Care Management has a variety of functions, from disease management to utilization management. These management techniques help increase patient outcome and reduce cost. Case Management is hence a key part of the healthcare system and something many companies and facilities invest thousands of dollars in. This is especially the case in training healthcare professionals in healthcare management
The article, “What We Talk About When We Talk About Care Management” by Leah Marcotte and Joshua Liao looks at healthcare management strategies. They state,
“Emphasis on care management has become ubiquitous in the era of value-based payment. At the vanguard of the movement, policy makers such as Medicare have emphasized care management via a variety of initiatives, ranging from payment models that encourage longitudinal care management1 to billing codes that reimburse clinicians for coordinating the care of patients who have chronic conditions”
Please also review AIHCP’s Healthcare Case Management Program. The program is designed to help train professionals in the area of case management. Care and case management are key ingredients to healthcare and AIHCP’s programs continue to be essential in training professionals in Care Management.
An important element in healthcare is coordination. Good case management requires coordination between different departments and professionals. Everyone needs to be on the same page and working towards one common goal. This increases patient recovery and also minimizes unneeded expenses and relapses.
The article, “Five Key Steps for Better Healthcare Coordination” by Robin Figueroa discusses the necessity of team work and departments working together and coordinating. She states,
“While “care coordination” can mean varying things to people, ultimately it’s about having a patient-centric approach that consistently anticipates and meets the needs of patients and their caregivers. Think of great care coordination as “seeing around corners” on behalf of patients—helping them know what’s next in their care and paving the way for care to happen more smoothly.”
Chronic care for those recovering from heart failure need a variety of social aspects that go well beyond the office visit at the clinic. Care involves also touching base with family care givers and the promotion of better healthy lifestyles and a fulfillment of diet and medical plans necessary to recovery. Case Management plays a big role in watching the overall recovery effort and helping the chronic condition become better.
The article, “Chronic Care Must Account for SDOH Needs, Family Caregivers” by Sara Heath states,
“Nearly 6.5 million people across the country have been diagnosed with heart failure, a disease that can be manageable with medications for some time but hinge on an ideal set of living circumstances to help the patient thrive. Central to that are the social determinants of health, or social factors that affect a patient’s ability to achieve wellness, and family caregivers. Both factor deeply into the patient journey and demand more attention going forward, AHA wrote in its two policy statements.”
Better patient outcomes and overall health is key in healthcare. Primary caregivers want the best for their patients. Hospitals want to see patients follow procedure and recover properly. The cost of monitoring better outcomes is far less than millions spent on later complications.
Various apps and other devices allow patients to become more active in their health. It allows them to have access to important data regarding their health. With such ready available data, they can better work with their physician to achieve superior health outcomes.
The article, “Why patients and providers need a model patient data use agreement” by Bill Siwicki looks at agreements that go with these apps and digital plans. He states,
“A model patient data use agreement with terms that empower individuals can provide people with the opportunity to truly manage and control their aggregated health data. Personal agency over data may also increase patient engagement and activation, improve self-management and outcomes, and improve the breadth and depth of data available for shared decision-making, care management and research”
Good digital plans and agreements with patients can enhance overall health. It is important to have a more active patient in one’s health and a good model patient data plan can play a big role. It leads to better outcomes and recovery. Please also review our Healthcare Case Management Program and see if it matches your academic and professional goals.
Some of the most expensive patients in healthcare are dealing with homelessness and addiction. These factors contribute to the patients not finding immediate resolution of the issue, as well as frequent re-admissions. This results in higher prices and more difficult coordinated healthcare care management. Case Managers find themselves in difficult positions trying to help the patient find a permanent resolution to the medical issues experienced.
The article, “These Patients Are Hard to Treat” by Reed Abelson looks at these two types of patients and better ways to help them and also reduce cost. She states,
“These individuals, frequently struggling with addiction or homelessness, have extremely complicated medical conditions. By finding them and connecting them to the right doctors and social services, dozens of costly hospital stays could be avoided. The idea has been adopted in numerous communities around the country.”
Please also review our Healthcare Case Management Certification. The program is online and independent study and can help prepare medical professionals for the field of case management. Please review the program and see if it matches your academic and professional goals.
Success within the healthcare market can be a challenging thing. Healthcare professionals and healthcare organizations have stiff competition but by meeting primary goals they can meet success and carry on a successful model for patients, employees and overall health of the community.
The article, “Defining Success in Healthcare” by Keith Loria looks at some things that determine the success for those involved in healthcare. He states,
“Success in these measures will be defined by stakeholders including patients, providers, and employers having a better understanding and view of their healthcare costs; stable or reduced costs of healthcare that patients and employers actually feel through premiums and cost share; and improvement in the perception of health plans and PBMs by the public,” says Jeremy Schafer, PharmD, senior vice president of New York-based Precision for Value, a group of consultants providing payer insights”
One important and critical element to success in healthcare is good case management. Case and care managers can help patients through admission to recovery increasing positive patient experience and reducing costs for the clinic or hospital. Please review the American Academy of Case Management and its Healthcare Case Management Certification. The program is online and independent study, open to healthcare professionals looking to enter into the case management field.
Care Management is crucial to patient health and recovery as well as cost saving elements within an institution. Care management is key to these elements and case managers play key roles in maintaining standards of quality that benefit both patient and hospital.
The article, “3 Strategies to Transform Care Management” by Jessica Scruton reviews three ways that one can transform care management. She states,
“Care coordinators or care managers are the foundation for any accountable care organization (ACO) or other such integrated delivery networks for managing patient populations. Robust, integrated and artificial intelligence-powered information technology is certainly essential for helping these teams work efficiently and productively.”
Care coordinators are a critical element in healthcare and care management. To read the entire article, please click here
Better care management and value based payments creates better control over opioid abuse. Care Management can play a key role in this endeavor in curbing this current epidemic.
The article, “Value-Based Payment Opens Doors for Better Opioid Use Disorder Care” by Jacqueline LaPointe looks at this situation. The article states
“We have about a 90 percent treatment gap in this country, and it’s really important for people to wrap their minds around that. People are presenting in a lot of places where care is not offered to them and until we transform the payment model, we’re not going to be able to close the addiction treatment gap”
Healthcare continues to be a growing cost for the average American as well as the average employer. Employers on average according to a latest poll are paying around $13,000 an employee a year. With the cost continuing to rise, it is becoming more and more expensive to give people the basic care they need. With healthcare such a huge issue in the 2020 election, it will be interesting to see who has the solutions and who does not to combat this ever growing national issue.
The article, “Companies Move to Limit Employees’ Health Costs: bt David McCann looks at some statistics illustrating the growing problem with healthcare costs. He states,
“The average total health benefit cost per employee grew 3.0% to reach $13,046, following a rise of 3.6% in 2018. This is the eighth consecutive year of health benefit cost growth in the low single digits, and employers expect the cost to rise at a similar pace next year. Still, cost increases continue to outpace overall inflation.”
Cancer is a very painful disease and it requires management. To manage cancer pain, cancer treatments and palliative care as well as later if necessary hospice care, looks to lessen the pain with pain management strategies. Case managers and a cancer team can put together an effective plant o help cancer patients minimize pain and discomfort during treatment or if on the darker note, a terminal trail.
The article, “Approaches to Cancer Pain Management” by Deborah Abrams Kaplan states,
“Ideally, treating pain involves a multi-prong approach. That might mean some combination of physical therapy, behavioral therapy, blocks/injections, and medication. Not all health insurance covers an extensive approach, though undertreating pain impacts a patient’s health and quality of life substantially. ”