders (e.g., practitioners, educational institutions, professional organizations) to take the necessary steps toward unified practice in order to facilitate the transition of case management considered as a task-driven job to its recognition as being a purpose-driven profession. The book provides a historical validation of why this new practice paradigm is critical for case management to advance as a profession; presents the COLLABORATE paradigm, with a chapter to devoted to each distinct competency and the key elements; and covers the practical application of the book’s content by individual case managers, and at the organizational level.
  case management progress notes: The Case Manager's Training Manual David W. Plocher, Patricia L. Metzger, 2001 Stem Cell and Bone Marrow Transplantation
  case management progress notes: Policy and Requirements Handbook Job Corps (U.S.), 1990
  case management progress notes: The Handbook of Intellectual Disability and Clinical Psychology Practice Alan Carr, Christine Linehan, Gary O'Reilly, Patricia Noonan Walsh, John McEvoy, 2016-04-12 The Handbook of Intellectual Disability and Clinical Psychology Practice will equip clinical psychologists in training with the skills necessary to complete a clinical placement in the field of intellectual disability. Building on the success of the previous edition this handbook has been extensively revised. Throughout, the text, references, and website addresses and have been updated to reflect important developments since the publication the first edition. Recent research findings on the epidemiology, aetiology, course, outcome, assessment and treatment of all psychological problems considered in the book have been incorporated into the text. Account has been taken of changes in the diagnosis and classification of intellectual disability and psychological problems reflected in the AAIDD-11 and the DSM-5. New chapters on the assessment of adaptive behaviour and support needs, person-centred active support, and the assessment of dementia in people with intellectual disability have been added. The book is divided into eight sections: Section 1: Covers general conceptual frameworks for practice - diagnosis, classification, epidemiology and lifespan development. Section 2: Focuses on assessment of intelligence, adaptive behaviour, support needs, quality of life, and the processes of interviewing and report writing. Section 3: Covers intervention frameworks, specifically active support, applied behavioural analysis and cognitive behaviour therapy. Section 4: Deals with supporting families of children with intellectual disability, genetic syndromes and autism spectrum disorders. Section 5: Covers issues associated with intellectual disability first evident or prevalent in middle childhood. Section 6: Deals with adolescent concerns including life skills training, relationships and sexuality. Section 7: Focuses on residential, vocational and family-related challenges of adulthood and aging. Section 8: Deals with professional issues and risk assessment. Chapters cover theoretical and empirical issues on the one hand and practice issues on the other. They close with summaries and suggestions for further reading for practitioners and families containing a member with an intellectual disability. Where appropriate, in many chapters, practice exercises to aid skills development have been included. The second edition of the Handbook of Intellectual Disability and Clinical Psychology Practice is one of a set of three volumes which cover the lion’s share of the curriculum for clinical psychologists in training in the UK and Ireland. The other two volumes are the Handbook of Child and Adolescent Clinical Psychology, Third Edition (by Alan Carr) and the Handbook of Adult Clinical Psychology Practice, Second Edition (edited by Alan Carr & Muireann McNulty).
  case management progress notes: Fundamentals of Nursing Carol R Taylor, Pamela Lynn, Jennifer Bartlett, 2022-08-04 Trusted for its holistic, case-based approach, Fundamentals of Nursing: The Art and Science of Person-Centered Nursing Care, 10th Edition, helps you confidently prepare the next generation of nursing professionals for practice. This bestselling text presents nursing as an evolving art and science, blending essential competencies—cognitive, technical, interpersonal, and ethical/legal—and instilling the clinical reasoning, clinical judgment, and decision-making capabilities crucial to effective patient-centered care in any setting. The extensively updated 10th Edition is part of a fully integrated learning and teaching solution that combines traditional text, video, and interactive resources to tailor content to diverse learning styles and deliver a seamless learning experience to every student.
  case management progress notes: Documentation , 2007 This full-color handbook is a quick-reference guide to all aspects of documentation for every nursing care situation. It covers current documentation systems and formats, including computerized documentation, and features scores of sample filled-in forms and in-text narrative notes illustrating everything from everyday occurrences to emergency situations. Coverage includes timesaving strategies for admission-to-discharge documentation in acute, outpatient, rehabilitation, long-term, and home care environments and special documentation practices for selected clinical specialties: critical care, emergency, perioperative, maternal-neonatal, and psychiatric. The book includes advice on legal safeguards, dangerous abbreviations, and compliance with HIPAA guidelines and JCAHO requirements.
  case management progress notes: Clinical Nursing Skills and Techniques Anne Griffin Perry, RN, EdD, FAAN, Patricia A. Potter, Wendy Ostendorf, 2013-02-14 Known for its clear, comprehensive coverage of over 200 evidence-based skills, Clinical Nursing Skills & Techniques is today's leading nursing skills reference. It features nearly 1,000 full-color photographs and drawings, a nursing process framework, step-by-step instructions with rationales, and a focus on critical thinking and evidence-based practice. This edition includes new coverage of patient-centered care and safety guidelines, an emphasis on QSEN core competencies, and links to valuable online resources. Written by the trusted author team of Anne Griffin Perry and Patricia A. Potter, and now joined by new author Wendy Ostendorf, this reference helps you perform nursing skills with confidence. Coverage of QSEN core competencies includes delegation and collaboration, guidelines for reporting and recording, and pediatric, geriatric, home care, and teaching considerations. Unique! Using Evidence in Nursing Practice chapter covers the entire process of conducting research, including collecting, evaluating, and applying evidence from published research. Comprehensive coverage includes 212 basic, intermediate, and advanced nursing skills. Clinical Decision Points within skills address key safety issues or possible skill modifications for specific patient needs. Icons indicate video clips related to skills and procedures in the book and related lessons in Nursing Skills Online. Rationales for each skill step explain why steps are performed in a specific way, including their clinical significance and benefit, and incorporate the latest research findings. The five-step nursing process provides a framework for the description of skills within overall client care. Unique! Unexpected outcomes and related interventions alert you to what might go wrong and how to appropriately intervene. Online checklists and video clips may be downloaded to mobile devices. NEW Patient-Centered Care sections address issues unique to people of specific cultural, ethnic, and demographic backgrounds - a QSEN core competency. NEW Safety Guidelines sections cover the global recommendations on the safe execution of skill sets - also a QSEN core competency. UPDATED Adverse Event Reporting (AER) procedural guideline covers the correct response to Serious Event Reporting within the healthcare facility. NEW! Safe Transfer to a Wheel Chair procedural guideline focuses on the safety aspect of this common maneuver. NEW! Communicating with the Cognitively Impaired Patient skill provides the understanding and protocol for dealing with patients who are unable to communicate in a typical manner. NEW! Assessing the Genitalia and Rectum skill includes complete information and rationales. NEW! Caring for Patients with Multi-Drug Resistant Organisms (MDRO) and C. difficili skill covers this growing challenge to patient welfare and to healthcare providers.
  case management progress notes: Core Skills for Hospital Case Managers Tony Cesta, Beverly Cunningham, 2009-06 Core Skills for Hospital Case Managers: A Training Toolkit for Effective Outcomes Toni Cesta, PhD, RN, FAAN; Beverly Cunningham, MS, RN As of June 20, 2014, contact hours for nurses are no longer available with this product. Finally--an affordable, effective, and consistent training program for your hospital case managers. This one-of-a-kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department. This resource is designed to give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed. Core Skills for Hospital Case Managers is an orientation and training manual for nurses transitioning into case management, an easy-to-read reference guide for new case managers, and a source of inspiration, tools, and resources for seasoned professionals. With a flexible format, this book and CD-ROM offer practical information and customizable tools to develop and maintain a wide variety of care management skills. Table of contents Chapter 1: Hospital Case Management 101 Chapter 2: Case Manager Role Chapter 3: Roles, Functions, and Caseloads Chapter 4: The Case Management Process Chapter 5: The Case Manager's Role in Transitional and Discharge Planning Chapter 6: Utilization Management Chapter 7: Managing Long Length of Stay Patients Chapter 8: Denials: Prevention and Appeals Strategies Chapter 9: Reimbursement Chapter 10: The Role of the Case Manager in Patient Flow Chapter 11: Measuring Success: Strategic Outcome Measures Chapter 12: Dealing with the Uninsured and Underinsured Chapter 13: Working with Multidisciplinary Teams Chapter 14: Crucial Communication and Conflict Resolution Learning objectives: Discuss the evolution of hospital case management Explain the different models of hospital case management Determine the various goals of hospital case management Examine the various roles of case management Discuss the variety of functions performed by case managers Discuss the scope of the case manager position Examine staffing ratios in various models List the steps in the case management process Determine the role of case managers in documentation Examine case managers' role in discharge planning List the factors that influence the discharge planning process Determine strategies for improving discharge planning Discuss how hospital reimbursement affects utilization management (UM) List the stages of UM coordination Determine the affect of outside influences on UM Evaluate different payers' regulations regarding UM Examine case management's role in length of stay (LOS) Evaluate strategies for managing patients with long LOS Identify data used to track and trend LOS Evaluate the reasons behind denials Discuss case management's role in preventing denials Examine case management's roles in reversing denials Examine case management's role in reimbursement Determine strategies for effective case management related to reimbursement Evaluate case management's role in patient flow Discuss demand and capacity management Identify strategies for managing patient flow Identify measurable case management outcomes Explain how case managers can track quality outcome metrics Discuss other metrics case management departments can track and trend Examine ways to create a case management report card Discuss the unfunded or underfunded patient populations Describe the role of the ED case manager with unfunded or underfunded patient populations Evaluate strategies for dealing with unfunded or underfunded patient populations Examine strategies for successfully working with multidisciplinary teams Describe sources of conflict with which case managers frequently come in contact Discuss strategies for reducing conflict Intended audience Staff nurses, charge nurses, staff educators, staff development specialists, directors of education, nurse managers, and nurse leaders
  case management progress notes: Sickle Cell Disease Case Management Model: Principles, Practice, & Evaluation Jackson de Carvalho, 2012-03-27 This book is a model for sickle cell case management programs focusing on three main areas: Case Management Program Implementation, Counseling and Evaluation. It aims to offer the professional supports case managers need to overcome barriers while connecting clients with resources, and services.
Effective Notes for Case Management - Network of Jewish …
“Case Notes are legal documents which may be viewed by judges, attorneys, clients, etc. They provide a measure of protection and substantiate compliance with auditors.”

Case Management Toolkit 01-06-11 - NYC.gov
Implementation of DYCD’s Case Management Standards represents the department’s commitment to continuous quality improvement efforts aimed at improving outcomes for …

Case Note Template - Switchboard
You may embed case note templates in electronic recordkeeping systems if you do not chart on paper. You can find a sample case note on the final page of this document.

Examples Of Case Management Progress Notes
kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department This resource is designed to give case …

Example Case Management Notes Copy - repository.unaja.ac.id
Case management notes are a cornerstone of efficient and ethical healthcare delivery. They serve as a comprehensive record of patient interactions, treatment plans, progress, and decisions …

Example Case Management Notes - vt.edu.rs
Case management notes are a cornerstone of efficient and ethical healthcare delivery. They serve as a comprehensive record of patient interactions, treatment plans, progress, and decisions …

Medicaid Targeted Case Management Case Notes/Activity …
Documentation must be completed for each specific case management activity rendered to a beneficiary. If multiple MTCM components are provided at the same time, activities may be …

14 - Example SUD Treatment Progress Note - Case …
IT IS NOT THE ONLY WAY TO DOCUMENT AN INDIVIDUAL PROGRESS NOTE. ALL PROGRESS NOTES NEED TO BE INDIVIDUALIZED AND SPECIFIC TO THE CLIENT'S …

General Documentation and Claiming: Progress Notes - Los …
Jul 9, 2020 · For Targeted Case Management, a single service contact may include multiple service activities (e.g. telephone calls) performed within the same calendar day and intended …

Documentation Training: Mental Health Progress Notes
Jun 4, 2019 · Case Management The purpose of this service was to exchange updates about the client’s ability to manage symptoms of anxiety in the school setting.

Important To Remember - The Community Partnership
Case notes should also include the name and title of the person submitting the case note. Purpose : Case notes must clearly explain the reason you are interacting with the client.

Strong Words to Use When Writing Progress Notes - NYC.gov
Write your progress notes immediately after you have spoken with a client. Here’s a handy list of strong words to use while writing progress notes:

Sample Case Management Progress Notes (Download Only)
give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed Core Skills for …

“Documenting Progress Through Case Notes”
Apr 19, 2006 · Record keeping is one of the three essential components of case management (case review, case documentation, and customer participation). Records are used for a variety …

Case Notes and Goal Planning - COHHIO
• Case notes allows tracking and reporting of client contact and progress • Keeping well documented notes will allow you to capture any newly emerging barriers

Case Management Note Example (pdf) - optumsandiego.com
Provider assisted client in contacting several outpatient/residential substance abuse facilities. Educated client on the differences in levels of care and treatment options regarding substance …

Guidelines On Case Notes - nnpcn.com
Sep 8, 2015 · A case note is used to identify, describe, and assess the client’s situation. It allows for a clear communication and description of the client’s progress and what has occurred.

Treatment and Progress Notes Module - Case Managers
Provide treatment services to address the identified mental health condition and assist the client in reaching his/her objectives. What are Treatment Services? An intensive form of MHS that is …

1. POLICY: 2. PROCEDURE - Milwaukee County
Dec 17, 2009 · Progress notes are required as part of the chronological record of care and it is the expectation of the Community Services Branch of Milwaukee County Behavioral Health …

Progress Notes
“Targeted Case Management” (Case Management/ Brokerage/Linkage/Placement) means services that assist a client to access needed medical, educational, social, pre‐vocational, vocational, …

Effective Notes for Case Management - Network of Jewish …
“Case Notes are legal documents which may be viewed by judges, attorneys, clients, etc. They provide a measure of protection and substantiate compliance with auditors.”

Case Management Toolkit 01-06-11 - NYC.gov
Implementation of DYCD’s Case Management Standards represents the department’s commitment to continuous quality improvement efforts aimed at improving outcomes for individuals and …

Case Note Template - Switchboard
You may embed case note templates in electronic recordkeeping systems if you do not chart on paper. You can find a sample case note on the final page of this document.

Examples Of Case Management Progress Notes
kind guide to fundamental case management responsibilities is a necessary reference tool for every hospital case management department This resource is designed to give case management …

Example Case Management Notes Copy
Case management notes are a cornerstone of efficient and ethical healthcare delivery. They serve as a comprehensive record of patient interactions, treatment plans, progress, and decisions …

Example Case Management Notes - vt.edu.rs
Case management notes are a cornerstone of efficient and ethical healthcare delivery. They serve as a comprehensive record of patient interactions, treatment plans, progress, and decisions …

Medicaid Targeted Case Management Case Notes/Activity …
Documentation must be completed for each specific case management activity rendered to a beneficiary. If multiple MTCM components are provided at the same time, activities may be …

14 - Example SUD Treatment Progress Note - Case …
IT IS NOT THE ONLY WAY TO DOCUMENT AN INDIVIDUAL PROGRESS NOTE. ALL PROGRESS NOTES NEED TO BE INDIVIDUALIZED AND SPECIFIC TO THE CLIENT'S PARTICIPATION IN …

General Documentation and Claiming: Progress Notes - Los …
Jul 9, 2020 · For Targeted Case Management, a single service contact may include multiple service activities (e.g. telephone calls) performed within the same calendar day and intended to …

Documentation Training: Mental Health Progress Notes
Jun 4, 2019 · Case Management The purpose of this service was to exchange updates about the client’s ability to manage symptoms of anxiety in the school setting.

Important To Remember - The Community Partnership
Case notes should also include the name and title of the person submitting the case note. Purpose : Case notes must clearly explain the reason you are interacting with the client.

Strong Words to Use When Writing Progress Notes - NYC.gov
Write your progress notes immediately after you have spoken with a client. Here’s a handy list of strong words to use while writing progress notes:

Sample Case Management Progress Notes (Download Only)
give case management directors and hospital leaders the tools they need to build and strengthen the basic and advanced skills their case management staff needs to succeed Core Skills for …

“Documenting Progress Through Case Notes”
Apr 19, 2006 · Record keeping is one of the three essential components of case management (case review, case documentation, and customer participation). Records are used for a variety of …

Case Notes and Goal Planning - COHHIO
• Case notes allows tracking and reporting of client contact and progress • Keeping well documented notes will allow you to capture any newly emerging barriers

Case Management Note Example (pdf) - optumsandiego.com
Provider assisted client in contacting several outpatient/residential substance abuse facilities. Educated client on the differences in levels of care and treatment options regarding substance …

Guidelines On Case Notes - nnpcn.com
Sep 8, 2015 · A case note is used to identify, describe, and assess the client’s situation. It allows for a clear communication and description of the client’s progress and what has occurred.

Treatment and Progress Notes Module - Case Managers
Provide treatment services to address the identified mental health condition and assist the client in reaching his/her objectives. What are Treatment Services? An intensive form of MHS that is …

1. POLICY: 2. PROCEDURE - Milwaukee County
Dec 17, 2009 · Progress notes are required as part of the chronological record of care and it is the expectation of the Community Services Branch of Milwaukee County Behavioral Health Division …