CMSA Today - Issue 4, 2014 - (Page 11)

President-Elect's Letter CMSA of Tomorrow BY KATHLEEN FRASER, MSN, MHA, RN-BC, CCM, CRRN J ust as the medical ethos for case managers continues to evolve, CMSA is evolving its strategic framework. The association reaches across all industries to affect change, and as it evolves, it continues to assist in streamlining the delivery arena for case managers. I am and always have been so passionate about CMSA both locally and nationally because CMSA works to ensure that care is evidence-based, cost-effective, and most of all client-centric, and as members of the CMSA community, we are able to join together to help in accomplishing this goal. As Helen Keller stated, "Alone we can do so little; together we can do so much." Case managers hold a critical role as both patient advocates and financial stewards, ensuring the delivery of care and resources are utilized appropriately. Several common themes have emerged as both payer and provider organizations strive to identify the appropriate fundamentals, define a useful and informative notion of value, and introduce that notion of value into the decision processes we share with our patients. As these initiatives become implemented, we are called upon to educate and empower consumers, as well as provide tools that encourage them more than ever to take responsibility for their health care. Additionally, the system is becoming increasingly more complex and difficult to understand, and patients are searching for assistance in its navigation. Case managers must empower the client to problem-solve by exploring options of care, available and alternative plans, and, when necessary, how to achieve desired outcomes. You have heard me say this before and will hear me say it many times again over the next two years, "Turn the passenger into a driver!" We must empower our patients and clients You have heard me say this before and will hear me say it many times again over the next two years, "Turn the passenger into a driver!" We must empower our patients and clients to navigate their care by being educated in their available resources. to navigate their care by being educated in their available resources. As the payment structure for many conditions moves to more of an episodebased model, it is important to deploy and coordinate care delivery resources. Roles and responsibilities must be defined for the delivery of episode-focused clinical services across the network of care settings, as well as proactive coordination of transitions in care and the associated communications including hand-offs and follow-ups - with explicit adherence measures. No one disputes that the changes underway in health care have the potential to be transformational, to varying degrees. What complexity and diversity of the responses will be required by various organizations is still taking shape, and there are many variables that will determine the success that any given enterprise will be able to achieve. On a personal note, I am both humbled and thrilled to assume the honor of leading as president of this great association. Health care trends and challenges can be both energizing and exhausting for case management professionals and we need to work together to help reclaim the energy and passion that led us into the health care field. However, it is essential to quantify the outcomes of direct involvement in order to justify the extra layer of cost associated with case management interventions. We are starting to be recognized - evolving from having to battle for our respected place, to having our roles officially written into various models of care. As Dr. Martin Luther King pronounced in one of his earlier speeches, "Be the thermostat, not the thermometer." Case management is the true future of health care reform, and we cannot just sit around giving daily forecasts. It is time we adjust the health care climate, because we are one of the very few segments capable enough to do so! Sincerely, Kathleen Fraser, MSN, MHA, RN-BC, CCM, CRRN President-Elect CMSA National Board of Directors. Kathleen Fraser MSN, MHA, RN-BC, CCM, CRRN, is the President-Elect of CMSA National, and a past president of Houston/Gulf Coast CMSA Chapter. She has over 35 years of nursing experience, over 21 years of case management experience with over 18 years of it in workers' compensation. Kathy has worked in acute hospital, long term care and insurance managed care. She can be reached at kathleen.fraser@zurichna.com. Issue 4 * 2014 CMSA TODAY 11

Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2014

President’s Letter
President-Elect’s Letter
Cmsa Corporate Partners
Association News
Value-Driven Health Care
The Dmaic Six Sigma Approach
Motivational Interviewing
Q & A
Medication Non-Adherence
Index of Advertisers

CMSA Today - Issue 4, 2014

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