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| case management flow chart: Nursing Case Management Elaine Cohen, Toni G. Cesta, 2004-08-26 This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities |
| case management flow chart: Case Management Suzanne K. Powell, 2000 The Second Edition of this comprehensive how to text has been completely revised and updated. This text outlines the basics of case management and illustrates some of the pitfalls encountered in the field of case management. The book provides information on the new Case Management Standards, supplies standard definitions and guidelines of case management for the practicing case manager, and presents information on caring for clients in a wide variety of health care settings. New to this edition--chapters focusing on Quality Reviews and Risk Management with a strong emphasis on Continuous Quality Improvement (CQI), ethical and legal issues, and various case studies. |
| case management flow chart: Progress and Issues in Case Management Rebecca Sager Ashery, 1992 |
| case management flow chart: Partha's Fundamentals of Pediatrics A Parthasarathy, 2013-04-30 The second edition of Partha’s Fundamentals of Pediatrics has been thoroughly revised to bring trainees and physicians fully up to date with the latest developments and rapidly changing concepts in the field of paediatrics. Beginning with an introduction to physical examination, newborn care, growth and development, and immunisation, the following chapters describe different disciplines within paediatrics including – cardiology, neurology, pulmonology and endocrinology. Adolescent health, allergies, learning disabilities, skin diseases and child abuse are also discussed. The final sections examine radiology and imaging, drug therapy and surgical procedures. Enhanced with 560 images, illustrations and tables, this comprehensive guide helps with recognition, diagnosis and management of numerous paediatric disorders, with an emphasis on prevention, as well as treatment. Key points Comprehensive guide to complete field of paediatrics New edition fully revised with latest developments and concepts Emphasis on prevention as well as management of numerous disorders Includes 560 full colour images, illustrations and tables Previous edition published in 2008 |
| case management flow chart: Perspectives on Social Services and Social Issues Jacqueline Ismael, Ray Thomlison, 1987-01-01 The selections in this volume are drawn from the proceedings of the Second Conference on Provincial Social Welfare Policy held at The University of Calgary, May 1-3, 1985. The conference sought to further national cross-disciplinary research on provincial social welfare policies and programs from a comparative provincial perspective. It was organized around four major themes: The Canadian Welfare State: Evolution and Transition; Income Security and Job Creation; Issues of Structure and Process; and, Selected Social Issues and Programs. Perspectives on Social Services and Social Issues offers detailed studies of a range of contemporary issues. |
| case management flow chart: Pediatric Life Care Planning and Case Management Susan Riddick-Grisham, Laura Deming, 2004-06-22 The life care plan is a dynamic document that provides an organized plan for the current and future needs of individuals with chronic health care needs. It can serve as a roadmap for the families, caregivers, therapists, physicians, and others involved with the ongoing care of a special needs child. Pediatric Life Care Planning and Case Mana |
| case management flow chart: The Managed Health Care Handbook Peter Reid Kongstvedt, 2001 This thoroughly revised and updated book provides a strategic and operational resource for use in planning and decision-making. The Handbook enables readers to fine-tune operation strategies by providing updates on critical managed care issues, insights to the complex managed care environment, and methods to gain and maintain cost-efficient, high quality health services. With 30 new chapters, it includes advice from managers in the field on how to succeed in every aspect of managed care including: quality management, claims and benefits administration, and managing patient demand. The Handbook is considered to be the standard resource for the managed care industry. |
| case management flow chart: Rate Case Management and Purpa Compliance Reviews , 1979 |
| case management flow chart: CMSA Core Curriculum for Case Management , 2008 This text contains the core body of knowledge for case management practice as delineated by the Case Management Society of America (CMSA), the largest professional organization of case managers. The core curriculum provides a synthesis of case management evolution, and presents essential elements, concepts, and vision for current and future case management practice. This edition is significantly expanded to reflect the dynamic changes taking place in case management. Each chapter is organized in a consistent format that includes learning objectives; introduction; important terms and concepts; key definitions; and references. |
| case management flow chart: Construction Claims: Current Practice and Case Management Jeremy Hackett, 2021-12-16 This book discusses practices in preparing and defending claims, bringing in funding, insurance and design team issues. It brings together the basic knowledge from the principal post-1996 legislation required by practitioners, together with an outline of the options and risks. |
| case management flow chart: 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. |
| case management flow chart: Developing Your School’s Student Support Teams Steve Berta, Howard Blonsky, James Wogan, 2022-02-24 Developing Your School’s Student Support Teams is a practical manual for schools seeking to establish and sustain coordinated teams in support of students’ social, emotional and behavioral health. Every day, students struggle with a range of issues, including traumas, that complicate their learning, engagement, and overall well-being. School psychologists, counselors, social workers and nurses are employed in many school districts, but their schedules often make it difficult to collaborate effectively in developing and implementing comprehensive intervention plans. This book promotes teamwork throughout schools by exploring how interdependent practitioners can come together at the appropriate levels and times to help coordinate school and community resources. This filtering process will guide K-12 leaders and service professionals toward systems and decision-making that enable long-term student supports, accurate identification of systemic learning barriers, improved school culture and climate, attention to diverse populations, and more. With these proactive teamwork strategies, school staff will be better prepared to share workload and accountability and to identify and build upon the existing strengths and supports of every student. |
| case management flow chart: 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. |
| case management flow chart: Human Rights and Environmental Sustainability in State-Owned Enterprises Judith Schönsteiner, Markus Krajewski, 2024-09-02 This book presents case studies on the human rights performance of state-owned enterprises from four Latin American and three European countries, as well as foreign investments by Chinese state-owned enterprises on these continents. State-owned enterprises are considered among some of the worst perpetrators of contamination and corporate human rights violations around the globe, both domestically and abroad. This volume examines whether companies implement the UN Guiding Principles on Business and Human Rights and how their state owners regulate or incentivize their human rights compliance. Studies cover different sectors ranging from finance to extractives and air transport in Brazil, Chile, China, Ecuador, Finland, France, Germany, and Mexico and allow contrasts between companies from countries with different degrees of human rights regulation, including due diligence and supply chain laws. The work shows that states are rather hesitant to implement the UN Guiding Principles “leading by example.” The book will be essential reading for academics, researchers, and policy-makers working in the areas of international human rights law, comparative administrative law, and corporate social responsibility. |
| case management flow chart: Civil Litigation 2017-2018 Susan Cunningham-Hill, Karen Elder, 2017 Making use of two case studies which run throughout the book, this text provides student-focused coverage of the key procedures central to the civil litigation process. Innovative diagrams in the form of a timeline help students see how the procedures fit together, while costs and professional conduct issues are clearly highlighted. |
| case management flow chart: Criminal Litigation Handbook 2013-2014 Martin Hannibal, Lisa Mountford, 2013-08-08 This title offers a comprehensive and practical guide to criminal litigation. It weaves together theory and practice, making use of case studies to assist students and illustrate how to put their understanding in a practical context. |
| case management flow chart: Civil Litigation Handbook 2014-15 Susan Cunningham-Hill, Karen Elder, 2014-08-14 The Civil Litigation Handbook introduces students to the processes and procedures involved in making and defending civil litigation claims. The text is ideal for students taking the Legal Practice Course or relevant LLB or LLM modules and features case studies on both a personal injury matter and a commercial matter, making it suitable for students with either a high street or a commercial focus. Following the chronological progression of a civil litigation claim, the book offers practical guidance on advising clients whilst ensuring that the principles of the SRA Handbook and Code of Conduct 2011 are maintained. Students on CILEx courses, new trainees in practice and paralegals will find this practical guidance of use in both their study and their work. Innovative diagrams at the beginning of chapters make clear the way in which the litigation procedure works and help students understand the nature of the process as a whole. Examples provide students with a realistic context for their learning, while issues of cost, best practice, and professional conduct are clearly highlighted. Alternative dispute resolution is given appropriate practical emphasis, and references to the Civil Procedure Rules throughout make sure that students are ready for life in practice. Online Resource Centre Student Resources Case study documentation Additional chapters covering injunctions, a practical guide to court hearings, and instructions to counsel Annotated forms Appendix - Links to key Court forms Litigation train Podcasts Updates Weblinks Lecturer Resources Case study materials Video clips Test bank of over 50 multiple choice questions |
| case management flow chart: The Project Share Collection , 1976 Cumulates abstracts which appeared in Journal of human services abstracts. |
| case management flow chart: The Project Share Collection, 1976-1979 Project Share, 1979 |
| case management flow chart: Working in a Legal & Regulatory Environment David J. Sperry, 2013-10-30 The books in this series describe what successful principals must know and be able to do. Written by teams of nationally recognized experts and accomplished practitioners, they include practical materials such as checklists, sample letters, model forms, case studies, and action plans. |
| case management flow chart: Report of the Civil Justice Reform Act Advisory Group to the United States District Court for the Southern District of Alabama United States. District Court (Alabama : Southern District), 1993 |
| case management flow chart: Children's Rights to Participate in Out-of-Home Care Claudia Equit, Jade Purtell, 2022-11-30 For centuries, residential child and youth care systems worldwide have provided homes for vulnerable children and adolescents. The implementation of children's rights, especially the right of participation, is assessed as an important base for promoting the best interests of the child in an out-of-home care environment. Featuring contributions from distinguished international authors, this volume offers an in-depth understanding of crucial participation processes and underlying power structures when involving young people in decision-making about their care and everyday life in different out-of-home care institutions. Contributions cover a broad spectrum of current research findings concerning the participation of young people in foster families and residential living groups in Australia, Canada, Germany, Ireland, Italy, Portugal, Norway, Sweden, and Switzerland as well as cross-nationals perspective on children and young people’s participation in foster and residential care placements in Great Britain and France. The volume fills major gaps concerning the participation of young people in different out-of-home care and policy settings and will be required reading for policymakers, researchers, practitioners, scholars, and students interested in increasing opportunities for young people’s participation and creating better out-of-home care settings for vulnerable young people. |
| case management flow chart: IAP Textbook of Pediatrics A Parthasarathy, 2016-04-30 IAP Textbook of Pediatrics is the latest edition of this extensive textbook, which highlights the substantial advances in preventive and therapeutic care in paediatrics since the last edition. This edition has been thoroughly revised and reorganised into a single volume, enhanced by nearly 1200 full colour images and illustrations which allow for quick and easy reference. New content and topics in this edition include new IAP growth charts, human milk banking, and survival of childhood cancer. |
| case management flow chart: Civil Litigation 2016-2017 Susan Cunningham-Hill, Karen Elder, 2016-07-07 Making use of two case studies which run throughout the book, this text provides student-focused coverage of the key procedures central to the civil litigation process. Innovative diagrams in the form of a timeline help students see how the procedures fit together, while costs and professional conduct issues are clearly highlighted. |
| case management flow chart: Creating Mentoring and Coaching Programs Linda Kyle Stromei, 2023-05-26 Are Mentoring and Coaching Programs Effectively Employed in Your Organization? Coaching and mentoring have become essential organizational tools for developing people. HR managers, T&D specialists, and performance technologists will find useful tools in the 12 case studies in this volume. These studies portray different mentoring and coaching programs in a variety of organizations and many educational applications that can be used as models and guides. |
| case management flow chart: Emergency Department Case Management Karen S. Zander, 2007 Eliminate sky-high wait times and increased denials in your ED Hospitals across the country are seeing extreme backup in the emergency department (ED). In recent years, well-structured emergency department case management programs have repeatedly demonstrated their value in: Influencing capacity Assigning patients to appropriate levels of care Targeting complex discharge needs Assisting with proper utilization review Whether you are looking to implement, maintain, or evolve your ED case management program, eliminate confusion surrounding the process with the help of Emergency Department Case Management: Strategies for Creating and Sustaining a Successful Program. Examining all perspectives of ED case management, this new and comprehensive guide will help you define a program that best suits your facility's needs. All the tools you need to get your program up and running From defining goals, clarifying roles, and understanding the necessary knowledge and skill sets required from ED case management staff, Emergency Department Case Management will help to ensure that you have a solid and sustainable foundation in place. After exploring models and reviewing your infrastructure, Emergency Department Case Management will help you outline key partnerships, present multiple options for case finding, tackle observation status, address quality and evaluation issues, and identify ways ED case managers can contribute to care coordination for complex pediatric, psychiatric, homeless, and uninsured populations. Written by Kathleen Walsh, RN, MS, and Karen Zander RN, MS, CMAC, FAAN, from the Center for Case Management, Emergency Department Case Management provides advice and best practices from two of the nations top case management experts. Take a look inside at the table of contents: Chapter 1: ED Case Management: The Heart of Access Chapter 2: The Foundation Chapter 3: Partnerships Chapter 4: The Process Chapter 5: Developing interventional strategies Chapter 6: Observation status determination Chapter 7: Program-level evaluation Chapter 8: Information system support Chapter 9: Quality Chapter 10: Addressing the pediatric population Chapter 11: Responding to the psychiatric population Chapter 12: Strengthening an existing program It's also packed with 15 detailed case studies discussing ED case management strategies, as well as five spotlight accounts detailing the experiences of ED professionals from across the country, including: A case manager A social worker A psychiatric nurse An information systems specialist An ED physician Don't hesitate to jumpstart your ED case management program. From beginning to end, Emergency Department Case Management will serve as the lead architect to help you design, build, and strengthen your ED case management model--order your copy today! Learning objectives: Conceptualize a framework for setting up an ED case management program Develop policies, procedures, and role descriptions Identify structural components, tools, and processes to support an ED case management program Describe potential outcomes of an ED case management program Who should buy this book? Emergency Department Case Management is the perfect resource for case managers, directors of case management, ED nurse managers, social workers, ED directors/administrators, and CFOs. HCPro Inc. has confirmed that none of the faculty presenters or contributors has any relevant financial relationships to disclose related to the content of this educational activity.The HCPro Risk-Free, Money-Back Guarantee If for any reason you're not completely satisfied with your purchase, return it within 30 days and you will receive a prompt, polite, 100% refund--no questions asked. |
| case management flow chart: Progress Report Global Programme on AIDS (World Health Organization), 1991 |
| case management flow chart: The Anthropology of Infectious Disease Peter J. Brown, Marcia C. Inhorn, 2013-11-05 Anthropological contributions to the study of infectious disease and to the study of actual infectious disease eradication programmes have rarely been collected in one volume. In the era of AIDS and the global resurgance of infectious diseases such as tuberculosis and malaria, there is widespread interest and concern about the cultural, ecological and political factors that are directly related to the increased prevalence of infectious disease. In this book, the authors have assembled the growing scholarship in one volume. Chapters explore the coevolution of genes and cultural traits; the cultural construction of 'disease' and how these models influence health-seeking behaviour; cultural adaptive strategies to infectious disease problems; the ways in which ethnography sheds light on epidemiological patterns of infectious disease; the practical and ethical dilemmas that anthropologists face by participating in infectious disease programmes; and the political ecology of infectious disease. |
| case management flow chart: Differential Treatment United States. Bureau of Prisons, 1970 |
| case management flow chart: Business Process Management Workshops Marcello La Rosa, Pnina Soffer, 2013-01-26 This book constitutes the refereed proceedings of 12 international workshops held in Tallinn, Estonia, in conjunction with the 10th International Conference on Business Process Management, BPM 2012, in September 2012. The 12 workshops comprised Adaptive Case Management and Other Non-Workflow Approaches to BPM (ACM 2012), Business Process Design (BPD 2012), Business Process Intelligence (BPI 2012), Business Process Management and Social Software (BPMS2 2012), Data- and Artifact-Centric BPM (DAB 2012), Event-Driven Business Process Management (edBPM 2012), Empirical Research in Business Process Management (ER-BPM 2012), Process Model Collections (PMC 2012), Process-Aware Logistics Systems (PALS 2012), Reuse in Business Process Management (rBPM 2012), Security in Business Processes (SBP 2012), and Theory and Applications of Process Visualization (TAProViz 2012). The 56 revised full papers presented were carefully reviewed and selected from 141 submissions. |
| case management flow chart: QUICK REVIEW SERIES B.SC NURSING III YEAR, E Book Annu Kaushik, 2021-10-21 Quick Review Series (QRS) for BSc Nursing 3rd Year is an extremely exam-oriented book. The content has been developed and arranged in a manner so the entire INC syllabus has been covered. The subject content has been divided unit-wise and according to the weightage of marks in each unit. It is well-illustrated with simple reproducible diagrams and flowcharts. To aid in quick learning before examinations, memory aides have also been added. The book will serve the requirements of BSc Nursing 3rd year students to prepare for their examinations. This book covers questions from all major universities across the country. - Content presented in well-classified sections, in the manner of long and short answer questions - The language is simple, and content is up to the mark - The book includes frequently asked questions from practical point of view - Includes solved mock question papers of each subject, which can be really helpful to students - Highlights the exam pattern, gives direction to students from where they should start to study smartly, with unitwise weightage coverage Covers questions from all major Indian universities |
| case management flow chart: 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 flow chart: A Practical Introduction To Paralegal Studies Deborah E. Bouchoux, 2022-10-27 Bridging the gap between the classroom and the real world, A Practical Introduction to Paralegal Studies offers a thorough exploration of the entire paralegal profession. In a logical three-part organization, experienced author Deborah Bouchoux covers the fundamentals of the paralegal profession and the American legal system, along with the paralegal skills essential for success in the workplace. This engaging and well-written text provides the pragmatic and realistic information students need to hit the ground running. New to the Third Edition: All new Case Illustrations, Discussion Questions, and Internet Closing Arguments. New forms provided throughout the text. Up-to-date information on trends in regulation of the paralegal profession, including overview of innovative limited licensing programs in Washington and Utah as well as other proposals to close the access-to-justice gap. Updated coverage of ethics, including new trends such as alternative business structures, and cutting-edge developments such as nonlawyer ownership of law firms, litigation financing, use of social media, and whether internet-accessible advice and forms constitute the unauthorized practice of law. New developments in computer-assisted legal research, including the use of artificial intelligence and using free tools such as Google Scholar, GovInfo, Congress.gov, and CourtListener to access American law are discussed in Chapter 5. Significantly expanded section on e-discovery in Chapter 8, including a sample privilege log. New section in Chapter 11 on current disruptions to legal services, including alternative legal service providers and other trends. New tips and approaches to getting a job, setting “SMART” goals, handling tricky interview questions, and future-proofing your career, as well as an expanded discussion of soft skills needed to succeed on the job in Chapters 10 and 12. Professors and students will benefit from: Topical coverage that closely adheres to the nature of paralegal work Pedagogical devices that enhance learning, such as chapter overviews, key terms, marginal definitions, website references, case illustrations, practice tips, and chapter summaries Research exercises and Internet-based exercises in each chapter that mirror those performed by the working paralegal Charts, graphs, sample forms, and other aids to enhance learning |
| case management flow chart: Activity-based Costing and Activity-based Management for Health Care Judith J. Baker, 1998 This book applies activity-based costing and activity-based management techniques to health care in a very practical guide that offers health care administrators and students 'hands-on' forms, worksheets, report formats, examples of activity-based costing and activity-based management planning and information, and actual case studies. |
| case management flow chart: Medical Informatics 20/20 Douglas Goldstein, Peter J. Groen, Suniti Ponkshe, Marc Wine, 2007-01-04 Despite pressure from the private sector to market their own custom solutions, the healthcare industry is coming around to the idea of applying the strategies of collaboration, open solutions, and innovation to meet the ever-changing demands for healthcare information to support quality and safety. This book provides a roadmap for improving quality of care using Electronic Health Records (EHR) and interoperable, consumer-centric health information solutions. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition. |
| case management flow chart: 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 flow chart: PG Textbook of Pediatrics Piyush Gupta, PSN Menon, Siddarth Ramji, Rakesh Lodha, 2015-08-31 The book attempts to provide the essential information that postgraduates throughout India need to capture to effectively address the health problems that our children and youth may face in the times to come. Our objective is to be comprehensive yet concise and reader friendly, embracing both the new advances in science as well as the time-honored art of pediatric practice. Both Indian and international experts in respective fields have provided the details which have been further scrutinized for exposition and usefulness to pediatric postgraduates by a chosen team of eminent academicians. We have liberally included tables, line diagrams, images, clinical photographs, illustrative figures, flowcharts and algorithms in the main text. The book is divided in 10 major Parts and further arranged into 51 Sections to cover all aspects of postgraduate pediatric curriculum. Themes which have major public health relevance for India are extensively covered. It is almost impossible to cover all pediatric problems with the same degree of detail and hence a careful balance has been made in the details of description of diseases and their management to the needs of the students, and to keep the book to a manageable size. Take-home messages are provided at the end of each chapter. Selected recent references, mostly leading articles, reviews and position statements, are provided for more detailed information if desired by the student or the teacher. |
| case management flow chart: Employment and Training for America's Homeless , 1997 |
| case management flow chart: Differentiated Case Management , 1993 |
| case management flow chart: An Evidence-based Clinical Textbook in Obstetrics & Gynecology for MRCOG-2 Richa Saxena, 2017-04-30 This book is a practical guide to obstetrics and gynaecology for trainees preparing for the MRCOG Part 2 examination. Beginning with a brief overview of general principles, the rest of the book is clearing set into two sections – Obstetrics, and Gynaecology. Each of these sections is further divided to discuss the diagnosis and management of numerous disorders within each sub-specialty. The book has been written in accordance with the current MRCOG Part 2 curriculum and includes the very latest RCOG Green-top guidelines and NICE guidelines. Additionally, this comprehensive textbook features the latest statistics on maternal and perinatal mortality in the UK, published by MBRRACE-UK in December 2016. Key Points Practical guide to obstetrics and gynaecology for MRCOG Part 2 candidates Written in accordance with current MRCOG Part 2 curriculum Includes latest RCOG Green-top guidelines and NICE guidelines Features latest statistics on maternal and perinatal mortality from MBRRACE-UK |
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