CMSA'S Pulse eNewsletter

Case Management Society of America

Special Announcement
Now through September 30, members save an additional $75!

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.

Want to learn more? Preview two module highlights and get details at the link below.

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

 
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CareerSmart Learning
Amramp
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Featured Events

National Case Management Week is just weeks 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.

 

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 is proud to to announce that there is now a discounted rate for retired members who are no longer working but would like to remain active as a member. Remaining active will allow one to stay current on industry trends, remain connected to their local chapter network, or even mentor new case managers in their careers.

The requirements are as follows:

- Must have been a CMSA member for at least 3 consecutive years.

- Must be a minimum of sixty-five (65) years of age.

- Must be permanently retired (may not be employed by a company that is classified as a contract or consultant.)

Please note: this discount cannot be combined with any other CMSA discount. To be considered for the discount, please click below to access the retiree form and submit it to CMSA.

Visit http://solutions.cmsa.org/acton/attachment/10442/f-0636/1/-/-/-/-/Retiree%20rate%20form%20.pdf to view the full article online.

 

Thanks to those of you who attended our All Member Call last week!

If you weren't able to make it, you can listen to the call recording at your convenience. Click the link below listen in to find out what's happening in your organization!

Visit https://youtu.be/Q4cAWhhOdIY to view the full article online.

 
CMSA is looking for the best individuals to join our Board of Directors to ensure we continue to be the leading membership association providing professional collaboration across the health care continuum.

CMSA’s Board of Directors consists of individuals who possess extensive experience with diverse perspectives. Each year, members are sought from all disciplines and perspectives, those who have the expertise and desire to serve and represent CMSA as a whole.

CMSA is looking for individuals who:

-Are recognized leaders

-Have demonstrated expertise and experience

-Are willing to serve, if elected, and willing to commit the necessary time, energy, and effort to participating in CMSA activities

Learn more about open positions, requirements and deadlines at the link.

Visit http://www.cmsa.org/board-directors-nominations/ to view the full article online.

 
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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BrightStar Franchising LLC
Kindred Healthcare, Inc.
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Featured Article

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

In 1950, the medical knowledge doubled every 50 years. By 2020, it will double every 73 days. Based on this, and the fact that other technological advances may increase this even more than currently predicted, how can we expect physicians to keep up to date on medical knowledge and evidence-based guidelines for all possible conditions, with variable dependent on their individual patient’s unique situations? Is that reasonable or even possible?

I recently read an article about a study at a large medical center that used Best Practice Alerts to help physicians determine the appropriate next steps in a patient’s care, based on evidence-based guidelines. Physicians do their best to follow the best practices, but it is almost impossible. However, now with the help of artificial intelligence and information technology, specific information based on the patient’s condition can be provided to the physician in real time at the point of care, as he/she is writing the order.

Visit https://www.naylornetwork.com/cmsapulse/articles/index-v3.asp?aid=523084&issueID=54966 to view the full article online.

 
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Articles and Links

An accountable care organization (ACO) in Vermont is waiving the three-day stay rule for skilled nursing facility use, while the Next Generation ACO model will cover some home visits.

Ensuring patients receive the right post-acute care at the right time is key to controlling costs in accountable care organizations (ACOs) and other population-based alternative payment models. With this in mind, Vermont’s statewide ACO program is now allowing two local hospitals to release their patients to specific skilled nursing facilities after a short hospital stay.

OneCare Vermont recently announced that two of its participating hospitals can discharge patients to skilled nursing facilities after just one day, the ACO announced in an emailed press release. Skilled nursing facilities must have a minimum three-star rating to qualify for the waiver.

Medicare requires hospitals to keep patients in a bed for at least three consecutive days before releasing them to a skilled nursing facility. Failing to wait a full three days prior to discharge will result in Medicare not covering the skilled nursing facility visit.

However, OneCare developed the post-acute care waiver to ensure patients attributed to the ACO can receive high-quality skilled nursing facility care under the right circumstances.

Source: revcycleintelligence.com

Visit https://revcycleintelligence.com/news/acos-relax-post-acute-care-rules-to-improve-care-reduce-costs to view the full article online.

 
Proposed rule driven by agency’s Patients Over Paperwork initiative, expected to save U.S. healthcare facilities $1.12 billion per year

Today, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule to relieve burden on healthcare providers by removing unnecessary, obsolete or excessively burdensome Medicare compliance requirements for healthcare facilities. Collectively, these updates would save healthcare providers an estimated $1.12 billion annually. Taking into account policies across rules finalized in 2017 and 2018 as well as this and other proposed rules, savings are estimated at $5.2 billion.

CMS developed the proposed rule in response to President Trump’s charge to federal agencies to "cut the red tape" and reduce burdensome regulations. In addition, feedback from Requests for Information (RFIs) the agency issued seeking stakeholder input on regulatory burdens helped inform this proposed rule, with particular attention to comments and anecdotal insights from clinicians serving Medicare beneficiaries.

Visit https://www.cms.gov/newsroom/press-releases/cms-proposes-lift-unnecessary-regulations-and-ease-burden-providers to view the full article online.

 
by Jose Alejandro, PhD, RN-BC, MBA, CCM, FACHE, FAAN

Oftentimes, we as case managers find ourselves in difficult situations due to our complex roles and responsibilities, the diverse populations being served, limited resources if not also conflicting viewpoints that we encounter when advocating for our patient population. As these situations occur, case managers can be thrust into ethical dilemmas without realizing that this crossroad has occurred. Unsound decision-making could impact our practice, licensure and/or certification if boundaries are crossed, even if it was unintentional or accidental.

Visit https://www.cmsatoday.com/2018/08/28/case-management-ethics-when-roles-responsibilities-and-expectations-are-not-set/ 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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