Case Management Advisor – January 1, 2003
January 1, 2003
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How to face down ethical dilemmas in case management
If youre a typical case manager, you are faced with ethical dilemmas several times a day. The job is pressure-filled. Case managers are under pressure from insurers to contain costs, from employers to return people to work. -
How to know when you’re facing an ethical dilemma
When youre confronted with an issue that just doesnt feel right, ask yourself: Am I truly doing the right thing at the right time for the right reason? -
Confidentiality may involve sticky legal, ethical issues
When it comes to confidentiality issues, case managers often walk a tightrope, Mindy Owen, RN, CRRN, CCM, asserts. -
Initiatives target publicly insured young people
A series of case management initiatives to improve the health of their publicly insured young populations has paid off for Horizon/ Mercy. -
Program stresses childhood immunizations
Before Trenton, NJ-based Horizon/Mercy started its Childrens Health Assessment, Maintenance, and Preventative Services (CHAMPS) program for publicly insured mothers with infants, many of the mothers didnt realize the importance of getting immunizations and well-child visits for their children, says Giavanna Ernandes, RN, MSN, APNC, team leader for disease management, including the CHAMPS program. -
Sickle cell program prevents ED visits, admits
In the first four months, Horizon/Mercys sickle cell disease management had identified 111 members with sickle cell and started an education program to help them avoid a painful crisis and hospital admissions. -
Lead levels plummet with intensive case management
When Horizon/Mercy compiled the six-month outcomes report for its program to reduce the level of lead in its young members blood, the figures were so astonishing that the state epidemiologist monitoring the program checked them himself. -
Program gives members tools to manage own health
Thanks to BlueHealthConnection, a new integrated care management program, more than a million members with coverage through Blue Cross Blue Shield of Michigan have just one source for answers about their health care needs. -
Redesign puts CM programs under one umbrella
BlueHealthConnections, a care management program in use at Blue Cross Blue Shield of Michigan in Detroit, pulls together a lot of care management programs that have been in place for many years. -
Integrating CM was a long, complicated process
Before Blue Cross Blue Shield of Michigan developed its BlueHealthConnection representatives of almost every department in the company spent considerable time deciding exactly how to integrate all of the Detroit-based insurers patient care services. -
Depression guidelines help chronically ill
Kaiser Permanente, one of the countrys largest integrated health care organizations, has developed guidelines for incorporating depression management into its disease management programs. -
Reports From the Field: Health insurance declining among workers
Health benefits are declining for Americans for the first time since 1993, according to the Employee Benefit Research Institute (EBRI). -
Reports From the Field: Physicians report frustration with managed care red tape
Sixty percent of physicians responding to a survey by the Pennsylvania Medical Society expressed frustration with eroding patient-doctor relationships and blame lack of time for the problem. -
Reports From the Field: Mental health, musculoskeletal conditions, impact productivity
Musculoskeletal conditions, including arthritis, low back pain, repetitive motion strain, and mental health problems, mostly depression, have the biggest negative impact on worker productivity, according to a new survey by the Institute for Health and Productivity Management (IHPM), a nonprofit research organization with headquarters in Scottsdale, AZ. -
Reports From the Field: White Paper addresses HIPAA concerns, disease management
A comprehensive analysis of the Health Insurance Portability and Accountability (HIPAA) and its impact on disease management has concluded that the new privacy regulations will not hamper disease management programs, according to the Disease Management Association of America (DMAA).