CMSA'S Pulse eNewsletter
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Special Announcement
The Case Management Society of America is proud to announce the recipient of the Case Manager of the Year, and the installment of new national board members at the 28th Annual Conference & Expo in Chicago, Illinois in June 2018.
The 2018 Case Manager of the Year was awarded to Carol Garner, RN, CCM. She has been described as a pioneer, a leader, a mentor, an inspiration, a relationship builder, an innovator, and is known for expanding her passion for case management globally.
Also taking place was the installment of new national board members. Among them include:
Jose Alejandro, PhD, RN-BC, CCM, FACHE, FAAN 2018-2020
Mary McLaughlin-Davis, DNP, ACNS-BC, NEA-BC, CCM 2018-2019
Catherine Campbell, MSN, MBA, CHC, FACHE, CCM
Andrea Norton, BSN, CCM
Angie Millan, DNP, RN, FAAN
New CMSA President Dr. Jose Alejandro notes, "I am excited at the opportunity to lead a dynamic and energized group of industry leaders who are committed to the furtherance of professional Case Management. We need to continue to be advocates for the patients we serve."
CareerSmart Learning
Featured Events
Join us on August 9 at 2 PM EST/11 AM PST for an informative webinar "Navigating Bumps in the Road: Coordinating Care for Patients with IPF" from PRIME with featured speaker Gregory P. Cosgrove, MD, FCCP and Tonja Meadows, RN. During this webinar you will learn:
• Evaluate systems-based gaps in IPF care that contribute to delays in diagnosis, antifibrotic therapy initiation, and suboptimal adherence to therapy and pulmonary rehabilitation
• Apply evidence-based strategies for the coordination of interprofessional IPF care to achieve timely referrals to specialty centers, accurate diagnoses, and appropriate treatment
• Incorporate patient-reported outcomes data into strategies that engage IPF patients and caregivers in shared decision-making and self-management
Member Announcements
CMSA’s Opioid Use Disorder Case Management Guide was developed in collaboration with Reinsurance Group of America’s ROSE program and authored by CMSA’s Executive Director, Kathleen Fraser, CMSA Program Director, Rebecca Perez, and Senior RGA ROSE Consultant, Melinda Baxter.
The abuse of opioids is a global problem that affects the health, social and economic welfare of societies.
The challenge of healthcare professionals is to confront the growing impact of opioid abuse on health and well-being while preserving the fundamental role of opioids for the treatment of pain and human suffering.
This guide assists case managers and other healthcare professionals in the assessment, care planning process, and intervention development to address opioid use disorder. This digital guide is one of the many benefits to CMSA members!
Developed by Pfizer, ArchiTools offers a comprehensive grouping of information and resources such as interactive training modules, actionable tools that members can download and use with patients, annotated articles, and a robust set of relevant external links specifically for case managers.
Members: Access your benefit today! Enter casear71 in the account code field.
CMSA is pleased to announce a partnership with Bruce Berger, PhD, of Berger Consulting, LLC to bring you comMIt: Comprehensive Motivational Interviewing Training for Health Care Professionals at a discounted price. This 8-hour online program is centered around motivational interviewing, which is an evidence-based effective method for improving adherence to health behaviors. It was developed specifically for patients who are either ambivalent or resistant to change regarding these health behaviors.
CMSA has really listened to your requests for a practical motivational interviewing course targeted at healthcare professionals and their needs. We are thrilled to bring you an accredited course developed by the foremost authorities of MI in healthcare, Drs. Bruce Berger and William Villaume.
There are a limited number of seats for this program, accessible to CMSA members only, so you'll want to act soon! Click below to explore more information and register.
Earlier this year, we announced a partnership with CCMC to continue advancing professional case managers in their career paths. Under the agreement, CMSA members receive a 20 percent discount when applying for the CCM, as well as upon renewal. Those who hold the CCM certification receive a 20 percent discount for CMSA membership.

If you have questions about how to take advantage of your new member benefit, please contact CMSA Client Services at or 501-225-2229.

Download CMSA's Standards of Practice for Case Management, 2016 revision, which provides practice guidelines for the case management industry and its diverse stakeholders.The impetus for the 2016 revision of the Standards is the need to emphasize the professional nature of the practice and role of the case manager.

The 2016 Standards contain information about case management including an updated definition, practice settings, roles and responsibilities, case management process, philosophy and guiding principles, as well as the standards and how they are demonstrated.

Download Your Copy

Featured Article
Pat Stricker, RN, M Ed, SVP, Clinical Services, TCS Healthcare Technologies
The case management profession has changed dramatically in the past 25 years. In the late 1990s, case managers primarily worked in acute and post-acute facilities, health plans, medical management organizations and workers’ compensation companies.That began to change in the early part of the 21stcentury with major changes that occurred in the healthcare industry. More emphasis was being placed on finding ways to deliver more efficient, quality care that was also more cost-effective. Healthcare was moving from a fee-for-service payment system that was based on the quantity and volume of services to a value-based system that was based on the quality and value provided by those services. New care delivery models and healthcare reforms, brought about by the Patient Protection and Affordable Care Act, meant that new innovative ways of delivering care needed to be developed. This certainly helped to spotlight case managers and the value they could bring to these programs.
Articles and Links
by Pam Audish, BSN, RN, CCM
The relationship between a patient and provider isn’t singular; rather, it is a relationship between the patient and an entire practice. Without the patient engagement team, which is quite often led by a primary care case manager (PCCM), a patient can fall through the cracks.
As an example, a 78-year-old female patient schedules an appointment with her primary care physician to get her diabetic medications refilled but doesn’t show for the appointment. The patient runs out of medications and ends up in the ED with hyperglycemia, where she receives a new prescription and is discharged home — an expensive and unnecessary step that the patient care team, led by a case manager, should prevent.
Proposed changes to the Medicare Physician Fee Schedule and Quality Payment Program would streamline clinician billing and expand access to high-quality care
On July 12, the Centers for Medicare & Medicaid Services (CMS) proposed historic changes that would increase the amount of time that doctors and other clinicians can spend with their patients by reducing the burden of paperwork that clinicians face when billing Medicare. The proposed rules would fundamentally improve the nation’s healthcare system and help restore the doctor-patient relationship by empowering clinicians to use their electronic health records (EHRs) to document clinically meaningful information, instead of information that is only for billing purposes.
"Today’s reforms proposed by CMS bring us one step closer to a modern healthcare system that delivers better care for Americans at a lower cost," said HHS Secretary Alex Azar. "Such a system requires empowering American patients by giving them price and quality transparency and control over their own interoperable health records, goals supported by CMS’s proposals. These proposals will also advance the successful Medicare Advantage program and accomplish a historic regulatory rollback to help physicians put patients over paperwork. Further, today’s proposed reforms to how CMS pays for medicine demonstrate the commitment of HHS to implementing President Trump’s blueprint for lowering drug prices. The ambitious reforms proposed by CMS under Administrator Verma will help deliver on two HHS priorities: creating a value-based healthcare system for the 21st century and making prescription drugs more affordable."
Significant advancements in multiple sclerosis care, including the arrival of new therapies, have made treatment decision-making and navigating health insurance requirements increasingly complex for patients and their providers.To simplify the process, PRIME worked in partnership with the CMSA and the Academy of Managed Care Pharmacy (AMCP) Foundation to develop, a new online tool featuring 2 complimentary web apps. The web apps – a CarePath for patients, and a CareNavigator for providers – are tethered to facilitate shared decision-making and help guide critical conversations between those receiving care and those delivering it. Aligning preferences and goals to ensure patients and providers are on the same page often leads to greater satisfaction and improves the patient experience throughout the course of the MS journey.By offering specific tips on efficiently navigating the insurance process, the web apps are instrumental in avoiding unnecessary delays in treatment.Additionally, patients using the web app are able to print a customized "care guide" to take with them to their medical appointments. The care guide, which includes a list of the patient’s preferences, key concerns, and questions, serves as an important resource and reference tool when patients are deciding on a care plan with their providers.
Access the website here:

CMSA Today™—the official magazine of the Case Management Society of America—is the magazine for case managers. We are committed to providing case management knowledge, perspectives and news to case managers in all sectors of the profession. To facilitate that mission, we accept and consider:

  • Original articles written by case managers of all healthcare backgrounds;
  • Expertly prepared articles from professional writers—whether medical writers or experienced generalists—on case management topics;
  • Feature articles, column material, and news about case management trends and issues, as well as about CMSA chapters and their activities;
  • and personal, member-generated items considered nontraditional for a professional-association publication as poems, remembrances and similar sorts of content.

Consider sharing your knowledge by writing and submitting an article! Click below to learn more.
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Industry Events
CMSA is on Instagram, and in 2018 we're celebrating case managers with a new photo every day! Send us your photo to post or tag your Instagram photo with #365daysofcm (make sure your profile is public so we can see it)! Follow along @cmsanational; we'll see you there!



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