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Case Management Advisor – September 1, 2004

September 1, 2004

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  • ISO 9001:2000 registration improves processes through standardization

    Achieving ISO 9001:2000 registration has helped Humana Inc.s Personal Nurse service move quickly to respond to customer feedback and improve services.
  • Personal Nurses take a proactive approach

    At Humana Inc., specially trained registered nurses called Personal Nurses fill the gap between the companys traditional case management and disease management programs. The nurses, who work from home-based offices, call members identified by a predictive model as likely to need health care interventions in the future, says Trish Whitt, RN, director of clinical product management for the Louisville, KY-based health benefits company.
  • Members’ willingness to change focus of program

    Humanas Personal Nurse training program includes one component that many disease management programs leave out recognizing that people are willing to work on changes according to their own values and not according to the values of an external agent, such as a case manager, Vaughn Keller, MFT, EdD, asserts.
  • Home health CMs provide care, coordinate services

    At Integrated Home Care, nurse case managers provide hands-on care as well as handling the traditional case management duties, such as evaluating patients, developing a customized plan of care, coordinating with other members of the health care team, and arranging services such as social work or dietitian services.
  • CMSA president: CMs must demonstrate their value

    As she takes office as the 14th president of the Case Management Society of America, Sherry Aliotta, RN, BSN, CCM, is determined to make sure case managers no longer are the best kept secret in health care.
  • Guest Column: Life care planners and CMs should collaborate

    In a complex and often confusing health care arena, case managers are an important resource for patients who need access to the right care at the right time. As they provide services for catastrophically ill or injured individuals or those with chronic illnesses, including elderly patients, case managers may be working more frequently with another group of specialty practitioners: life care planners.