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A customer service associate for a large company, whose days at work are spent taking customer calls at her desk, injures her back and is determined by her companys physician to be disabled. Six weeks later, she still has some back pain, so her physician does not clear her to return to work; however, she goes on vacation with her family, plays tennis, and swims.
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Midcycle self-assessments, tracer methodology, and less emphasis on examination of policy books are signs that the new survey process implemented by the Joint Commission on the Accreditation of Healthcare Organizations is truly different from the survey process of the past.
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Salaries for case management are increasing, but the vast majority of case managers are working far more than the traditional 40-hour week, according to the results of the 2004 Case Management Advisor Salary Survey.
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When Ira Mandel, MD, MPH, was a physician in private practice, he found that group visits were an effective way to cover disease-management issues with his patients with diabetes. As executive medical director for Health Integrated, a Tampa, FL-based provider of care management services, he adapted the group visit concept for telephone-based case managers.
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As part of its mission to provide peace of mind to members, Premera Blue Cross has developed an innovative case management program to help members with breast and lung cancer understand their disease and make informed choices about their treatment options.
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When a person acquires a disability and can no longer perform the required tasks of his or her job, vocational rehabilitation is needed to help the individual return to work in another capacity. To facilitate this process, an analysis of transferable skills should be conducted up front.
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When administrators at one New Jersey rehab facility noticed a drop in discharge disposition to home, they decided to implement their process improvement strategy to improve this trend.
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JFK Johnson Rehabilitation Institute of Edison, NJ, has spent the last several years improving its data collection and staff education to improve its prospective payment system process.
