CMSA'S Pulse eNewsletter

Case Management Society of America

Special Announcement

Earn up to 2.0 contact hours at no fee

This white paper, developed in partnership between CMSA, NTOCC and PRIME Education, focuses on transitions of care experienced by patients with idiopathic pulmonary fibrosis (IPF) between settings of care, including primary care, specialty care, IPF centers, acute care settings, long-term care and skilled nursing facilities, other post-acute care sites, and the patient’s home. Designed for healthcare professionals across the care continuum, the purpose of this guide is to outline pathways to:

    -Break down barriers to smooth care transitions
    -Improve education and awareness
    -Enhance efficient and accurate bi-directional transfer of essential patient health information
    -Equip patients and families/caregivers for self-management and advocacy

Download the activity by clicking here.
 
Each year, CMSA pays special tribute to those individuals who have demonstrated distinguished service to the case management profession.

A primary goal of the awards program is to inform members of the case management profession, other health professionals, government officials, and the public of the outstanding accomplishments and significant achievements of individual case managers in the delivery of healthcare. In addition, the awards program assists the public in gaining a better understanding of the role of case management and its significant contribution to the delivery of healthcare. Award recipients are recognized each year during the association's annual conference.

Explore our prestigious awards at the link below and start thinking about who you could nominate. The nomination deadline is February 14 or March 15, depending on the award.

Visit http://www.cmsa.org/Individual/MemberToolkit/AwardsRecognition/tabid/184/Default.aspx to view the full article online.

 
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CareerSmart Learning
CCMC (Comm. For CM Cert.)
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Featured Events
Tuesday, January 31 at 2 p.m. Eastern & Thursday, February 16 at 2 p.m. Eastern
Earn CEs at no charge

For many patients with idiopathic pulmonary fibrosis (IPF) and their caregivers, the journey to diagnosis and appropriate management is often riddled with gaps in care coordination and interprofessional collaborative practice. With the goal of improving holistic transitions of care to minimize hospitalizations and readmissions, and to ensure incorporation of evidence-based treatment and management approaches, this webinar brings to light core concepts of the IPF Transitions of Care (TOC) Pathway that was recently developed in partnership with the National Transitions of Care Coalition (NTOCC) and Case Management Society of America (CMSA).

Led by key members of the IPF TOC Pathway Steering Committee, this webinar is designed to arm system leaders and the IPF care team with essential interventions and tools to ensure effective and safe transitions of care for patients with IPF across healthcare settings.

Visit https://primeinc.org/webinars/1320?s=cmsa to view the full article online.

 
A 90-Minute Lunch & Learn Audio Conference by Elizabeth E. Hogue, Esq.
Thursday, February 9 at 1 p.m. Eastern

The OIG has published a new exception or "safe harbor" to the federal anti-kickback statute that allows providers such as hospitals, home health agencies, private duty agencies, hospices HME companies, etc. to provide free or discounted transportation to patients. This exciting new development provides opportunities to maintain and grow market share by helping patients!

Home health agencies may, for example, wish to provide free transportation to physicians for patients who have no primary care physician or need face-to-face encounters. Many providers may wish to provide free transportation for visits with physicians post-discharge from hospitals in order to avoid readmissions and visits to ERs. Other ways to use free transportation to enhance quality care will be identified during the teleconference. Detailed information about how to provide free transportation will also be presented.

What kind of transportation can be provided? Who are "established patients"? What policies and procedures must providers put in place? What other criteria must be met? The emphasis will be on concrete, practical ways to use transportation to assist providers and patients. There will be plenty of time for questions at the end of the teleconference.

Visit http://www.naylornetwork.com/cmsatoday/pdf/Transportation.pdf to view the full article online.

 

Now that 2017 is here, it’s time to ask yourself what goals have you set and how will you accomplish them.

Maybe your goals include advancing your career, learning a new skill, or refining experience you already have. Guess what? You can accomplish all three at CMSA’s 27th Annual Conference & Expo this June.

Plus, with the highest number of CEs available through any comparable conference, you’ll be able to earn credit while having fun in the energetic city of Austin, TX! Explore this year’s program and reserve your spot today.

 
Member Announcements

As part of your CMSA member benefits, you have access to discounted continuing education opportunities through our journal publishing partner, Lippincott Williams & Wilkins. Content is based on peer-reviewed Lippincott journals, trusted by nurses globally to provide current, evidence-based and authoritative content critical to everyday practice.

All CE activities in Professional Case Management are discounted 25%. This includes CCMC, ANCC, NAHQ, and NASW contact hours. To access activities, take these steps:

1. Go to http://nursing.ceconnection.com/default. Log in using your NursingCenter.com user ID and password.
2. Visit http://nursing.ceconnection.com/browse/sources/28 and enter the offer code into the coupon field upon check out.
3. Complete check out and enjoy.

 

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.

Learn More 

 
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 of Practice 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.

Visit https://www.naylornetwork.com/cmsapulse/articles/index-v3.asp?aid=416670&issueID=53657 to view the full article online.

 
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Right at Home, Inc.
American Sentinel University
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Baylor College of Medicine
Nielsen Healthcare Group
Featured Article
Pat Stricker, RN, MEd
Senior Vice President, TCS Healthcare Technologies

Happy New Year! I hope you had a wonderful Holiday Season and that 2017 will be a great year for you.

At this time of year I find myself looking at healthcare trends for the New Year. While it is usually difficult for experts to make these predictions, due to the fact that healthcare is an ever-changing environment, this year seems to be even more challenging based on the uncertain political situation. The Affordable Care Act (ACA) could be dismantled or drastically revised this year by President-elect Trump and the 115th Congress, requiring some trends and initiatives to be reduced in scope or eliminated altogether. Hopefully the ACA will just be revised to improve the system, make it work more seamlessly, and be more affordable. So, let’s take a look at what experts and surveys have to say about the 2017 healthcare industry and technology trends.

Visit https://www.naylornetwork.com/cmsapulse/articles/index-v3.asp?aid=416671&issueID=53657 to view the full article online.

 
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Articles and Links
by Mary McLaughlin Davis, DNP, ACNS-BC, CCM

Leading is a value that is well understood among the military community. It is a shared value within the case management community because case managers are leaders. Case managers are patient advocates and believe that patients are first in all assessments, programs, and program evaluations. The case manager develops a relationship with his or her patient and creates a case management plan of care around that patient. He or she understands the necessity of standardizing practice, as well as creating shared expectations and accountability. Case managers forge interdisciplinary relations and with the team, engage in continuous evaluation of individual patient-centered plans as well as broad-spectrum health care policy.

The case manager understands the value of relationship-based care and knows his or her relationship with self and with colleagues allows the relationship with the patient to grow. Transpersonal Caring is the healing framework. The interpersonal relationship between the patient and caregiver is built on mutual respect. Both provider and patient are recognized and appreciated for their unique perspectives, experiences, and expertise. This allows the patient to heal from the inside out and change. This process is only accomplished through understanding the patient’s needs, history, and life experiences, which is particularly important when caring for our military members and veterans.

Visit http://www.nxtbook.com/naylor/CMSQ/CMSQ1416/index.php?startid=12#/12 to view the full article online.

 
The Centers for Medicare & Medicaid Services (CMS) on January 9 finalized rules governing home health agencies that will improve the quality of health care services for Medicare and Medicaid patients and strengthen patients’ rights. These Medicare and Medicaid Conditions of Participation are the minimum health and safety standards a home health agency must meet in order to participate in the Medicare and Medicaid programs.

Home health care allows patients to receive needed health care services within the comfort and safety of their own homes. Patients receive coordinated services ranging from skilled nursing to physical therapy to medical social services, all under the direction of their physician. Currently, there are more than 5 million Medicare and Medicaid beneficiaries receiving home health care from nearly 12,600 Medicare and Medicaid-participating home health agencies nationwide.

Source: Centers for Medicare & Medicaid Services

Visit https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2017-Press-releases-items/2017-01-09.html to view the full article online.

 
Apps highlight the use of promising new tools and standards

On January 12, the Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) announced the Phase 2 winners for the Consumer Health Data Aggregator Challenge and the Provider User Experience Challenge. ONC designed these challenges to spur the development of market-ready applications (apps) that would enable consumers and providers to aggregate health data from different sources into one secure, user-friendly product.

Challenge submissions were required to use Fast Healthcare Interoperability Resources (FHIR®) and open application programming interfaces (APIs), which are both strongly supported by ONC. These types of modern technologies can make it easier and more efficient to retrieve and share information.

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

Visit https://www.hhs.gov/about/news/2017/01/12/onc-announces-winners-consumer-and-provider-app-challenges-improve-health-information-access-and-use# to view the full article online.

 
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.

Visit http://solutions.cmsa.org/acton/media/10442/cmsatoday-mar2016 to view the full article online.

 
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Industry Events

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

The 8th Annual Care Coordination and Transitions Summit
January 25-26 • Atlanta, GA
The 8th Annual Care Coordination and Care Transitions Summit convenes thought leaders from hospitals, health systems, home care, health plans, and managed care organizations to discuss best practices for improving care coordination, reducing readmissions, preventing avoidable health care utilization, and collaborating across the care continuum.
Learn More & Register

3rd Annual ACO Population Health Management Summit
January 25-26 • Atlanta, GA
This summit brings together ACO executives from across the nation to discuss best practices for increasing care coordination, preventing hospital readmissions, improving patient outcomes, and lowering the cost of health care.
Learn More & Register

The 2nd World Congress Summit on Managed Long Term Services and Support
February 27-28 • Arlington, VA
With recent regulatory changes related to MLTSS — some for the first time in more than 20 years — being implemented in the next 1-3 years, there are many questions and concerns about how to align with the rules and operationalize the practice in time for implementation. Additionally, managed care plans are taking on more responsibility in managing LTSS amidst the push for more comprehensive integration of health and social services. The 2nd Annual MLTSS Summit investigates these changes, addresses challenges in case management and coordination of data and services, and describes how to best care for the various populations and their specific challenges while maintaining a person-centered focus.
Learn More & Register

 
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