Revised CMSA standards reflect new CM issues

The 2002 version of the Little Rock, AR-based Case Management Society of America’s (CMSA) standards of practice is designed to reflect the role of the case manager in the changing health care system.

"The development of the CMSA standards went from infancy in the first 1995 edition to adolescence in the 2002 updated edition. The new standards reflect a maturing of case management as we figure out who we are and what we can be," says Kathleen Moreo, RN, Cm, BPSHSA, CCM, CDMS, CEAC, who co-chaired the Standards of Practice Task Force with Gerri Lamb, PhD, RN, FAAN.

In revising the Standards of Practice for Case Management, the task force looked at the growth of managed care and demographic trends, along with other current issues, such as patient rights, quality initiatives, technology, and cultural competency and how they affect the practice of case management. "Instead of the case manager in the center, we put the patient in the center. We have changed our focus from identifying resource utilization to identifying resource management and stewardship," Moreo says.

Although there were many minor changes in the standards, major changes included:

  • legal issues of consent for case management services and health care services and products;
  • cultural competency for case managers;
  • patient confidentiality issues for case managers;
  • a shift in focus from resource utilization and cost of care to resource management and care management.

As they reviewed the standards, the task force looked at issues and trends in case management today. "We looked at emerging trends and maturing trends. We realized that the Standards of Practice couldn’t embrace everything. We were trying to be as reflective of current practice as possible," Moreo says.

[Information on the Standards of Practice for Case Management is available at the CMSA web site: www.cmsa.org. Telephone: (501) 225-2229.]