Case Management Advisor – August 1, 2003
August 1, 2003
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Rural case managers give health plan a local presence
When a case manager for Presbyterian Health Plan couldn't get in touch with a family with two young children with serious health problems, she packed a lunch, charged up her cell phone, drove to the small New Mexico town on the Mexican border where she thought the family lived, and went door-to-door looking for them. -
Safety, isolation are drawbacks for rural CMs
Case managers who live and work in rural areas often face challenges their big-city counterparts never encounter. -
Check for mental illnesses that can impede recovery
Case managers are the center of the universe when it comes to spotting psychiatric problems that can impede recovery and return to work, asserts Barton Margoshes, MD, chief medical officer for CIGNA Group Insurance, based in Bloomfield, CT. -
Return to work helps recovery for the disabled
Being at work and re-establishing a normal life rhythm is an important part of a successful return to work after someone is disabled. -
Include DM when you work with patients
Even if you're not a designated disease management case manager, you can help your clients manage their chronic diseases, according to Carole M. Stolte-Upman, RN, MA, CCM, CRC, CDMS, CPC, director of Chesapeake Disability Management Inc., a disability case management company in Towson, MD. -
How to help patients make informed decisions
Case managers should always remember that giving patients the right information about their condition is a form of care, Molly Mettler, MSW, says. -
Bedside interventions reduce admissions, stays
As a result of case management interventions at the hospital bedside, emergency department (ED) visits, hospital admissions, and net days in the hospital have dropped dramatically for the Social Security Disability Insurance (SSI) population served by Horizon/Mercy. -
Partnership with providers is key to good care
When Philip Bonaparte, MD, joined Horizon Mercy as chief medical officer, his vision was for the health plan to be a partner with the local health care providers. -
Reports From The Field: Associations endorse The Quality Initiative
The Kansas, Michigan, and Nebraska hospital associations have joined a growing list of American Hospital Association (AHA)-affiliated associations formally endorsing The Quality Initiative, the voluntary data reporting effort developed by the AHA, the Federation of American Hospitals, and Association of American Medical Colleges. -
Reports From The Field: CDC addresses monkeypox cases
The Centers for Disease Control and Prevention (CDC) has issued infection control guidance for managing people in the health care setting and community who may be infected with the monkeypox virus. -
Reports From The Field: Help from children keeps elderly parents at home
One-third of people age 70 and older with physical limitations received regular help from their children with basic personal care such as eating, bathing, dressing, or maneuvering around their home, although only 7% received help most of the time. -
Reports From The Field: Hospitals to participate in RWJF initiative
The Robert Wood Johnson Foundation has selected 10 hospitals systems to participate in a national program to reduce emergency department (ED) crowding and assess the health care safety net. -
Reports From The Field: HIPAA.ICC.NET created to facilitate transmission
Internet Commerce Corp. (ICC) says it has created a new service to address the need for health care payers and providers to exchange health care transactions that conform with the Health Insurance Portability and Accountability Act (HIPAA) requirements. -
Reports From The Field: HHS funds centers to serve uninsured
Thirty-one new community health centers are to be funded through $16 million in grants recently awarded by the U.S. Department of Health and Human Services (HHS).