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New initiatives being developed as a result of healthcare reform, such as the patient-centered medical home and the accountable care organization, are new models of care delivery, but the concepts are not new to case managers, says Mary Beth Newman, MSN, RN-BC, CMAC, CCP, MEP, CCM, program manager, case management, WellPoint Centers of Medical Excellent, based in Mason, OH, and president of the Case Management Society of America (CMSA) with headquarters in Little Rock, AR.
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Technology is beneficial to people designing programs to impact the health behaviors of their patient population base, says Jason L. Bittle, community health improvement coordinator at Hanover (PA) Hospital Wellness and Education Center.
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The U.S. healthcare system, with a focus on outpatient visits for acute problems, might not be supporting patients with chronic illness in their everyday lives to manage their health.
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Providing written information for the patient with heart failure to use at home is important for reinforcing what was taught, says Eileen Brinker, RN, MSN, heart failure program coordinator at the University of California, San Francisco (UCSF) Medical Center.
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The Agency for Healthcare Research and Quality (AHRQ) has launched an initiative with the Ad Council to encourage clinicians and patients to engage in effective two-way communication to ensure safer care and better health outcomes.
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Depending on where you live, the changing healthcare environment could mean opportunities or challenges, case managers across the country say.
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Faced with rising healthcare costs and declining healthcare dollars, providers and payers alike are putting a new emphasis on wellness and prevention, and case managers should fit right in.
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The use of specific medications following a heart attack has been shown to reduce cardiovascular events and mortality, however; while highly effective, the rate of adherence to these medications is poor.
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In September 2011, world leaders held the first General Assembly at the United Nations (UN) to address chronic disease, which caused an estimated 36 million deaths worldwide in 2008.
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For infants and young children with urinary tract infection (UTI) seen in the emergency department, a simple ultrasound examination might avoid the need for more complex X-ray tests, reports a study in a recent issue of The Pediatric Infectious Disease Journal.
