CMSA's Integrated Case Management

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CMSA's Integrated Case Management

SKU# 9780826169419

A Manual For Case Managers by Case Managers

Editors:

  • Kathleen Fraser MSN, MHA, RN-BC, CCM, CRRN
  • Rebecca Perez RN, BSN, CCM
  • Corine Latour PhD, RN
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Description 

Written by case managers for case managers, this reference manual for nurses and other health professionals presents a Case Management Society of America (CMSA)–tested approach toward systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act (PPACA), Mental Health Parity, Transition of Care & Chronic Care Management, and the Medicare Access and CHIP Reauthorization Act (MACRA), health care workers must know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice.

CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, the CMSA Standards of Practice 2016, and the CMSA Core Curriculum for Case Management, Third Edition.

Product Details 

  • Publication Date January 31, 2018
  • Page Count 314
  • Product Form Paperback / softback
  • ISBN 13 9780826169419

Table of Contents 

Contents

Foreword by Mary McLaughlin Davis, DNP, MSN, ACNS-BC, NEA-BC, CCM

Preface

Acknowledgments

PART I: Introduction to Integrated Case Management and Its Models

1. The Evolution of Case Management and the Professional Case Manager

2. Mechanics of Integrated Case Management, Health Complexity, and Integration Between Behavioral Health and Physical Health

3. Global Models of Integrated Case Management

PART II: Assessment of Patient Populations Using Integrated Case Management

4. Assessing the Adult Patient Through Application of the Integrated Case Management Complexity Assessment Grid

5. Assessing the Pediatric Patient Using the Integrated Case Management Complexity Assessment Grid

6. Common Physical and Mental Health Conditions

PART III: Strategies for Optimal Patient Communication and Outcomes With Integrated Case Management

7. Addressing Social Determinants: Clinical Versus Nonclinical Issues

8. Motivational Interviewing and Shared Decision Making for the Medically Complex Patient and Family Caregiver

PART IV: Transitions of Care and Accreditation Care in Integrated Case Management

9. Interdisciplinary Care Teams Fostering Successful Transitions of Care

10. Professional Case Management Accreditation Care Coordination Measures and Outcomes

Appendix A. CMSA’s Definition of Professional Case Management and the Standards of Professional Case Management Practice

Appendix B. Interdisciplinary Case Management Team

Appendix C. Triggers for Integrated Case Management Intervention

Appendix D. Adult Integrated Case Management Complexity Grid

Appendix E. Adult Integrated Case Management Complexity Grid Elements and Rating Scales

Appendix F. Pediatric Integrated Case Management Complexity Grid

Appendix G. Pediatric Integrated Case Management Complexity Grid Elements and Rating Scales

Appendix H. ICM-CAG Scoring Sheet

Appendix I. PIM-CAG Scoring Sheet

Appendix J. Definition of Terms

Appendix K. Abbreviations

Appendix L. Suggested Scripted Interview Questions

Index