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April 2016 In This Issue
Special Announcement
Featured Events
Member Announcements
Featured Article
Articles and Links
Industry Events
CareerSmart Learning
CCMC (Comm. For CM Cert.)
Special Announcement
ICM (Integrated Case Management) training is an advanced educational program designed to provide case managers coming from either medical or behavioral health backgrounds with the content and skills needed to:
  • Perform systematic complexity assessments.
  • Develop and carry out comprehensive and coordinated physical and mental health care plans.
  • Apply consistent complexity-based anchor points in specially designed ICM clinical documentation software.
  • Record ongoing clinical, functional, quality of life, satisfaction, and fiscal outcomes during the management process.

The next scheduled Section 2 will take place in Long Beach, CA, on Friday, June 24 & Saturday, June 25.  

This face-to-face session falls right on the heels of the CMSA 26th Annual Conference & Expo, also in Long Beach from June 21-23. Come early and join us for the conference, then finish your week with the final session of the ICM training. 

Click below to explore your options!

 
with optional CEs: 1.2 RN, 1.0 CCM and 1.0 SW CE credit hours
Monday, May 16, 2016
12:30 pm - 1:45pm CDT
 
Case management services have taken the forefront of improving care coordination, patient advocacy and managing resources. But finding the balance between value-added service & outcome-based programs plus including patient-centered personalization is the challenge our profession is facing today. In an effort to build not only sustainability but consistency of case management services, CMSA, in partnership with Wolters Kluwer, has completed a major revisions to the CMSA Core Curriculum. This new textbook will be released at the CMSA 2016 Annual Conference. This session will highlight what to look for in this new addition and considerations we all need to understand as we move closer and closer to demanding attribution for payment and documentation support for the services we provide as qualified professional case managers.
 
Presenters:
Cheri Lattimer, RN, BSN – Executive Director, Case Management Society of America
Hussein Michael Tahan, PhD, RN – System VP, Nursing Professional Development and Workforce Planning, MedStar Health, Columbia, MD

There are no fees to attend this webinar if you do not need CE credit. If you need to receive CE credit, the cost is $35 for non CMSA members and $15 for CMSA members. Register:
 
 
 
Featured Events
Are you still on the fence about our annual conference? We know that your time is valuable, so we are inviting you to our webinar on May 3rd at 11am CDT to learn about WHY you need to attend this year.
 
CMSA's 26th Annual Conference is the only conference that offers education to all health care professionals who interact with case management in their daily work lives.
 
Here are just a few reasons you should join us to learn more about:
• The best value per CE credit
• The most timely, significant and relevant knowledge in case management today that will be presented
• Our unique pre- and post-conference sessions, which extend your learning opportunities, and much more!
 
With public policy being an important issue this year, our conference will equip you with the tools, resources and networking sessions to enhance your knowledge. You will get a front seat on this and several other issues, which will be presented by high-level speakers across eight tracks, in addition to three engaging keynote presenters.
 
Join us to find out why CMSA is the premier healthcare conference for case managers. Can you afford to miss this event? Register today!

 
American Sentinel University
Right at Home, Inc.
Nielsen Healthcare Group
Member Announcements

CMSA’s Career & Knowledge Pathways (CKP) educational program fills a longstanding gap in case management education. Theoretical content has been available for many years, but practical instruction of basic concepts of case management, as well as skills opportunities, have been left to the individual case manager and employers to determine and deliver. These circumstances have led to great variation in educational quality, content, and case management skill sets across the health care continuum.

The debut CKP course, CMSA Standards of Practice: The Foundation for Professional Excellence in Coordination of Care Across the Continuum, was developed by thought leaders in case management to contribute to the basic understanding of the standards that govern your practice.

To view the CKP gaming simulation in action, test your Standards skills and download program information, click below. CMSA members receive a program discount!
 
Supported by funding from NACDS FOUNDATION, a new eight-hour e-learning program, Comprehensive Motivational Interviewing Training for Health Professionals, is now available. This training uses a sense-making approach (Berger BA and Villaume WA, Motivational Interviewing for Health Care Professionals: A Sensible Approach, APhA Press, Washington, D.C., 2013) to motivational interviewing. The program can be completed within a three-month window and is approved for 8 hours of nurse, pharmacist and physician continuing education credit. It is based on the authors' 25 years of experience in teaching motivational interviewing to health care professionals. It costs $225.
 
CMSA members can receive a 10 percent rebate check by e-mailing their receipt to bbergerconsulting@gmail.com along with their mailing address. Go to: http://nacds.learnercommunity.com/ to register. For more information, contact education@nacds.org. To view an excerpt from the program, follow this link: https://www.youtube.com/watch?v=yX4XXbikpQM
 

As you likely know, the Case Management Society of America (CMSA) — the world's largest and most influential professional case management organization  works to provide case/care managers, social workers and other healthcare practitioners across the care continuum with resources to be more efficient, effective and competitive.

However, did you know that over the past 25 years CMSA has done important industry work such as developing the Standards of Practice for Case Management and working on title protection for case management?

If you already know these facts, you are probably already an official member of CMSA's growing and diverse community. If not, we'd love to provide you with additional resources to help you achieve your professional goals.

Click the link below to learn more!

 
Featured Article
Pat Stricker, RN, MEd
Senior Vice President, TCS Healthcare Technologies

Creating an individualized, patient-specific care plan that includes a comprehensive review of all problems, a clear set of unified goals, and an integrated care strategy with meaningful interventions is paramount to the standard practice of case management. However, that is easier said than done.

It is possible for case managers to create their own care plan for each case and manually enter it into the software workflow or care management system, if the patient has one condition with relatively simple needs. But how often does that happen? Case managers, by definition, typically care for chronically ill patients with co-morbidities and complex needs. Trying to create an effective, actionable care plan each time for each patient, by finding and integrating different guidelines and other clinical resources, is difficult, tedious, and time-consuming. Relying on one’s own knowledge of each condition and the inter-relatedness of symptoms, risks, and treatment options to create a complex, individualized care plan is almost impossible – leaving the process open to duplication or, worse yet, omission of important care plan components for each condition. These difficulties can result in the creation of care plans that tend to focus more on the primary condition or disease; minimizing or overlooking important aspects of the other conditions. Creation of comprehensive, effective care plans is a key challenge for clinicians.

 
Capella University
Amramp
AeroCare Medical Transport Systems, Inc.
Articles and Links

New Affordable Care Act initiative, designed to improve quality and cost, gives doctors and patients more control over health care delivery

The Centers for Medicare & Medicaid Services (CMS) on April 11 announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which would encompass more than 20,000 doctors and clinicians and the 25 million people they serve. The initiative is designed to provide doctors the freedom to care for their patients the way they think will deliver the best outcomes and to pay them for achieving results and improving care.

"Strengthening primary care is critical to an effective health care system," said Dr. Patrick Conway, CMS deputy administrator and chief medical officer. "By supporting primary care doctors and clinicians to spend time with patients, serve patients’ needs outside of the office visit, and better coordinate care with specialists we can continue to build a health care system that results in healthier people and smarter spending of our health care dollars. The Comprehensive Primary Care Plus model represents the future of health care that we’re striving towards."

Source: Centers for Medicare and Medicaid Services

 

On March 31, the U.S. Department of Health and Human Services, along with other federal agencies, published a final rule that will provide new religious liberty protections for beneficiaries of federally funded social service programs, while also adding new protections for the ability of religious providers to compete for government funds on the same basis as any other private organization. The regulations – which are being published after public notice and comment – formally implements Executive Order 13559.

"These regulations build on widespread agreement that we can and should do more to protect the religious liberty of beneficiaries and provide greater clarity and transparency about applicable church-state rules," said Melissa Rogers, executive director of the White House Office of Faith-based and Neighborhood Partnerships. "These reforms will strengthen partnerships that serve people in need, and we commend the agencies for working together to issue these final regulations."

For example, these final regulations:

  • Require HHS to ensure that all decisions about Federal financial assistance are based solely on merit, without regard to an organization’s religious affiliation or lack thereof, and free from political interference, or the appearance of such interference.
  • Make clear that faith-based organizations are eligible to participate in HHS’ social service programs on the same basis as any other private organization.
  • Clarify what activities can and cannot be supported with direct Federal financial assistance by replacing use of the term "inherently religious activities" with the term "explicitly religious activities" and providing examples of such activities.

Source: U.S. Department of Health and Human Services

 
Industry Events
Thursday, April 28, 2016
A 90-Minute Lunch & Learn Audio Conference

by Elizabeth Hogue, Esq.
Health Care Attorney

Physicians who regularly perform elective surgeries, especially joint replacements, are eager for home health, private duty agencies and HME suppliers to establish relationships with patients prior to their surgeries. Many hospitals perceive that patients will have better outcomes and avoid readmissions if home care providers establish relationships with them prior to their surgeries.

The provision of pre-op/coordination visits raises a number of legal issues:

  • Can these types of visits be performed from a legal point of view?
  • What does the OIG say about them?
  • When can visits be performed?
  • What requirements must be met before visits can be made?
  • What are the types of activities in which providers can engage during pre-op/coordination visits?
  • Who can perform visits? Licensed or unlicensed personnel?
  • Is reimbursement available?
The issue of patients' right to freedom of choice after pre-op/coordination visits will also be addressed.

Specific information will be provided about how to handle this issue so that providers limit the number of visits to patients who do not return to them following surgery.

This will be a very practical, hands-on presentation. The goal is to teach providers how to use these types of visits to increase market share.
 
On May 12th, the winners of this year's 7th Annual Case In Point Platinum Awards will be announced at a celebratory luncheon. The Awards Ceremony recognizes professionals and organizations who demonstrate success in the overarching healthcare continuum. Programs that best educate and empower patients, improve adherence and wellness, manage quality care and contain healthcare costs will be honored.
 
Learn more and register at the link below.
 
 

CMSA members: Save $300 on any of the events below when you use promo code CMSA300.

The 13th Annual Observation Management Summit
April 26-27 Chicago, IL
The 13th Annual Observation Management Summit brings together care providers to explore solutions to improve observation care. Over the course of two days, peers, with or without dedicated observation units, share strategies to improve efficiency and quality of care for patients under observation in a cost-effective way. Through case studies, panel discussions and seminars, attendees will explore creative approaches to maximize utilization of personal and resources while complying to evolving government and commercial payment regulations. Learn more and register here.
 
The 5th Annual Leadership Summit on Integrating Behavioral Health and Primary Care Models
May 16-17 Orlando, FL
You’ve made the case for behavioral health integration. The next step is making it work. The Integrating Behavioral Health and Primary Care Models Summit convenes leaders in physical and behavioral health to discuss practical tactics to improve access to quality behavioral health services and manage patient whole health. Key topics of discussion include: addressing workforce and workflow challenges, shared care planning and coordination, innovations in integration, making integration fiscally beneficial, and best practices in operational execution of programming. Learn more and register here.

The 2nd Annual PCMH & Team-Based Care Summit
The PCMH & Team-Based Care Summit
June 21-22 Alexandria, VA
The PCMH & Team-Based Care Summit gathers team members from patient centered medical homes, community health homes, community health centers, and those in advanced primary care to explore the positive clinical and operational impact of behavioral health integration, delivery of high quality care and elements of team-based care. Discuss how behavioral health integration can improve patient engagement, disease-specific outcomes, and care coordination. Learn more and register here.
 
 

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