National Recognition Week for Health Care Delivery System

Case ManagersOctober 12- 18, 2014

Table of Contents

• Outline Part I – Information on what National Case

Management Week is and ideas for recognizing staff

• Outline Part II– Template for educating others about case

management and its importance to your hospital

– Places for you to insert your hospital specific data

Outline – Part I• American Case Management Association

(ACMA)• National Case Management Recognition

Week• Importance of recognition for case

management services• Selecting an annual case management

recognition theme for celebration• Recognition event suggestions

American Case Management Association

(ACMA)• The ACMA is the first case management

association specifically designed to address the needs and concerns of Health Care Delivery System-based Case Managers

• The ACMA offers solutions to support the collaborative practice of Hospital/Health System Case Management

Importance of Recognition for

Case Management Services

The goal of this event is to create an opportunity for organizations to acknowledge the unique role of case managers (and those who support this process) in the delivery of high quality and cost effective health care services.

Importance of Recognition of Case Management

Services• Patients will have better access to the

services of a case manager once physicians and ancillary staff possess an increased understanding of the role.

• Greater recognition for the effectiveness of case management practice will assist leadership in hospitals/health systems to determine whether the structures and processes needed to support their case management programs are fully in place.

Recognition Event Suggestions

• Case Management Department Open House• Community Resource Fair• Case Management Staff Achievement Awards

Ceremony• Case Management In-Service • Gifts such as Coffee Mugs, T-shirts, Name

Badge Holders and other items with theme/logo - available to order https://www.jimcolemanstore.com/cmweek/

• Letter to Hospital Administration Announcing Case Management Week

Recognition Event Suggestions

• Hold a drawing with prizes• Certificates of Achievement for Staff• Group Photos• Display Storyboard Results/Outcome

Projects • Offer Education Sessions on Case

Management Services

Outline - Part II

• The Goal of Health Care Delivery System Case Management

• Case Management Core Functions• Key Outcomes of Case Management

The Goal of Health Care Delivery System Case

Management

Health Care Delivery System Case Management The goal of case management is to maintain

optimal patient health status across the continuum of care in a manner that emphasizes both individual control over decisions and stewardship of resources.

Describe Your Department-specific Team and Roles

Health Care Delivery System Case Management Case Management practice is the catalyst

for a collaborative approach to care that is critical in meeting the complex clinical and psychosocial needs of patients and

their families.

Insert Your Organizational Chart to Illustrate Your Relationship with Other

Departments and Services

Case ManagementCore Functions

Professional Background

The majority of case managers in acute care settings are nurses and social workers who often work together as a team.

Core Functions of a Case Manager

• Clinical Assessment• Care Coordination• Patient Education• Counseling• Case Monitoring and/or Clinical Pathway

Management• Discharge Planning• Resource Management• Patient Advocacy (Can be modified/customized to meet specific

organization’s role)

Add Organization-specific Definition and/or Roles

Critical Members of the Interdisciplinary Team

The case manager creates the appropriate linkages with the health care team, insurance companies and community-based agencies to coordinate and implement a plan of care that is in keeping with the best interests of the patient and their family.

(Can be modified/customized to meet specific organizational role)

Case Management Key Outcomes

Integral to Key OutcomesCase Management programs have beenproven to increase organizational

performancein areas such as:• Clinical Outcomes• Patient Satisfaction • Resource Utilization• Financial Outcomes

Insert Organization Specific Outcomes