Case Management

Nurse Case Managers: Benefits of Continuing Education

Posted on by Dominick Flarey

By – James M. Katz, BA

The demand for qualified Nurse Case Managers has been increasing in recent years, as healthcare organizations become more focused on providing quality care to patients. In order to stay ahead of the competition and remain current on the latest health care trends and practices, it is essential for Nurse Case Managers to invest in continuing education. Continuing education provides Nurse Case Managers with the skills and knowledge to effectively manage and improve patient outcomes It also helps to increase job satisfaction. It can build their confidence and strengthen their reputation within the healthcare industry. Investing in professional development is essential for Nurse Case Managers, as it helps to enhance their skills, stay up-to-date with the latest industry trends, and remain competitive.

Nurse Case Manager Smiling

Continuing education and further training can not only help you stay up to date with modern trends but it can also keep you competitive to any potential health care employers. Showing evidence of training highlights and showcases your commitment to providing the best healthcare to your patients and a willingness to adapt to new concepts. In the article below it details other important aspects of continuing education in nurse case management.

“Continuing education (CE) is one of the most important things a nurse can do. CE allows nurses to stay current on the latest advances in their field, find new ways to care for patients, and learn about new technologies. We’ll explore some of the benefits of CE for nurses and explain why it’s such an important part of your career.

The Importance of Continuing Education

Providing nurses with continuing education opportunities strengthens the nursing profession. It keeps nurses up-to-date on the latest techniques and knowledge. Continuing education can also help nurses stay competitive in the job market, as they can demonstrate their expertise and skills to potential employers. In fact, according to a study by RTN, almost half of all employers say that continuing education is one of the key reasons they hire a new nurse.”

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Commentary:

What is Continuing Education?

Continuing education is defined as an organized program of educational instruction. It’s usually intended to advance a person’s professional development. Continuing education is offered both online and in-person, and is frequently used to describe any classes and workshops that are not required for a person’s academic degree. For Nurse Case Managers, continuing education can include attending conferences, webinars and seminars hosted by healthcare organizations or other industry experts. It can also include taking part in mentorship programs or serving as a mentor to others in the field. Continuing education can provide Nurse Case Managers with a wide array of benefits, including increased knowledge and skills, improved job satisfaction and a strengthened professional reputation within the industry.

Benefits of Continuing Education for Nurse Case Managers

There are numerous benefits associated with continuing education for Nurse Case Managers. Some of the most significant benefits include improved patient outcomes, increased job satisfaction and strengthened professional reputation. One of the most significant benefits of continuing education is improved patient outcomes. By gaining a better understanding of the latest health trends and practices, Nurse Case Managers can provide high-quality care to patients and improve their outcomes. These can directly contribute to the bottom line of healthcare organizations. Another significant benefit of continuing education is increased job satisfaction. By investing in professional development, Nurse Case Managers can gain a better understanding of their role within the organization, which can lead to more job satisfaction. Additionally, through the skills and knowledge gained from professional development, Nurse Case Managers can be more effective in their role, which can lead to more job satisfaction.

Strengthened Professional Reputation

As the demand for health care services continues to grow, the need for qualified Nurse Case Managers also increases. There are a limited number of Nurse Case Managers in the healthcare industry, which has led to a high demand for this role. Due to limited supply and high demand, Nurse Case Managers often have the ability to negotiate higher salaries, receive more job offers, and have the opportunity to select from the best healthcare organizations. As the demand for Nurse Case Managers continues to increase, organizations are looking for highly qualified candidates. In order to meet the selection criteria of organizations and be selected for the role, it is essential for Nurse Case Managers to continue investing in professional development. By continuously gaining new skills and knowledge, Nurse Case Managers can make themselves more attractive to healthcare organizations and strengthen their reputation as an industry expert.

How to Invest in Professional Development

In order to make the most of continuing education, it is essential for Nurse Case Managers to choose the right learning opportunities. It is important to select classes and workshops that pertain to the job responsibilities of Nurse Case Managers This is so that they can apply their new skills in the workplace. It’s also recommended that Nurse Case Managers participate in mentorship programs or become mentors to others in the industry. Mentorship programs can provide important insights and guidance to Nurse Case Managers, while also helping others to advance their careers. To make the most of continuing education, Nurse Case Managers can follow these three steps:

– Research the latest industry trends: By researching the latest trends in the healthcare industry, Nurse Case Managers can identify areas of interest, as well as determine which topics are most relevant to their job responsibilities.

– Identify learning opportunities: After selecting the topics of interest, it is essential to identify the best learning opportunities to help advance knowledge and skills in those areas.

– Make the most of continuing education: Once the best learning opportunities have been identified, it is essential to make the most of continuing education to advance knowledge and skills.

Conclusion

As the demand for healthcare services continues to grow, the need for qualified Nurse Case Managers also increases. To remain competitive in the healthcare industry and advance in their careers, it is essential for Nurse Case Managers to continue investing in professional development. There are a variety of benefits associated with continuing education, including improved patient outcomes, increased job satisfaction and a strengthened professional reputation. By following these three steps, Nurse Case Managers can make the most of continuing education and advance their careers.

Nursing Case Management is a growing field with plenty of potential employers looking for highly qualified recruits. If you are a nursing professional looking to enter the case management field or if you need continuing education training then perhaps you should consider our Case Management Fellowship program? For more information please go here.

References:

Center of Disease Control and Prevention –

Wikipedia: Continuing Medical Education – 

Additional Resources:

Continuing Education; Lifelong Learning. Marjan Laal, Et al. Procedia – Social and Behavioral Sciences, Volume 116, 2014, Pages 4052-4056, ISSN 1877-0428,

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Educational benefits for nurses and nursing students of the dementia supporter training program in Japan. Matsuda Y, Et al. (2018) PLoS ONE 13(7): e0200586.

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Impact of person-centred care training and person-centred activities on quality of life, agitation, and antipsychotic use in people with dementia living in nursing homes: A cluster-randomised controlled trial. Clive Ballard , Et al. Published: February 6, 2018.

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Perceived Benefits of Pre-Clinical Simulation-based Training on Clinical Learning Outcomes among Omani Undergraduate Nursing Students. Madhavanprabhakaran G, Et al Sultan Qaboos Univ Med J. 2015 Feb;15(1):e105-11. Epub 2015 Jan 21. PMID: 25685368; PMCID: PMC4318589.

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The Use of Technology in Diabetes Care Management

Posted on by Dominick Flarey

By – James M. Katz, BA

Diabetes is one of the leading causes of death worldwide, but with the increasing presence of technology in our lives, it has become much easier to manage this chronic disease. Technology has revolutionized diabetes care management and is helping people with diabetes to monitor, analyze, and adjust their health. Smartphones, wearable devices, and apps enable people with diabetes to track their blood sugar levels, exercise, nutrition, and medications. With the help of technology, diabetes management can be done more accurately and efficiently, allowing them to live a healthier and more productive life. Additionally, technology has enabled doctors and healthcare managers to provide better quality healthcare to their patients by quickly and accurately diagnosing any issues and making adjustments to their treatment plans. Technology is also providing new treatments and therapies that can help people with diabetes better manage their condition. In short, technology is transforming diabetes care management, providing new opportunities to lead a better, healthier life.

The article linked below goes into further detail on the emerging use of new technologies in diabetes healthcare management. It looks in-depth at the use of insulin delivery systems, blood sugar monitoring devices, as well as other health care management apps. For more please read the quote below and press the link.

“The revised standards, issued this week, include a section devoted to technology, including continuous glucose monitoring (CGM) devices that allow people living with diabetes to check their blood glucose levels at any time, automated insulin delivery systems and digital health tools that offer coaching and access to resources.

The guidelines recommend that anyone living with diabetes have access to FDA-approved technology to manage their chronic condition, especially seniors and underserved populations. The ADA also points out that technology can be used to improve access to care and care management for those dealing with health inequity, or barriers to care caused by social determinants of health.“

WHY TECHNOLOGY IS INTEGRAL TO DIABETES CARE MANAGEMENT Health Leaders Media  BY ERIC WICKLUND  DECEMBER 14, 2022

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An infograph about diabetes care management

Commentary:

Overview of Diabetes

Diabetes is a condition in which the level of sugar in the blood is too high. There are two main types of diabetes: Type 1 diabetes, which usually appears in childhood or adolescence, and Type 2 diabetes, which usually appears in adulthood. In Type 1 diabetes, the pancreas does not produce enough insulin, which is a hormone that helps break down the food we eat and turn it into energy. In Type 2 diabetes, the pancreas makes enough insulin, but the body cannot use it properly. In both conditions, a person’s blood sugar level rises above normal, and they need to take steps to lower it. People with diabetes often also experience other health issues like cardiovascular disease, kidney disease, and eye disease.

What is Diabetes Care Management?

Diabetes care management refers to the process of managing diabetes and achieving optimal blood sugar levels to prevent complications. In recent years, there has been a growing focus on improving the quality of diabetes care management, with an aim to prevent the development of complications and reduce healthcare costs. Technology is playing a significant role in improving the quality of diabetes care management. Through the use of wearable devices, smartphone apps, and telehealth technologies, people with diabetes are better able to track their blood sugar levels, exercise, nutrition, and medications. Doctors, healthcare providers, and technology are working together to provide better quality healthcare management, enabling clinicians to quickly and accurately diagnose issues and make adjustments to their treatment plans to improve patient outcomes. Additionally, technology is helping people with diabetes better manage their condition and achieve better health outcomes, allowing them to live a healthier and more productive life.

How Technology is Revolutionizing Diabetes Care Management

Wearable Devices – Wearable devices such as blood glucose monitors, activity trackers, and sleep trackers can be used to track a person’s blood sugar levels, daily activity, and sleep quality. These devices can send data to a smartphone app and can also be programmed to send alerts when a blood glucose level is too low or a food or medication is scheduled to be taken. Smartphone Apps – Diabetes apps are available in a variety of forms, including lifestyle apps, social networks, blood glucose tracking apps, and medication reminder apps. Lifestyle apps can help people with diabetes track and improve their nutrition, sleep, and activity levels. Social networks allow people with diabetes to connect with each other and receive support and encouragement. Blood glucose tracking apps allow users to track their blood glucose levels throughout the day and receive alerts when the levels are too low or too high. Medication reminder apps can help people remember when to take their medications and make adjustments when the time is incorrect. These apps are designed to improve the quality of diabetes healthcare management by enabling people to track their blood sugar levels, exercise, and medication intake more accurately and efficiently.

Telemedicine

Telemedicine is the use of information technology to provide medical care remotely. This technology is revolutionizing diabetes healthcare management by providing remote monitoring of blood glucose levels and medication adherence. In addition, remote monitoring enables patients and providers to detect health issues at an earlier stage and make appropriate adjustments to treatment plans to prevent complications. Remote monitoring also provides access to care for people who might not otherwise have access to physicians and diabetes management specialists.

Benefits of Technology in Diabetes Care Management

– Improved Compliance with Treatment Regimens – Technology can help patients adhere to their treatment regimens, which is essential for managing diabetes. When patients forget to take their medications or take them at the wrong times, their blood sugar levels are likely to increase and they are at a higher risk of developing complications. With the help of technology, patients can easily and accurately track when they took their medications and can receive alerts when they forgot to take them. – Improved Quality of Life – Technology is also revolutionizing diabetes care management by improving the quality of life of people with diabetes. It can help people track their blood sugar levels, exercise, and nutrition to a greater extent than they are able-bodied. Additionally, technology can help people with diabetes stay connected with others and feel less isolated. – Real-Time Data Accessibility – Another benefit of technology in diabetes care management is its ability to provide real-time data accessibility. Real-time data access allows people with diabetes to track their blood sugar levels and adjust their food intake or medication dosage if needed. Real-time data access also allows doctors and healthcare providers to track their patient data and make adjustments to their treatment plans as needed.

New Treatments and Therapies for Diabetes

Blood Glucose-Sensing Injectables – New blood glucose-sensing injectables are revolutionizing diabetes care management by delivering insulin directly to the bloodstream through a small, painless needle. This can help prevent low blood sugar during periods of exercise or after eating a meal. Artificial Pancreas – An artificial pancreas is a device that analyzes a person’s blood glucose levels, insulin levels, and food intake to determine the right amount of insulin required to keep blood glucose levels within a healthy range. This device automatically delivers insulin to the bloodstream, allowing people with diabetes to live a more normal life. Gene Therapy – Gene therapy is a new treatment that aims to stop the progression of Type 2 diabetes. In this treatment, a virus is injected into the bloodstream, where it travels to the liver and inserts a gene that produces insulin-producing proteins. This therapy aims to halt the progression of Type 2 Diabetes by controlling blood glucose levels and allowing people with diabetes to live a healthier, more normal life.

Conclusion

Diabetes is a serious and growing concern, but technology is revolutionizing the way it is managed and treated. Wearable devices, smartphone apps, and telehealth technologies are helping people with diabetes track their blood sugar levels, daily activity, and medication intake more accurately and efficiently to enable better diabetes care management. Additionally, technology is helping doctors and healthcare providers provide better quality care, enabling them to quickly and accurately diagnose issues and make adjustments to their treatment plans to improve patient outcomes. New treatments and therapies for diabetes are providing hope for people with the condition, enabling them to live a healthier, more productive life.

Diabetes and other health conditions require dedicated healthcare management professionals. Keeping up to date with the latest trends and technology is paramount to giving patients the best care they deserve. If you are in the care management field and would like to add to your education, you should visit our Healthcare Management certification program by pressing here.

References:

American Diabetes Association

Mayo Clinic Diabetes Overview

Additional Resources:

Smartphone-Based Technology in Diabetes Management. Doupis, J., Festas, G., Tsilivigos, C. et al.  Diabetes Ther 11, 607–619 (2020).

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Psychology, technology, and diabetes management. Gonder-Frederick, L. A., et al American Psychologist, 71(7), 577–589. (2016).

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Active Care Management Supported by Home Telemonitoring in Veterans With Type 2 Diabetes: The DiaTel randomized controlled trial. Roslyn A. Stone, et al. Diabetes Care 1 March 2010; 33 (3): 478–484.

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Exploring the Benefits of Case Management in Long-Term Care Today ‍

Posted on by Dominick Flarey
By: Dominick L. Flarey, Ph.D, RN-BC, ANP-BC, NEA-BC, FACHE
       Board Certified, Adult Nurse Practitioner
       Board Certified, Nurse Executive Advanced
       Fellow, The American College of Health Care Executives

Photo of a collection of words related to the topic of Long Term Care

In today’s health care system, case management is becoming an increasingly important way to ensure quality care for long-term health care patients. Case management is a process that involves a team of health care professionals, who work together to coordinate and provide comprehensive care for patients with long-term health care needs. This team of professionals is responsible for assessing a patient’s medical needs, developing a care plan, and monitoring the patient’s progress. Case management has numerous benefits, from reducing hospitalizations and emergency room visits to improving overall quality of life. It also helps to reduce costs, as case managers can ensure that patients receive the most appropriate and cost-effective care. By exploring the benefits of case management in long-term health care, we can better understand how it can help improve patient outcomes and reduce costs.

What is Case Management?

Case management is a process that involves a team of health care professionals, who work together to coordinate and provide comprehensive care for patients with long-term health care needs. Rather than having health care providers treat specific issues, case managers consider the entire individual and how different aspects of their care are related. This team is responsible for assessing a patient’s medical needs, developing a care plan, and monitoring the patient’s progress. Case management has been used in different areas of healthcare for some time, but in recent years, it has also gained prevalence in long-term care. This type of care typically involves a combination of services, such as nursing, pharmaceutical, social work, and rehabilitation. Long-term care services are generally needed by individuals who have a chronic illness or disability that requires ongoing care.

Long-Term Care

Long-term care is an interdisciplinary field of health care encompassing a range of services and supports for individuals who are chronically ill or have a disability. This type of care is used to provide assistance with activities of daily living such as bathing, dressing, grooming, and eating, as well as instrumental activities like housekeeping, shopping, and managing finances. Long-term care can be provided at home or in other settings such as adult day programs, assisted living facilities and nursing homes.

Benefits of Case Management

Case management has numerous benefits, from reducing hospitalizations and emergency room visits to improving overall quality of life. In exploring the benefits of case management in long term care today, it also helps to reduce costs, as case managers can ensure that patients receive the most appropriate and cost-effective care. By exploring the benefits of case management in long-term health care, we can better understand how it can help improve patient outcomes and reduce costs: 1). Reduced Hospitalizations and Emergency Room Visits, when patients receive coordinated and comprehensive care, they may spend less time in the hospital, as well as in the ER. This is particularly true for patients with chronic illnesses and/or long-term care patients. 2). Ensures greater quality of care, due to the interdisciplinary approach of case management, patients are often provided with more thorough care. This can help to ensure that each aspect of the patient’s care is addressed, which can ultimately improve overall quality of life. 3). Case Management in Long-Term Health Care, one of the primary ways in which case management is used in long-term health care is to help provide an ongoing assessment of a patient’s care, as well as their needs. 4). Provides for a more collaborate approach to long-term care delivery, long-term health care has traditionally been managed by physicians, who have been responsible for both diagnosis and treatment. With the implementation of case management, however, other types of health care professionals, such as nurses and social workers, are also able to provide care. This helps to provide a more interdisciplinary, collaborative approach to long-term care delivery.

Helps to improve patient outcomes

index card on table that is written on it Long Term Care with a blue stethoscope laid around it and a red heart and a pair of eyeglasses laying next to the index care

Case Management is also known as care coordination and/or care management. When individuals in long-term care are involved in case management, there is a potential for improvement in their overall health outcomes. Patients in long-term care who participate in case management are more likely to receive the medical care and services that they need. This could include medications, nutrition therapy, or specialized therapies such as physical therapy. People in long-term care who receive the services that they need may experience better outcomes in terms of their mental health. This may include a reduction in feelings of depression, anxiety, and/or feelings of isolation. People in long-term care who receive the services that they need may experience better outcomes in terms of their ability to live independently. This may include a reduction in the amount of assistance needed to perform daily living tasks, such as bathing or eating.

 

Challenges of Case Management

While case management offers many benefits, it is important to note that it is not a cure-all for the challenges that exist in today’s long-term health care system. One challenge is that not every patient who needs long-term care has access to it. Although long-term health care is becoming increasingly common, there are still not enough resources available to meet current needs. There is also not enough consistency in the services offered throughout the long-term health care system, as there are many different types of providers, who offer long-term care. This means that patients and families may not receive the same level of care from one provider as another. Another challenge of case management is that it is not always the best option for all patients. While it can be beneficial, it is not appropriate for everyone. This can make it more challenging to identify patients who will benefit from case management services.

Conclusion

Case management is a growing trend in long-term health care, as it offers numerous benefits and helps to improve outcomes. Although it is not a cure-all, it can help to improve the quality of care patients receive and reduce costs. While challenges remain, case management remains a promising way to improve long-term health care.

Education and Certification in Case Management

Are you a registered nurse, social worker or a health care professional who is interested in case management? If so, the American Academy of Case Management offers a unique, online curriculum of core courses that leads to a full Certification and Fellowship Status in the Academy. You may access this link for full information on the program. Courses are continuing education courses with Board approvals and may be taken one course at a time until completion. All of the courses are online with faculty mentoring as needed and there are no travel requirements. Any questions may be addresses to: info@aihcp.org

Suggested Readings

1. Can post-exposure prophylaxis for COVID-19 be considered as an outbreak response strategy in long-term care hospitals? Sun Hee Lee, et.al. International Journal of Antimicrobial Agents. Vol. 55(6): June 2020. access here.

2. Case management in capitated long-term care. Rick T. Zadwaski, Catherine Eng. Health Care Finance Review. National Library of Medicine. December 1988. access here.

3. What Does “Managed Long Term Care Service” Mean in the United States? A Concept Analysis From a Case Manager’s Perspective. Kyungmi,Woo, et.al. Home Health Care Management & Practice. Vol.33(3):November 7, 2020. access here.

4. What do we (still) need to know about long-term care management? Howard B. Degenholtz. Generations Journal. American Society on Aging. Spring 2021. access here

 

 

The Benefits of Telehealth in Patient Care Management Today

Posted on by Joseph Gerard

Doctor Talking To Patient Through Video Chat On LaptopWritten By: Dominick L. Flarey, Ph.D., RN-BC, NEA-BC, FACHE

Telehealth is the use of digital information and communication technologies, such as computers and mobile devices, to access health care services remotely. It can be used to provide real-time clinical services to patients in remote locations, as well as to store and share medical data. Telehealth  has the potential to improve access to care, quality of care, and patient outcomes.

In recent years, there has been a dramatic increase in the popularity of telehealth services. This trend is likely due to a variety of factors, including the increasing accessibility of high-speed Internet and mobile technologies, the rising cost of healthcare, and the growing demand for convenient and accessible healthcare services. Telehealth allows patients to consult with their healthcare providers from the comfort of their own homes, which can be a more convenient and affordable option than traditional in-person appointments.

Telehealth Care Benefits for Care Management

The use of telehealth in patient care  is on the rise due to its many benefits. Telehealth allows patients to consult with their doctors from the comfort of their own homes, which is especially beneficial for those with chronic illnesses or mobility issues. It also saves time and money by eliminating the need for travel to and from appointments. In addition, telehealth can improve communication between patients and their care providers, leading to better overall health outcomes.

Despite its many advantages, there are some challenges associated with telehealth. For example, not all medical conditions can be effectively treated via teleconference. In addition, there may be technical difficulties that can impede the quality of the consultation. Nonetheless, telehealth is a promising solution that can improve patient care in a number of ways.

There are many benefits to telehealth, including increased access to care, improved patient outcomes, and cost savings. Telehealth can improve access to care by providing care to patients in rural or underserved areas. Additionally, telehealth can improve patient outcomes by providing timely and convenient care. Finally, telehealth can save money by reducing the need for travel for appointments and reducing the length of hospital stays.

 

Ease of Access to Health Care Management

The use of telehealth has improved access to care for patients by providing them with more convenient and affordable options. Telehealth allows patients to connect with their care providers from any location, which can be especially helpful for those who live in rural areas or who have difficulty accessing transportation. In addition, telehealth services are often less expensive than traditional in-person visits, which can make them more affordable for patients.

Telehealth is the use of digital information and telecommunications technologies to support long-distance clinical health care and patient care. By using telehealth, medical providers can more easily and conveniently provide care to patients who may not be able to come into the office for an appointment. This is especially beneficial for patients who live in rural areas or who have difficulty traveling. Additionally, telehealth can be used to provide follow-up care or consultations, which can help improve patient outcomes.

 

3D illustration of computer keyboard with the script "Telehealth" on pale blue button. Remote service concept.Compliance to Health Care Management

The increased comfort for patients using telehealth is due to the ability to consult with a medical professional from the comfort of their own home. This reduces stress and anxiety related to seeking medical care in-person, which can be particularly beneficial for those with chronic conditions or mental health concerns. In addition, telehealth appointments are typically shorter than in-person visits, which can also contribute to patients’ increased comfort levels.

There is evidence to suggest that the use of telehealth can help to reduce the number of missed appointments among patients. This is likely due to the fact that telehealth can help to improve communication between patients and their care providers, and can also provide patients with greater flexibility in terms of when and how they receive care.

The ease of patient care for patients who live far away from health care centers of providers has greatly increased due to the implementation of telehealth services. Through the use of video conferencing, patients are able to consult with their doctors or specialists from the comfort of their own homes. This increases accessibility to medical care and decreases the need for travel, which can be difficult for those with chronic health conditions.

Telehealth also allows for more timely appointments and shorter waiting times. This is beneficial for both the patient and the provider, as it reduces the overall time spent on each case. In addition, telehealth appointments can be scheduled outside of normal working hours, making it easier for patients who have difficulty taking time off work or school. Overall, telehealth has had a positive impact on patient care by increasing access to medical services and reducing wait times.

 

Cost Reduction and Improved Outcomes

The use of telehealth services can help reduce the overall costs for patients. This is due to the fact that telehealth services can help to improve communication between patients and their healthcare providers. In addition, telehealth services can also help to improve access to care for patients. By using telehealth services, patients can avoid having to travel to see their healthcare provider. This can help to save time and money for patients.

The use of telehealth can result in improved patient outcomes. This is because telehealth provides patients with access to care that they would otherwise not have. Additionally, telehealth can help to improve communication between patients and providers, and can provide patients with education and support.

 

Case Management by Telehealth

Telehealth has been shown to be an effective means of providing case management services, particularly for patients who live in rural or underserved areas. Certified case managers can provide a wide range of services via telehealth, including assessment, care planning, coordination, and advocacy. This type of care delivery can help to ensure that patients receive the comprehensive care they need, while also reducing travel time and costs associated with traditional in-person visits.

The use of technology in case management for in home care telehealth by nurse case managers is essential to providing quality care. Technology allows nurse case managers to keep track of their patients’ progress, schedule appointments, and communicate with other members of the healthcare team. In addition, technology can help nurse case managers educate their patients about their condition and treatment options.

The use of video conferencing by nurse case managers allows for real-time interaction with patients and families, which can be beneficial in a number of ways. First, it enables the nurse to build rapport and trust with the patient, which is essential for providing effective care. Additionally, it allows the nurse to gather information about the patient’s condition and needs in a way that is more efficient and convenient than traditional in-person visits.

Nurse case managers are using innovative technologies today to communicate with other team members. These technologies include electronic medical records, computerized provider order entry systems, and electronic prescribing systems. By using these technologies, nurse case managers can more effectively coordinate care for their patients and realize the benefits of telehealth in practice.

 

Conclusion

In conclusion, telehealth is a valuable tool that can improve patient care in a number of ways. By providing patients with convenient access to care, telehealth can help to improve health outcomes and reduce healthcare costs. In addition, telehealth can also help to increase patient satisfaction by providing them with more control over their own care.

Most all specialty practice in health care today are using telehealth in care delivery. This is seen even more frequently in the specialty practice of Case Management by professional Registered Nurses and professional Licensed Social Workers. The advent of more expanded technologies in patient care has allowed the practice of case management to significantly expand in recent years bringing significant benefits of telehealth to patients and to the health care team. The American Academy of Case Management offers a comprehensive continuing education and case management certification program for those who are practicing health care professionals. Professionals have a period of two years in which to complete the program but may accelerate if they wish. To learn more about the program, you may access here.

 

Additional Readings

Telehealth Benefits and Barriers. S. Garjarawala, N. Pelkowski. The Journal for Nurse Practitioners. Vol 17, Issue 2: 2021. Access here

Increasing Access to Care: telehealth during Covid-19. D. Hoffman. Journal of Law and the Biosciences. Vol 7, Issue 1: 2020. Access here 

Strategies for Evaluating Telehealth. J. Chuo, et.al. Pediatrics. Vol. 146. Issue 5: 2020. Access here

On-Demand Synchronous Audio Video Telemedicine Visits are Cost Effective. G. Nord, et.al. The American Journal of Emergency Medicine. Vol 37. Issue 5: 2019. Access here

 

Case Management In- Home Care Technology Offers Patients Comprehensive Support

Posted on by Joseph Gerard

Case Management graphicWritten by: Dominick L. Flarey, Ph.D, RN-BC, NEA-BC, FACHE

As the population of older adults continues to grow, so does the demand for home care services. Case management  is a critical component of home care, as it helps to ensure that patients receive the coordinated care they need to improve their health outcomes.

Case managers work with patients and their families to develop a care plan that meets their specific needs. They also coordinate home care with other providers, such as home health aides, nurses, and doctors. This coordinated approach ensures that patients receive the best possible care. The goal of home care case management is to provide high-quality, cost-effective care that is in the best interest of the patient and their family.

Monitoring patients’ progress is an important part of case management in home care. By tracking patients’ health status and response to treatment, case managers can identify potential problems early on and take steps to address them.

Regular monitoring also allows case managers to evaluate the effectiveness of care plans and make necessary adjustments. This is especially important in home care, where patients may have complex needs and be receiving care from multiple providers. By closely monitoring their patients’ progress, home care case managers can play a vital role in ensuring that they receive the high-quality, coordinated care they need to improve their health outcomes.

 

Types of Technology

Over the past decade, information and wireless technology companies, senior long-term care entities and colleges and universities have developed and offer a line of products aimed at supporting professional home health care services and family caregiving.

Information technology applications and programs provide accounting and billing services and medical recordkeeping for home health care providers and biometrics, emergency phone calls, live customer services, medical alerts for patients and social activities coordination for seniors and their caregiving families.

Home health care is a rapidly growing industry, and technology plays an important role in providing care for patients. There are many different types of technology available to help home health care providers, including software that helps with scheduling and accounting, communication tools, and medical devices. Technology can help home health care providers provide better care for their patients, and it can also help patients stay connected to their loved ones and receive the support they need.

One of the most important advances in patient care technology is the ability to monitor heart function at home. This can be done through wearable devices that track heart rate and rhythm, or by using devices that measure electrical activity in the heart (ECG). These devices can help detect arrhythmias or other problems with heart function early on, before they become serious.

The home care technology market is growing rapidly as the demand for patient support services increases. Billing, medical records, food service ordering, and patient communications are all areas where home care technology can play a role.

Billing systems that allow patients to pay their bills online or through a mobile app are becoming more popular. Medical records systems that give patients access to their health information from a secure website or app are also gaining popularity. Food service ordering systems that allow patients to order their meals from a mobile app or website are becoming more common. And patient communication systems that allow patients to stay in touch with their care team via text, email, or video chat are becoming more prevalent.

According to the FCC, “an effective emergency alert system (EAS) can save lives and property by providing timely and accurate information about an impending hazard.” Emergency medical alert devices and systems are life-saving tools that can be used in the event of a medical emergency. These devices can be worn as a pendant or bracelet, and they can be connected to your home’s landline or cellular phone.

When activated, these devices will send a signal to the monitoring center, which will then dispatch emergency medical services (EMS). The monitoring center will also contact your loved ones or designated caregivers to let them know that you have requested help.

As a certified case manager, you are responsible for ensuring that your patients receive the best possible care. To do this, you must be well-informed about the technology used in home care today. Patient care technology has come a long way in recent years, and it is constantly evolving. As a case manager, it is your responsibility to stay up-to-date on the latest trends and developments. This will help you make sure that your patients are getting the best possible care.

Hospital admissions are costly and stressful for both patients and their families. By staying up-to-date on the latest patient care technology, you can help reduce hospital admissions and re-admissions. This will improve the overall  quality of care for your patients and save money for patients and the health care system.

 

heart monitor graphicSome Companies Providing Advanced Technologies

The following companies, applications and programs have been touted by researchers and experts in the senior care industry and government policymakers and lawmakers:

  • Acumen–In the last 23 years, this Mesa, Ariz.-based company provides financial management services for senior short-term care and long-term care facilities, states, counties and managed care organizations nationally, including billing, enrollment, and payment processing, reporting and training.

 

  • AT & T and Numera Libris–Both companies collaborate to blend wireless technology by AT & T with traditional emergency response systems by Numera to form comprehensive medical support for seniors with chronic conditions or transitioning from hospital care to skilled nursing or home health care. The result is meant to address personal safety and home health management. Called a “personal health gateway,” the system combines mobile emergency response, two-way voice, fall detection and location tracking.

 

  • Critical Signal Technologies (CST)–This Pittsfield, Mass. and Farmington Hills, Mich. Company provides a suite of personal emergency and medical monitoring services that assist patients with dizziness, falling, mobility issues, muscle weakness and vision problems. CST provides adaptive switches for quadriplegia, care transition and vital sign monitoring, cellular upgrades, coaching, door/window contacts, lock box, medication management, motion detector, multi-lingual response with fall down detection, multi-tenant coverage, pillow switch to summon help, reminder messaging, sensor mats, smoke or carbon monoxide alarm, standard personal response system, strobe lights and wall communicators.

 

  • CASOA–CASOA, which stands for The Community Assessment Survey for Older Adults, is a research survey program specializing in needs and preferences assessments of seniors offered by the National Research Center, Inc., a national survey research and evaluation firm based in Boulder, Colo. The program is meant to assist local governments, area agencies on aging, homeowners associations, senior short-term care and long-term care facilities and service providers to develop their social and medical programs for seniors.

 

  • Hamilton CapTel–This is a free, nationwide, telephone captioning service meant to make phone calls simple, clear and accessible for individuals with hearing loss. The company supplies phones with the captioning service in an app product that is compatible with and can be used with PCs, MacBook’s, iPhone, Android, BlackBerry smartphones, iPad and Android tablets.

 

  • iHealthHome–The Seattle-based company provides in-home monitoring and communications systems to enable care coordinators, family caregivers, home health care agencies, and; senior long-term and short-care facilities, including assisted living, congregate care and nursing homes. Services include assessments, biometrics, care management, communication between seniors and their caregiving families, in-home concierge system to order food and medicine by computer, medication management, messages for caregiver tasks, motion activity monitoring for safety, questionnaires, remote supervision, time and attendance tracking and video visits.

 

  • Intel-GE Care Innovations–The resulting personal response system is the result of a partnership between Intel, the computer chip company, and General Electric, the electrical services and government defense contractor. The suite includes a personal help button, emergency assistance, home base, medical alerts and 24-hour live response operators.

 

  • Panasonic HomeTeam–Panasonic, based in Newark, N.J., and Osaka, Japan, has developed an online service called HomeTeam meant to serve homebound seniors and their family caregivers that uses a video chat app for a tablet, laptop and computer to access interactive books such as Curious George and games such as chess and checkers with video calling. The app can be downloaded by grandparents and their grandchildren from the Apple App Store or Google Play and can be used with Androids or iPads. The company works with publishers such as Houghton Mifflin Harcourt Publishing company, Disney and game developers to maintain children’s games and games on the company website.

 

  • SilverTreeHealth–This Chandler, Ariz.-based company provides integrated electronic health reporting and automated medical billing services that includes coding experts, software and efficiency controls. Service includes user-friendly interface, a boost of HIPAA compliance for senior long-term care facilities and other service providers; claim scrubbing; electronic resubmission of claims; payroll cost reductions; missed visit tracking; staff embezzlement reduction; accounting program integration; e-Eligibility; free live support; live, free upgrades; hourly backups; secure direct payments to bank accounts; real-time integration with thousands of insurance carriers; complete practice visibility; claims management tools; insurance practice profiling; accurate claim coding and tracking of contracted rates; patient scoring to determine likelihood to pay; scheduling of integration with billing processes; ePrescribe and eClaims; integrated credit card processing; experienced billing staff, and; weekly reviews of practice efficiencies.

Whether they specialize in billing, biometrics, emergency alerts, fall prevention, patient care monitoring, family ties or medical records management, these aforementioned products are meant to contribute to a comprehensive suite of solutions for families who cannot fulfill certain necessary tasks in caring for seniors and need outside technical intervention.

 

Summary

In recent years, nurse case managers have been increasingly managing in-home patients using care technology within more sophisticated health care delivery systems. This shift has been driven by a number of factors, including the increasing prevalence of chronic conditions, the aging population, and the rise of consumer-driven health care.

Care technology has played a major role in enabling nurse case managers to more effectively manage in-home patients. By providing real-time data on patients’ condition and allowing for two-way communication between patient and provider, care technology has helped to improve patient outcomes and satisfaction while reducing costs.

As health care delivery systems continue to evolve, it is likely that nurse case managers will play an even greater role in managing in-home patients using care technology. This trend represents a major opportunity for nurses to impact the quality and cost of health care delivery.

 

Case Management Certification

Are you a registered nurse or a health care professional interested in pursuing a career in Case Management? The American Academy of Case Management offers a full curriculum of continuing education courses in case management as well as a national Certification Program. To find out more about our programs, access here.

Additional Resources:

  1. Why Home Healthcare Needs More Technology and Training. Jessica Longly. HealthTech. October 29, 2020. Access here

From Facility to Home: How Health Care Could Shift by 2025. Oleg Bestsennyy, et.al. McKinsey & Company. February 1, 2022. Access here 

Healthcare Case Management Certification Blog on Primary Care Lowered Healthcare Costs

Posted on by Dominick Flarey

Primary care can lower higher healthcare prices by diagnosing potential problems before they become acute.  Regular primary care visits and checkups can perform the preventative measures that can help a person distinguish between healthy and unhealthy choices.  Regular blood work and physical checkups can spot early issues that can lead to more expensive treatments later.  Primary care can play a large role in better health and less cost.

Regular checkups with a primary physician can lower healthcare costs. Please also review AIHCP’s Healthcare Case Management Certification

Please also review AIHCP’s Healthcare Case Management Certification and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in Healthcare Case Management.

 

Healthcare Case Management Certification Blog on Post Acute Care

Posted on by Dominick Flarey

An important aspect of healthcare case management is post acute care.  Post acute care is important because it follows the care and follow ups needed after a hospital admission.  This is pivotal in lowered hospital readmissions that would not be necessary if better follow up care was provided.  Working with post acute care providers is essential to ensure better quality care for the patient over the long term.  Healthcare Case Managers play a key role in coordinating care after illness and during recovery to ensure the proper follow-up care is fulfilled and met.   They arrange and help the patient find the proper facility to meet their recovery needs as well as help the patient receive the proper follow up treatment.

Post Acute Care is important for long term health of patient. Please also review AIHCP’s Healthcare Case Management Certification

 

The article, “5 keys to effective post-acute care management” by Page Minmyer looks closer at better post acute care practices.  She states,

“Effective post-acute care management requires a multidimensional approach that incorporates effective communication, data analytics and clearly defined care coordination roles, according to a new white paper from Leavitt Partners. The benefits, however, are clear, as better post-acute care management can reduce readmissions, allow providers to more easily manage length of stay in skilled nursing facilities and better monitor discharge.”

“5 keys to effective post-acute care management”. Paige Minemyer. Fierce Healthcare. May 4, 2017

To read the entire article, please click here

Commentary

The field of healthcare case management is concerned with the coordination and delivery of care to patients with chronic or complex health conditions. Case managers work with patients and their families to develop a plan of care that meets the unique needs of each individual. They also work with other members of the healthcare team to ensure that all aspects of the patient’s care are considered and that care is delivered in a coordinated fashion.  This process can help to improve patient outcomes by making sure that the care they receive is timely and appropriate. Additionally, healthcare case management can help to reduce the overall cost of care by preventing duplicate services and avoiding unnecessary hospitalizations.

Post Acute Care

In regards to post acute care, the process is even more important in reducing readmissions.  Post-acute care is a type of medical care that is provided to patients who have been discharged from the hospital but still require some level of medical care. This type of care can be provided in a variety of settings, such as skilled nursing facilities, home health agencies, or inpatient rehabilitation facilities. Post-acute care is to help patients recover from their illness or injury and return to their prior level of functioning.  The goal of PAC is to help patients transition from the hospital to their homes or another care facility, such as a nursing home. PAC typically includes a variety of services, such as skilled nursing care, physical therapy, and occupational therapy.

Care managers also ensure the patient finds the proper facilities. Post acute care facilities provide medical and rehabilitative care to patients who have been discharged from the hospital but still require close medical supervision. These facilities typically offer a wide range of services, including skilled nursing care, physical therapy, speech therapy, and occupational therapy. patients in post acute care facilities often have complex medical needs that require close monitoring and coordination of care.

Types of Post Acute Care

Post Occupation Therapy is the process of helping people return to their previous level of functioning after an injury or illness. This can involve helping them regain their strength and mobility, as well as their cognitive and emotional well-being.  Quite similar is physical therapy.  Post-acute care physical therapy is a type of PT that is focused on helping patients recover from a serious injury or illness. This type of PT can involve working with patients who are in the hospital, as well as those who have been discharged and are receiving outpatient care. The goal of post-acute care physical therapy is to help patients regain their strength, mobility, and independence.

Through these therapies, checkups, and follow ups, patients can find the acute care they need after their initial stay in the hospital.  Care Managers can arrange and help the patient find the proper facilities or therapies for their particular needs and also work with the insurance companies in paying for this type of necessary care.  In the meantime, these type of post acute cares can prevent relapse or costly readmissions into the hospital.

 

Conclusion

In conclusion, case management is a vital role in the health care industry. Without case managers, patients would not receive the proper care and attention they need. Case managers are there to help patients every step of the way, from diagnosis to treatment and beyond. If you or a loved one is in need of health care, be sure to ask for a case manager. They can make all the difference in getting the care you need.  In regards to post acute care, case managers play a vital role in coordinating post-acute care. They are the link between hospitals, patients, and families during a time that is often filled with uncertainty. By educating themselves on the different types of post-acute care options and communicating effectively with all parties involved, case managers can ensure that patients receive the care they need to recover successfully.

Please also review AIHCP’s Healthcare Case Management Certification and see if it matches your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in Healthcare Case Management.   Nurses and other healthcare professionals are excellent candidates to take the required courses and become eligible for the certification.

 

Additional Resources

“Effectiveness of Multidisciplinary Rehabilitation Services in Postacute Care: State-of-the-Science. A Review”. Janet A.Prvu, et, al. Archives of Physical Medicine and Rehabilitation  Volume 88, Issue 11, November 2007, Pages 1526-1534.  Access here

“Postacute Care Preparedness for COVID-19Thinking Ahead”. David C. Grabowski, PhD, et.al. JAMA. 2020;323(20):2007-2008. doi:10.1001/jama.2020.4686.  Access here

“Successful Management of Post-Acute Levels of Care”. Rebekah A. Koutny, RN, BSN, CCM, MCG Nurse Editor, and Carrie Brockman, BSN, RN, ACM, MCG Senior Nurse Editor. MCG Community.  Access here

“Post-acute Care for People with Cancer”. American Cancer Society.  Access here

Telehealth and Healthcare Case Management

Posted on by Dominick Flarey

Telehealth is here to stay.  While it was necessary during the pandemic and any future elements of it that may linger, the benefits of telehealth has found a more permanent place in modern medicine.  It will continue to play a large role in medical care.  It will also play a large role in affecting the Case Management and how patients meet recovery requirements.  It may be easier to keep tabs on patients and ensure they are following protocol through telehealth check ups that require less time.  A simple appointment of follow up care can be an easier way to manage patient care following procedure.

Telehealth has many benefits.  In particular, there are many benefits to better case management since telehealth can promote better follow up care and patient accountability.  Please also review AIHCP’s Healthcare Case Management Program

 

The article, “8 benefits of Telehealth” by Siemens Healthineers looks at the benefits of telehealth.  The article discusses 8 pertinent benefits of telehealth to healthcare.  Among the many are better patient outcomes which is essential in case management.  The flexibility, adherence of the patient and cost reduction all play key roles into cheaper healthcare in the future as well as better case management.  It is believed that telehealth is here to stay after the pandemic and that is a good thing.   The article states,

“The benefits of telehealth are striking, offering hospitals the chance to brand themselves as innovative and using cutting-edge technologically. And while the pandemic has pushed telehealth forward, its ability to provide a high level of medical care in numerous situations will make telehealth a permanent fixture in healthcare. Continuous improvements in technology and further simplifications of tedious processes support this evolution.”

“8 benefits of Telehealth”. Siemens Healthineers.  February 15th, 2022. Healthcare ITnews.

To read the entire article, please click here

Commentary

Telehealth is an important tool for healthcare providers. It allows providers to connect with patients remotely, using technology such as video conferencing and phone calls. This can be beneficial for both parties: providers can save time and money on travel, and patients can avoid having to take time off work or find childcare. In addition, telehealth can be used to provide care to patients in rural areas who might not otherwise have access to healthcare.
There are many advantages of telehealth, which is why this mode of delivery is becoming increasingly popular. First, telehealth can improve access to care by providing services to patients in rural or underserved areas. Second, it can increase convenience and decrease wait times for appointments. Third, it can improve continuity of care by allowing providers to more easily follow up with patients after they leave the office. Fourth, it can reduce costs by reducing the need for travel and office visits.

Case Management and Telehealth

Case management is a process of coordinating care for patients with chronic conditions.  Due to this, telehealth can help case managers.   This can include real-time interactive services such as live video conferencing, as well as asynchronous services such as store-and-forward imaging. Telehealth is often used to support remote patient monitoring, provide consultative services, or deliver continuing medical education.

There is evidence that suggests that case managers using telehealth can be just as effective as traditional in-person case management, if not more so. A study published in the Journal of Case Management found that patients who received care from a case manager via telehealth had better outcomes than those who received in-person case management. The study found that patients in the telehealth group were more likely to receive preventive care services and to have their chronic diseases managed effectively.  Case managers using telehealth can provide their clients with real-time access to medical specialists for consultation, education, and treatment. This delivery model can also be used to facilitate care coordination between providers, which is essential for optimizing patient outcomes.

Telehealth truly helps case managers with better patient outcomes.  There is a growing body of evidence that supports the use of telehealth in a variety of settings and for a variety of purposes. Studies have shown that telehealth can lead to improved patient outcomes, including increased satisfaction with care, improved compliance with treatment plans, and reduced hospital readmission rates. While more research is needed to determine the best ways to leverage telehealth technology to achieve optimal results, the existing evidence suggests that telehealth is a promising tool for improving patient care.

Conclusion

In conclusion, telehealth has the potential to improve case management by providing real-time access to data and patient status, as well as facilitating communication between care team members. With these improvements, telehealth has the potential to improve care coordination and patient outcomes.  It is clear that telehealth has many benefits that can lead to better patient outcomes. These benefits include increased access to care, improved communication between patients and providers, and lower costs. Telehealth can also help to reduce the spread of infectious diseases. As more and more people use telehealth services, it is likely that these benefits will continue to increase.

Please also review AIHCP’s Healthcare Case Management Program and see if it meets your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a four year certification in Case Management.  After completing the required courses, qualified professionals can then apply for the four year certification.

With the emergence of telehealth, case management will profoundly change in the 21st Century and many nurses can take advantage of this exciting field by becoming certified through AIHCP.

Additional Resources

“What Is Telehealth?”. NEJM Catalyst. February 21st, 2018. NEJM: Innovations in Care Delivery. Access here

“Using Telehealth to Deliver Nursing Case Management Services to HIV/AIDS Clients”. Jennifer Lillibridge, RN, PhD, etc. al. November 26th, 2008.  The Online Journal of Issues in Nursing. Access here

“Exploring the Benefits of Telehealth Case Management”. Renato Parletta. October 14th, 2022. Insight. Access here

“Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews [Internet]”. Annette Totten, etc, al. Rockville (MD): Agency for Healthcare Research and Quality (US); 2016 Jun. Report No.: 16-EHC034-EF. AHRQ Comparative Effectiveness Technical Briefs.  Access here

Healthcare Case Management Program Article on Risk Management

Posted on by Dominick Flarey

Reducing risk to the patient and improving care is essential for any healthcare organization.  Providing the best care with the best risk management not only helps the patient but also protects the institution from future liabilities and helps the institution provide its mission to provide the best care.  It is because of this that risk management is an essential study and need within any organization.

It is important to manage risk in any healthcare setting. Please also review AIHCP’s Healthcare Case Management Program

 

The article, “Why Healthcare Risk Management Is Important” by Caitlyn Cooley looks closer at the importance of risk management.  She states,

“Medical liability and reducing an organization’s risk against unseen threats has changed exceptionally since the start of the COVID-19 pandemic. We have seen new treatment centers, vaccines, and mass staffing problems across the United States. Risk management strategy “has traditionally focused on the important role of patient safety and the reduction of medical errors that jeopardize an organization’s ability to achieve its mission and protect against financial liability”, according to NEJM Catalyst. Unfortunately, these traditional risk mitigation techniques are not enough to combat cyberattacks on medical infrastructure.”

To read the entire article, please click here

Please also review AIHCP’s Healthcare Case Management Program and see if it matches your academic and professional goals.  The program is online and independent study and open to qualified professionals seeking a career in Case Management.

Certified Case Manager Education: What is Population Health?

Posted on by Joseph Gerard

Population Health Management

Today’s Certified Case Manager is becoming more involved in assessing and working with information on population health. Population health looks at the data of an entire group instead of an individual patient and considers not only the general state of health of the population but typical outcomes as well.  “Population health is defined as the health outcomes of a group of individuals, including the distribution of such outcomes within the group.” (1)

 The term “population health” is a broad one and the group examined can be defined in a variety of ways; your chosen population could be a specific town or city, race or even age group. Viewing data across a broad population can help determine the best practices of care for that particular group and allow for that group’s needs to be anticipated and met. A definition of population health is: “The inherent value of a population health perspective is that it facilitates integration of knowledge across the many factors that influence health and health outcomes.” (1).    “The CDC, which has a Division of Population Health, is far wordier and gives more of a functional definition. Population health is interdisciplinary, according to the CDC website, and an approach that uses “nontraditional partnerships” among different sectors of the community — public health, industry, academia, healthcare, local government entities — to achieve positive health outcomes.” (2)  We see more content being added today to Case Manager Certification education curriculums on this interesting and important practice topic.

William Edwards Deming was a scientist and engineer and is best known for his principles of productivity; his approaches are often modeled by organizations looking to boost efficiency and quality while lowering costs. Deming’s involvement was a key component of Japan’s recovery after WWII; he also brought his unique take on the tie between quality and productivity to corporations in the US, including the Ford Motor company. This attention to quality helped Japan rebound after WWII and become a booming economy just a decade later; it also helped Ford and other US car makers understand why Japanese motors were outperforming homegrown products year after year. Applying these same principles to population health can help improve outcomes and as a natural byproduct of that improved care, reduce costs as well.

 

The Deming Philosophy and Healthcare

The Deming philosophy or approach at its most basic states that when an organization focuses on improving quality, costs will naturally fall over time. Case managers work with this philosophy everyday and are at the forefront of guiding quality, cost-effective care.  Conversely, an organization that is focused on costs will find their quality dwindling over time. This philosophy can be applied to a variety of industries – including healthcare. When we focus on improving care and outcomes, we can expect costs to drop; focus too much on costs and the quality of care can easily slip. Case managers know this well and serve as educators today to teach this to others on the health care team.

 

Applying Deming Principles to Healthcare

Managed Care = Managed Processes

The concept of managed care is less about planning the daily work of individual providers and more about the way that the entire process works. The broad approach that is taken to care will have a larger impact on the health of specific populations; engaging and including physicians and providers in the planning process is a must. These providers are the clinicians dealing with clients on a regular basis, and their insight could hold the key to improved overall process and better levels of care.

 

Engaging Physicians in the Process of Care

Including working physicians in the conversation will greatly improve both the approach to care and the outcomes. Doctors, nurses certified case managers and other providers are working “in the trenches” daily and already have the skills and knowledge to predict what methods will work and what will not. Incorporating frontline care providers in conversations about population health is a must if we are going to properly serve that population and understand what will work (and what won’t).

 

Accurate and Timely Data is a Must

“In God we trust…and all others must bring data.”
William Edwards Deming

This Deming quote is at the heart of why data is so important. If we can’t measure population health data, there is no way to tell if measures are resulting in improved outcomes, worsened outcomes or having no impact at all. The ability to measure and compare data from a specified population is a must; without accurate data and the ability to analyze it, there is no way to determine if measures designed to improve care have any actual impact at all.

The quality-based approach outlined by Deming offers many advantages and possibilities for population health and for healthcare in general.  For true gains to be made, the right data must be collected and accessible, front-line caregivers need to be involved in the planning process, and a broad approach to care for a specific population needs to be implemented. We need to continue to provide continuing education for our case managers and others on the health care team in the quality improvement process, including the use of quality improvement tools, data collection and appropriate interpretation of data.

Some reasons we should care about population health include; 1) it is people focused, 2) it seeks to improve the health of our society, 3) it helps to reduce costs as society becomes healthier, 4) it promotes medical science to deliver better care, 5) it leads to the ability to provide better access to care, and 6) it promotes better patient engagement (3). As such it fits very well into the role of todays certified case manager. It would be most advantageous if we provide our case managers more continuing education and opportunities to become involved in this area of practice. Becoming more intimately involved in population health will assist case management profession in its ultimate growth and expansion of specialized professional practice.

Are you a licensed health care professional who is interested in becoming a Certified Case Manager? If so, you may want to preview information on our Certification and Fellowship program at the American Academy of Case Management. You may access information here.

References:

  1. David A. Kingdig (Ed.) What is Population Health? Improving Population Health: Policy, Practice, Research. University of Wisconsin. Population Health Sciences.
  2. Karen Appold. Confused About Population Health? You’ve Come to the Right Place. Managed Healthcare Executive. Vol. 30, Issue 10. October 2020.
  3. Christina Rosario. Why is Population Health Important? Advanced Data Systems Corporation. July 8, 2020.