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In this section, crisp, compact articles are directed to the professional pursuits of today's busy case manager. Ranging from advice from clinical leaders to explorations of the prominent trends of the industry to best-of examples of programs and initiatives from around the country, this section will orient you with the most salient ideas and tendencies in the practice today. Begin below, or start by exploring a category to the left.
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Profession
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Written by Marcia Colone, PhD, LCSW, ACM
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Monday, 07 June 2010 16:44 |
 High Intensity Escalation as Strategic Intervention
The practice of case management continues to evolve as our skills are honed and our tools become more refined. Health care reform will impose swift and dramatic changes in our practice by forcing us to improve our ability to predict the date of discharge and develop a discharge plan that is almost foolproof in avoiding readmissions. The emergence of nonacute care partnerships will create smooth and timely discharges, many of which will be considered “value” discharges. Those are the cases that require funding and should not be kept in the acute care setting when medically ready for discharge.
Changes that stem from health care reform require strategies that are sustainable and lead to effective discharges. Further, such strategies need to be formalized and structured to ensure that they are user-friendly, effective and transferable to all patient populations.
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Profession
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Written by Vergil Metts, PhD
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Monday, 07 June 2010 16:38 |
 The art and depth of managing conversations
Rare is the person that relishes a difficult conversation: the kind that can escalate to argument and potentially mar personal and professional relationships. But even the most conflict-averse among us can’t completely avoid tough talks. So how can we make them easier? And their outcomes positive?
I find it a particularly relevant question for case managers, in your sometimes de facto role as mediator, navigating among disagreeing factions of a patient’s support group. Understanding the dynamics of difficult discussions, you may more readily guide those so engaged to common cause, to a greater clarity of comprehension, and to more informed, levelheaded decision-making.
The big insight? Every difficult conversation is actually three, simultaneous discussions. There is a surface conversation about facts, another involving feelings, and a third dealing with identity. Learning to manage each can produce the outcome you want.
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Advice
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Monday, 07 June 2010 16:33 |
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 Exploring best-practice discharge planning, Editor in Chief Anne Llewellyn sits down with Donna Fontaine, the Senior Account Executive of Health Management at i3 QualityMetric, to talk about the discipline’s latest trends, including patient-reported outcomes.
Q: As a case manager, how can I best measure progress and inform discharge planning? Can health surveys help me accomplish this?
A: A growing number of case managers are now relying on scientifically valid health surveys—called patient-reported outcomes (PRO)—to measure a patient’s progress and inform discharge planning. PROs can be used to enhance a case manager’s understanding of treatment effectiveness and to engage patients in health promotion initiatives, encouraging them to adopt healthier lifestyles in order to improve overall functional health and well-being. Ultimately, PROs allow a case manager to better understand a patient’s health status, providing them with the ability to make more informed decisions regarding care.
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