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To maintain stability and effectiveness in meetings, the following steps should be considered.
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The devil is in the details when it comes to convening a successful interdisciplinary meeting.
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It is expected that metrics will be available so that the contributions of case management are quantified, as outlined by Toni Cesta, PhD, RN, FAAN, senior vice president, Lutheran Medical Center, Brooklyn, NY, in her April 2011 Case Management Insider article "You're only as good as yesterday's discharges Strategies to demonstrate case management's value."
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Hip fractures are among the most debilitating and expensive diagnoses to treat, but hospitals can significantly improve outcomes and lower costs if they move hip-fracture patients into surgery quickly, explains Anthony Balsamo, MD, an orthopedic surgeon and head of the Geriatric Fracture Care Program (GFCP) at Geisinger Wyoming Valley Medical Center in Wilkes-Barre, PA.
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When the Centers for Medicare and Medicaid Services (CMS) begins its Medicare Shared Savings Program for Accountable Care Organizations (ACOs) providing care for fee-for service Medicare patients in January, 2012, it's likely to mean new opportunities for case managers, says Bruce Merlin Fried, JD, senior member of SNR Denton's Health Care group and former director of the Center for Health Plans and Providers at CMS.
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As part of a program targeting at-risk Medicaid fee-for service members, case managers at Hudson Health Plan are using a software tool that helps them focus in on the needs of their clients they should address first.
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Technology can make a huge difference in the practice of case management, but you should choose carefully and deliberately to avoid pitfalls in the future, cautions Marcia Diane Ward, RN, CCM, PMP, a case management consultant based in Columbus, Ohio.
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"This was a new patient who had a severe hand injury and was seeing a microsurgeon for an evaluation.
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After working with a consultant to determine how to improve clinical documentation, the care coordination department at Wake Forest Baptist Medical Center in Winston-Salem, NC, revamped its clinical documentation program, adding more staff and shifting the team from unit-based to service-based.
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When Stony Brook University Medical Center presented an educational program to its urology staff about the importance of using the correct terms in documentation, the physicians pointed out that in medical school, they learned to write "urosepsis" on the chart for patients who had developed sepsis from a severe urinary tract infection, according to Catherine Morris, RN, MS, CCM, CMAC, executive director of care management and clinical documentation improvement administrator at the 591-bed regional hospital in Stony Brook, NY.
