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Take the First Step to Screen and Identify Patients with Diabetes and Depression
Case managers should expect a large segment of patients with diabetes also to present with depression, and possibly distress or anxiety related to diabetes. These mental health issues are common among people with the chronic illness, according to government statistics. -
Attention to Mental Health Improves Case Management for Patients with Diabetes
People with diabetes are twice as likely to experience symptoms of depression as people without the disease. New research revealed integrated treatment is effective when it improves medical and mental healthcare of patients with diabetes. Investigators found complementary and integrative health approaches can result in better patient health and satisfaction. -
A Tribute to a Case Management Pioneer: Karen Zander
In August 2020, we lost Karen Zander, one of the true pioneers in hospital case management. Karen’s name is synonymous with acute care case management. She spent a large part of her professional career advancing case management roles, models, and the measurement of case management outcomes. -
Best Practices for Amputation Recovery
Case managers make a difference in the lives of their patients, even when patients are only in the hospital briefly. This is especially true when a patient is undergoing a life-changing or traumatic event, like limb amputation. Case managers can help guide the patient on what to expect during recovery and after. In some cases, they might be the only person who can help a vulnerable patient find help for a successful and less traumatic experience.
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Caring for Homeless Adults Through Case Management
As of 2020, more than half a million people were homeless in the United States. When a case manager cares for a patient who has no home or permanent place of residence, the plan can change quickly. While the general outline of the case management process might stay the same when serving a homeless individual, there are additional items to consider.
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Ethical Decision-Making for Case Managers
Every day, hospital case managers must make decisions — large and small — that affect the lives of their patients. Some of these are ethical decisions — what the case manager “ought” to do in a given situation. Since many decisions must be made quickly, hospital case managers should consider their ethics and plan ahead rather than reacting solely in the moment.
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Patient-Centered Care Can Improve Transitions
Patient-centered care is a simple, evidence-based way to improve care transitions and patient outcomes. Hospital case managers can benefit from learning more shared decision-making tactics.
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Target Low-Hanging Fruit in Preventing, Overturning Denials
The keys to preventing and overturning payer denials are to collect data to identify problem areas and to train staff in best practices. The case management team should understand the information each payer wants and how best to share those data.
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Understanding Medical Necessity Improves Utilization Review Process, Reduces Denials
The case management team should be trained thoroughly on utilization review and medical necessity to avoid payer denials. The goal is to ensure patients receive medically necessary, high-quality care. -
Accreditation Activity Managers Faced Multiple Challenges During COVID-19 Pandemic
While educational programs can work in the online space, accreditation surveys would be more challenging to conduct online. There are different ways to leverage a virtual survey, but groups would prefer virtual visits not replace onsite visits.