CMSA'S Pulse eNewsletter

Case Management Society of America

Special Announcement

National Case Management Week is just a few months away! Have you made plans with your colleagues yet?

Activities during National Case Management Week often include banquets and recognition dinners, state and city proclamations, continuing education seminars, and other community events. Case managers are typically honored with gifts, dinners, and flowers by friends and family members, coworkers such as doctors and administrators and patients who want to show their appreciation.

Visit our National Case Management Week page for products, resources and suggestions to make your week a great one!

Visit http://www.cmsa.org/chapters/cm-week/ to view the full article online.

 
CMSA’s Standards of Practice for Case Management serves as a unifying force for professional case management practice by providing a common understanding and application of the role, process, and expectations. The Standards serve to drive best practice accountability for individual professional case managers as well as for organizations.

This new online course is designed to enhance understanding by expanding on these common principles to deliver a more unified education to professional case managers creating quality skill sets across the healthcare continuum. The coursework embraces the case management care continuum in any work environment, which contributes to consistency in foundational case management knowledge and a long, sustainable workforce.

The course is made up of 16 online modules, each representing the sections of the CMSA Standards of Practice, including one on each of the 15 Standards. Each module contains a detailed narrative with enhanced explanations of that Standard including bibliographies, references, and a professional video presentation of that narrative content with downloadable slide handouts, which incorporate case scenarios showing real-life situations in order to better understand that Standard. This course is pre-approved for 32 hours of continuing education credit for RN, SW, and CCM.

Learn more and register at the link below.

Visit http://www.cmsa.org/sopcmcourse/ to view the full article online.

 
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Featured Events

Did you know? Registration for our 2019 annual conference in Las Vegas is open! Once again this year, your full conference registration includes a one-year CMSA membership. With the lowest rates of the year and included membership, what are you waiting for?

Learn more and register today!

Visit http://solutions.cmsa.org/acton/fs/blocks/showLandingPage/a/10442/p/p-00ce/t/page/fm/0 to view the full article online.

 
Member Announcements
CMSA's Standards of Practice for Case Management, 2016 revision, 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 http://solutions.cmsa.org/acton/media/10442/standards-of-practice-for-case-management/ to view the full article online.

 
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.

Visit http://www.cmsa.org/mi-learning/ to view the full article online.

 

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.

Visit http://www.cmsa.org/pfizer-architools-2/ to view the full article online.

 
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Featured Article

Pat Stricker, RN, M Ed, SVP, Clinical Services, TCS Healthcare Technologies

The use of embedded case managers (ECMs) at the point of care continues to grow each year as the healthcare industry recognizes that they are critical to the development of programs designed to advance the Triple Aim and promote value-based care delivery. Last month’s article, Embedded or Co-located Case Managers: A Critical Component of Value-Based Care, explained the evolution of embedded case management (ECM) programs, defined the roles and responsibilities of embedded case managers (ECMs), noted the growth of case management positions, discussed the rapid growth of ECM programs, and reviewed program results. This month’s article will focus on the overall goals, objectives, strategies, operational challenges, success factors, and lessons learned.

Visit https://www.naylornetwork.com/cmsapulse/articles/index-v3.asp?aid=517058&issueID=54965 to view the full article online.

 
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Articles and Links
by Carrie Marion, RN, BSN, CCM
For the past twenty years or so, the healthcare industry has been talking about holistic medical care, now termed whole person care. Of adults with behavioral health disorders, 67 percent do not receive adequate treatment. We know that one-fifth of patients who have heart attacks have depression. We also know that the chance for another heart attack in these patients is tripled if the depression is not treated. Cardiovascular disease is one of the leading causes of death in patients with serious mental illness (SMI). Contributing factors include obesity, smoking, diabetes, hypertension and dyslipidemia, which can contribute to cerebrovascular incidents as well. Patients who are taking antipsychotic drugs have an increased risk of cardiovascular disease, coronary artery disease and cerebrovascular disease. People with schizophrenia are three times more likely to experience sudden cardiac death. Substance abuse and mental health issues are co-occurring frequently, which also contributes to physical health issues, and as we know, physical health issues can contribute to mental health issues and lead to much higher and earlier mortality.

Visit https://www.cmsatoday.com/2018/07/17/case-management-opportunity-facilitating-integration-of-physical-and-behavioral-health-into-whole-person-health/ to view the full article online.

 
On August 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would overhaul the Medicare Shared Savings Program, which is the program established by the Affordable Care Act and launched in 2012 under which the vast majority of Medicare’s Accountable Care Organizations (ACOs) operate. The redesigned program is called "Pathways to Success."

ACOs are groups of health care providers that agree to take responsibility for the total cost and quality of care for their patients. In return, ACOs receive a portion of the savings they achieve, and CMS provides them with waivers to provide the regulatory relief needed to innovate. 10.5 million beneficiaries in Fee-for-Service Medicare (of the 38 million total Fee-for-Service beneficiaries) are in a Shared Savings Program ACO.

Visit https://www.cms.gov/newsroom/press-releases/cms-proposes-pathways-success-overhaul-medicares-aco-program to view the full article online.

 
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 myMS.care, 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: https://www.myms.care/s/cmsa

Visit https://www.myms.care/s/cmsa to view the full article online.

 
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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!

Visit https://www.instagram.com/cmsanational/ to view the full article online.

 
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