Title CMSA’s Integrated Case Management
Subtitle A Manual For Case Managers by Case Managers
Author Kathleen Fraser, Rebecca Perez, Corine Latour
ISBN 9780826169419
List price USD 75.00
Price outside India Available on Request
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Binding Paperback
No of pages 314
Book size 153 x 229 mm
Publishing year 2018
Original publisher Springer Publishing Company
Published in India by Springer Publishing Company
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Sales territory Bangladesh, India, Pakistan, Sri Lanka
Status New Arrival
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Description:

Written by case managers for case managers, this reference manual for nurses and other health professionals presents a Case Management Society of America (CMSA)–tested approach toward systematically integrating physical and mental health case management principles and assessment tools. Since the health care field has undergone major changes such as the passing of the Patient Protection and Affordable Care Act (PPACA), Mental Health Parity, Transition of Care & Chronic Care Management, and the Medicare Access and CHIP Reauthorization Act (MACRA), health care workers must know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice.

CMSA’s Integrated Case Management delves into the role of the case manager and unpacks how case managers assess and treat complex patients. These are patients who may be challenged with medical and behavioral conditions, poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, digital and telemedicine, and new performance measures that are clearly defined for nurses in nursing terminology, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach. All content aligns with the newly revised 2017 Model Care Act, the CMSA Standards of Practice 2016, and the CMSA Core Curriculum for Case Management, Third Edition.


Contents:

Foreword by Mary McLaughlin Davis, DNP, MSN, ACNS-BC, NEA-BC, CCM

Preface

Acknowledgments

Share CMSA’s Intergrated Case Management

PART I: Introduction to Integrated Case Management and Its Models

Chapter 1. The Evolution of Case Management and the Professional Case Manager

Chapter 2. Mechanics of Integrated Case Management, Health Complexity, and Integration Between Behavioral Health and Physical Health    

Chapter 3. Global Models of Integrated Case Management

PART II: Assessment of Patient Populations Using Integrated Case Management

Chapter 4. Assessing the Adult Patient Through Application of the Integrated Case Management Complexity Assessment Grid

Chapter 5. Assessing the Pediatric Patient Using the Integrated Case Management Complexity Assessment Grid

Chapter 6. Common Physical and Mental Health Conditions

PART III: Strategies for Optimal Patient Communication and Outcomes With Integrated Case Management

Chapter 7. Addressing Social Determinants: Clinical Versus Nonclinical Issues    

Chapter 8. Motivational Interviewing and Shared Decision Making for the Medically Complex Patient and Family Caregiver    

PART IV: Transitions of Care and Accreditation Care in Integrated Case Management

Chapter 9. Interdisciplinary Care Teams Fostering Successful Transitions of Care

Chapter 10. Professional Case Management Accreditation Care Coordination Measures and Outcomes

Appendix A. CMSA’s Definition of Professional Case Management and the Standards of Professional Case Management Practice    

Appendix B. Interdisciplinary Case Management Team    

Appendix C. Triggers for Integrated Case Management Intervention    

Appendix D. Adult Integrated Case Management Complexity Grid    

Appendix E. Adult Integrated Case Management Complexity Grid Elements and Rating Scales    

Appendix F. Pediatric Integrated Case Management Complexity Grid    

Appendix G. Pediatric Integrated Case Management Complexity Grid Elements and Rating Scales    

Appendix H. ICM-CAG Scoring Sheet    

Appendix I. PIM-CAG Scoring Sheet    

Appendix J. Definition of Terms    

Appendix K. Abbreviations    

Appendix L. Suggested Scripted Interview Questions    

Index


About the Authors:

Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN, has been a registered nurse since 1980. She holds two master’s degrees, one from Texas A & M University and the second and most recent from St. Joseph’s College, Standish, Maine. Ms. Fraser is a certified case manager, a certified rehabilitation registered nurse, and is board certified in case management with the American Nurses Credentialing Center. She entered case management 24 years ago, initially in hospital and long-term care, then moved to workers’ compensation for 21 years. Ms. Fraser served on the Case Management Society of America’s (CMSA’s) National Board of Directors, holding four positions, the last being the office of national president (from 2014 through 2016), then became CMSA’s national executive director immediately following her presidency. She also became a master trainer for CMSA’s Integrated Case Management program, which led to this manual. She has served on numerous case management panels, boards, councils, foundations, and committees, in the United States and internationally, and is a noted case management author and speaker. Kathleen has received many awards, including being selected by Seak, Inc., and the National Workers’ Compensation and Occupational Medicine Conference as one of the “50 Most Influential People in Workers’ Compensation and Occupational Medicine,” and the 2016 CMSA National Case Manager of the Year award.

Rebecca Perez, BSN, RN, CCM, has a bachelor’s degree in nursing and is a certified case manager with extensive clinical and case management experience. Much of her case management career has been spent honing skills to better communicate with patients, and to move them toward self-advocacy and improved health outcomes. She has been involved with the Case Management Society of America (CMSA) since 1997, holding both local and national leadership positions and honored with the 2013 National CMSA Case Manager of the Year award. She is a published author of professional articles, Case Management Adherence Guidelines and a coauthor of the 2010 Integrated Case Management Manual. Ms. Perez was a developer of CMSA’s Integrated Case Management training curriculum and was a master trainer for the program. She has created CMSA’s new Integrated Case Management Training Program to coincide with this manual, providing advanced practical skills and training to case managers working with individuals with health complexity. Ms. Perez recently moved into the position as director of product development for Fraser Imagineers and the CMSA. She also serves as the executive director for the CMSA Case Management Foundation.

Corine Latour, PhD, RN, graduated in 1987 from the Amsterdam University of Applied Sciences Faculty of Health/School of Nursing. After graduating, she worked in the field of psychiatry and specialized in consultation and liaison psychiatry at the Free University Medical Centre, Amsterdam, Netherlands. During this period, she earned her PhD. The subject of her thesis was “Coordination of Care for the Complex Medically Ill.” Dr. Latour is the director of the School of Nursing at the University of Applied Sciences, Amsterdam, Netherlands. She is an associate professor for integrated psychiatric and somatic care at the university and is a contributor to the development of integrated case management in partnership with the Case Management Society of America (CMSA). Dr. Latour is a board member of the INTERMED Foundation, board member of the National Nursing Education Organization (LOOV), a core member of the Nurse Science and Innovation Center (NSI) Amsterdam and a published author.

Target Audience:

Useful for case managers, nurses and other health professionals.

 

 
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