case management

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

Access Article Here

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).

Access Here 

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

Access Here 

A Systematic Review of Reviews Evaluating Technology-Enabled Diabetes Self-Management Education and Support. Greenwood DA, et al.  Journal of Diabetes Science and Technology. 2017;11(5):1015-1027. doi:

Access Here 

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.

Access Here 

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

 

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.

Healthcare Case Management Article on Health Insurance Costs

Posted on by Dominick Flarey

Health Insurance can be expensive.  Families spend millions each year in America on health insurance.

Cost of health insurance for a family is a big concern. Please also review our Healthcare Case Management program

The article, “Here’s how much a family with good health insurance spent last year” Megan Cerullo looks at annual averages for families and how much they pay.

The article states,

“The millions of Americans who have health insurance through their jobs are often viewed as fortunate, shielded from soaring medical costs as well as financial calamity if serious illness strikes. But the cost of those undeniable benefits is climbing—and fast.”

To read the entire article, please click here

Health insurance is a big issue for many families.  It dominates elections and is a pivotal issue.  How much a family pays is a big issue.  Please also review our Healthcare certifications especially in Healthcare Case Management and see if it meets your academic and professional needs.

Legal Nurse Consulting and Nurse Case Management in Worker Compensation

Posted on by Dominick Flarey

Ethics and law in handling worker compensation cases is a detailed study and professional practice.  Sometimes legal nurse consultants are necessary in understanding the injury and the legal implications of a settlement.  Nurse Case Managers also play an important role in handling the cases and representing the individual case.   Both of these fields, Legal Nurse Consulting and Nurse Case Management play an important role in these outcomes.

Nurse Case Management as well as Legal Nurse Consulting can help cases in workers compensation
Nurse Case Management as well as Legal Nurse Consulting can help cases in workers compensation

The article, “Nursing The Wound: The Law and Ethics of Disability Management in Workers Compensation” by Justin Beck goes into greater detail about this.  The article states,

“Nurse case managers are often viewed with some suspicion by claimants and their lawyers, but a wider perspective is needed to understand the virtues of their profession. In this episode of Workers Comp Matters, host Alan Pierce talks to Justin Beck about his paper, “Nursing The Wound: The Law and Ethics of Disability Management in Workers Compensation.” ‘

To listen and read the entire article, please click here

Please also review our Legal Nurse Consulting Program, as well as our Nurse Case Manager Program and see if they match your academic and professional needs.

 

Healthcare Case Management Program Article on Healthcare

Posted on by Dominick Flarey

Good article for those interested in healthcare and healthcare related areas.  This article looks at putting health back at the forefront of healthcare and how healthcare professionals can play a pivotal role in making this common sense simple idea work again.  Please also review our Healthcare Case Management Program and see if it matches your academic and professional needs

The article, Here’s a Crazy Idea: Put Health at the Center of Health Care, by Clifton Leaf states,

“A decade ago, doctors Tom Frieden and Farzad Mostashari wrote a commentary for a leading medical journal entitled, “Health Care as If Health Mattered.” The essay, published in JAMA (sorry—it’s behind a paywall), had a simple, if obvious, premise: “Health care must be restructured to make maximizing health the organizing principle.”

To read the entire article, please click here

Case Management Certification Program Article on Small Practice Revenue Cycle

Posted on by Dominick Flarey

Good article for certified case managers.

The article, “3 Pain Points Affecting Small Practice Healthcare Revenue Cycle” by Jacqueline Belliveau states,

“While working in a small practice allows providers to really understand their patients and their community’s healthcare needs, it can also create unique healthcare revenue cycle management challenges.

Small practices come with several advantages. Some providers prefer the close relationship of working with just a couple other physicians versus a multitude of providers in a hospital.”

To read the entire article, please click here

Please also review our case management certification program to learn more.  Please review to see if it matches your academic and professional needs.

Case Management Explains Why Healthcare Costs So Much.

Posted on by Dominick Flarey
case management
Case Management answer why healthcare costs so much.

The article, “Why is Your Health Insurance So Expensive?”, by  Sandra Mills states

“When we think of insurance, be it homeowner’s insurance, car insurance, or health insurance, we initially think of the accumulative money we’re healthcare 6 going to be dishing out every month.”

American Institute Health Care Professionals’ insight:
Why is health insurance so high?  This article looks into it with informative graphs and other information that helps someone understand why the price of health care rises.  If you are interested in case management or managed care, then please review the program
#caremanagementprogram

See on www.bhmpc.com

Basic Concepts of Health Insurance

Posted on by Dominick Flarey

Case Management: Insurance Basics

In many cases, Case Managers have to deal with health insurance companies on an everyday basis in regards to their patients care and coverage.

Below is is health insurance 101 for individuals who need to grasp a better understanding of what health insurance is from the patient end.

Living without health insurance can be risky if you develop a serious illness or undergo trauma, especially if you get an injury or if you get very sick. Having a proper health insurance policy is key to keeping yourself healthy, and these tips can help you get the most coverage for your money.

 

If you are employed by a large enough business, you can get health insurance through your job. If you are 26 or under in age, your parents can still have you under their plan, or you can research personal health insurance policies.

 

Many companies offer benefits for employees to have their health and lifestyles assessed. You may be able to join a fitness program afterwards, which will help the company to save money on their insurance coverage, and possibly lower your premiums.

 

If you need glasses, or vision problems exist in your home, then vision insurance proves a smart buy. The insurance will cover a percentage of your check-ups and eyeglass or contact purchases. You don’t have to carry vision insurance, and some choose to save money by not buying this coverage.

 

Health insurance companies like to change what medications they are willing to cover, so be sure not to enroll in a plan that won’t cover your prescriptions. If medication that you need to take every day is suddenly dropped from your coverage, you may need to find a policy with a different company.

 

Health insurance is great for saving money on your taxes.Any money you spend to cover your deductible, co-pay, or any visits that your insurance doesn’t cover can also be deducted from your taxable income. Be sure to check on the separate guidelines for state and federal tax differences.

 

Expect health insurance policies to have loopholes within the fine print. Read the policy completely, so you won’t be surprised when the company tells you that something isn’t covered.

 

Do not volunteer personal information if you get a phone call from an insurance company. Answer only questions that are directly asked. If you give any extra information, it will be recorded and can be used to raise the premium, or even deny you insurance coverage at all.

 

You need to find out which health insurance plan is best suited for you. You can choose from PPO, HMO or PPO. Each has disparate benefits that you will need to research and decide on before purchasing a policy. Be sure you’ve got the option to keep seeing your current physician.

 

Read over your health insurance coverage to find out which medications are covered by it. The prescriptions that are covered change on a yearly basis, so read it over each time you renew your policy to see what is and isn’t covered.

 

It may actually be more affordable to have separate coverage through your respective employers, so compare costs under both circumstances.

 

The best way to avoid high individual rates is to join a trade organization that provides membership discounts in insurance premiums.

 

Pay very close attention to each aspect of your bills. Even if you have a good health plan, expenses can get costly, particularly for prescriptions. Some doctors only prescribe brand-name medication without thinking if a cheap generic is available. The price of medication may vary between different at each pharmacy.

 

Avoid these issues by taking the time to double check the form.

 

If you are overwhelmed when trying to choose your health insurance, get an insurance broker to help. An insurance broker can assist you in finding the best health insurance at a good price. They will also know all about the regulations specific to your jurisdiction. Compare your prices between brokers before you choose one.

 

You might qualify for a discount card, reducing the cost of your insurance policy as well. These cards let you to see doctors that offer low cost care for those lower income families.

 

If you trust and get along with your current doctor, you will have to make sure that your health insurance policy will permit you to keep seeing him. Ask your doctor if he is currently partnered with any insurance company.

 

Group health insurance is often cheaper than private health insurance, which is why many employers can offer benefits.There are professional groups or associations that you can join like the Freelancers Union.

 

You are entitled to an annual copy of the records at no charge every year for free.

 

Health insurance should be purchased for all family members, but also for your children. You must insure the kids so that they always have the health care as well as illnesses and injuries.

 

It is very important to have health insurance; you never know when you might need it. You could contract a disease or get hit by a car anytime. So utilize these tips when shopping for health insurance to make sure you find the plan that is most suitable for your family at the best price.

If you would like more information on handling insurance as a case manager, then click here.

 

AIHCP