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.”
Please also review the American Academy of Case Management and its Healthcare Case Management Certification and see if it matches your academic and professional goals.
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.
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.”
Service of care should not be the main contributor of reimbursement but quality of that service. Overall population health, patient experience and patient care that reduces unnecessary stay and services are all critical elements.
The article, “Improve patient care – aim for the Triple” by Phillip Gratzel von Gratz looks at the triple aim of patient experience and health. He states,
“There is a broad consensus around the world that healthcare reimbursement should at least partly be based on performance and outcomes and not exclusively on service provision. This is mostly a theoretical consensus though”
Please also review our Healthcare Case Management Program and see if it meets your academic and professional needs. Healthcare Case Managers need to understand the value of patient care in regards to quality and also cost effective ways to treat patients.
Healthcare Case management is an important field for any administration or hospital. It helps track the overall health and needs of patients. It is critical to the success of the hospital as well as to the patients.
Nurses are excellent candidates to become case managers for hospitals. Nurses who have worked at the hospital have a knowledge of the system and can prove to good internal hires by the administration. Nurses with skills in case management can make the switch from the floor to the office very easily. Some positions require some type of formal education to enter into this field. A certification is an excellent way to achieve the education and the confidence needed to fill a position of case management. Most hospitals prefer to have a case manager who is certified. Many hospitals also pay for their nurses or case managers to become certified.
The American Academy of Case Management offers a Healthcare Case Management Certification. This Nursing Case Management focus is an excellent way for nurses to become certified and be able to perform their functions as a case manager. The Nursing Case Management program is independent study and online. After the completion of five core courses, the nurse or student can apply for a four year certification.
Again the courses are independent study and self paced. The courses are completely online. Each course requires a text book and the completion of an open book exam. Students can utilize their instructors as much or as little as they need.
Since Case management such a critical and important aspect to hospital function and patient well being, nurses can become excellent candidates to become case managers. Please review AIHCP’s Nursing Case Management program and see if it matches your academic and professional needs. With the education and training from the American Academy of Case Management, you will be able to face any case management challenges in a hospital setting.
What Do Nurse Case Managers Do?
Nurse Case Managers or Healthcare Case Managers are important parts of the hospital system. A case manager coordinates with various departments regarding the overall health of the patient. The case manager is the record keeper and makes sure all medical professionals are on the same page. They also play a key role in helping recover. In this way, it goes well beyond just the background of the patient and the initial stay but also includes recovery plans.
Nurse Patient Educators can play an important role with the Case Manager in ensuring the recovery and overall health of the patient. This reduces re-entry to the hospital and cuts down price. In this way, nurse case managers play a big role in outcome base statistics.
If you find interest in the case management field, please again review the American Academy of Case Managements information and see if it meets your professional goals and needs.
Great article on lowering readmission. Readmission is a huge problem for many institutions. It is not only financially good but also poor for overall patient health.
The article, “Patient Engagement Strategies That Prevent Hospital Readmission” by Sarah Heath looks at how better patient engagement can lower readmission. She states,
“Hospital readmission is a key metric in the value-based care landscape, with many programs looking for organizations to lower their readmission rates in an effort to cut healthcare costs. Using strong patient engagement strategies, organizations can move the needle on hospital readmission rates.”
Maximizing efficiency is a key element of case management, especially healthcare case management. Results with better health is superior to paper work.
The article, “Four Ways to Empower Your Care Managers to Focus on Results, Not Paperwork” sponsored by HMS and Fierce Health Care states,
“Today’s care managers face a variety of challenges with many handling a higher volume of complex patient cases than ever before. At the same time, value-based care delivery and reimbursement models demand that care managers keep a close eye on healthcare costs while still managing their day-to-day.”
Technology is important in healthcare but without trained professionals using it, it has no value. This is why it is so important to have good, trained and caring professionals behind all technology. Only with both, can healthcare make a difference
This is especially true with chronic pain management. The article, “When it comes to chronic care management, tech can’t replace people” by ERIN DIETSCHE states,
“Technology has become increasingly common in the healthcare arena. The story isn’t any different in the chronic care management space, as companies like Livongo and Omada Health leverage tech to assist patients. But a new survey found humans are just as important as trendy IT tools.”