Physician's Guide : Understanding and Working With Integrated Case Managers / by Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel.

Format:

Book

Author/Creator:

Kathol, Roger G., Author.

Knutson, Katherine Hobbs, Author.

Dehnel, Peter J., Author.

Language:

English

Subjects (All):

Internal medicine.

Primary care (Medicine).

Psychiatry.

Public health.

Internal Medicine.

Primary Care Medicine.

Public Health.

Local Subjects:

Internal Medicine.

Primary Care Medicine.

Psychiatry.

Public Health.

Physical Description:

1 online resource (XV, 343 p. 12 illus. in color.)

Edition:

1st ed. 2016.

Place of Publication:

Cham : Springer International Publishing : Imprint: Springer, 2016.

Summary:

Improving the outcomes for patients in our changing healthcare system is not straightforward. This grounding publication on case management helps physicians better meet the unique needs of patients who present with poor health and high healthcare-related costs, i.e., health complexity. It details the many challenges and optimal practices needed to work effectively with various types of case managers to improve patient outcomes. Special attention is given to integrated case management (ICM), specifically designed for those with health complexity. The book provides a systematic method for identifying and addressing the needs of patients with biological, psychological, social, and health-system related clinical and non-clinical barriers to improvement. Through ICM, case managers are trained to conduct relationship-building multidisciplinary comprehensive assessments that allow development of prioritized care plans, to systematically assist patients to achieve and document health outcomes in real time, and then graduate stabilized patients so that others can enter the case management process. Patient-centered practitioner-case manager collaboration is the goal. This reference provides a lexicon and a roadmap for physicians in working with case managers as our health system explores innovative ways to improve outcomes and reduce health costs for patients with health complexity. An invaluable, gold-standard title, it adds to the literature by capturing the authors' personal experiences as clinicians, researchers, teachers, and consultants. The Physician's Guide: Understanding and Working With Integrated Case Managers summarizes how physicians and other healthcare leadership can successfully collaborate with case managers in delivering a full package of outcome changing and cost reducing assistance to patients with chronic, treatment resistant, and multimorbid conditions. .

Contents:

Foreword

Preface

Acknowledgments

I. Overview of Case Management, Health Complexity, and the Integrated Case Management Approach

1. Patient Health Care Assist and Support Services, Integrated Case Management, and Complexity Assessment Grids

2. Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Adults

3. Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Children and Youth

4. The Organizational and Operational Setup of Adult Integrated Complex Case Management

5. The Organizational and Operational Setup of Pediatric Integrated Complex Case Management

6. Indirect and Direct Physician Support for Integrated Case Management in Adults

7. Indirect and Direct Physician Support for Integrated Case Management in Children/Youth

II. Guidelines for Physicians Working to Maximize Patient Outcomes in Collaboration with Integrated Case Managers- 8. Organizing and Implementing Value-Added Integrated Case Management

9. Connecting Integrated Case Management with Integrated Complex Inpatient and Outpatient Care

10. Physicians’ Contributions to Building and Participating in a Population-Based Case Management Center of Excellence

III. Appendices

Appendix 1. Integrated Case Management (ICM) Algorithmic Triage Strategies

Appendix 2. Adult Integrated Case Management-Complexity Assessment Grid (ICM-CAG) Variables and their Clinical Anchor Points

Appendix 3. Scripted Dialogue for Adults

Appendix 4.Elina’s ICM-CAG Assessment Story

Appendix 5. Scripted Dialogue for Children/Youth and Parents/Caregivers

Appendix 6. Care Plan Development Sheet

Appendix 7. Measurement of Progress: Goals, Actions, Outcomes

Appendix 8. Pediatric Record for Outcome Measurement (ROM)

Appendix 9. Pediatric ICM-CAG Variables and Anchors

Appendix 10. Pediatric ICM-CAG Item Anchor Point Actions

Appendix 11. Understanding “Complexity Assessments” for Youth and Families Helped by Case Management.<appendix 12.="" understanding="" “complexity="" assessments”="" for="" clinicians="" with="" youth="" in="" case="" management

appendix="" 13.="" notification="" letter="" to="" patient’s="" clinician(s)

appendix="" 14.="" universal="" consent="" form

appendix="" 15.="" adult="" icm-cag="" item="" anchor="" point="" actions

appendix="" 16.="" understanding="" persons="" entering="" 17.="" patients="" 18.="" barriers="" adherenceappendix="" 19.="" record="" outcome="" measurement="" (rom)

appendix="" 20.="" core="" icm="" principles

appendix="" 21.core="" practices="" needed="" implement="" the="" full="" components

abbreviations

glossary="" of="" terms

index.

Notes:

Includes index.

ISBN:

9783319289595

3319289594