CMSA Today - Issue 5, 2016 - 6

President's Letter Leading through Change BY MARY MCLAUGHLIN-DAVIS, DNP, RN, MSN, ACNS-BC, CCM "It is not necessary to change. Survival is not mandatory." - W. Edwards Deming T his is a time of national healthcare change; when hospitals, healthcare systems, health plans, and healthcare vendors are drastically altering their mode of operation. The impetus for this change is due, in part, because inpatient hospital care is expensive and the belief hospitals should be reserved as places for only certain surgeries and for the very ill. Patients needing long-term recuperation can receive this at home, or in alternative facilities. Patients can receive assistance for psychological and social needs outside of the hospital. Ultimately, many hospitals may close the doors to inpatient care as they transition to accountable care organizations and develop their outpatient access. This will affect employees, patients, and communities. Our healthcare delivery systems across the country will undergo transformations in profound ways. The challenge for healthcare providers is to adjust to the new reality and not relinquish the values of respect, reverence, truth, trust, communication and compassion. Our healthcare communities are not the brick and mortar buildings. They are, instead the standards of our organizations and the strong interdisciplinary teams that live their commitment to their patients and clients. As we actualize our mission through living our values, we realize new opportunities not available in our old reality. Case managers lead change for their clients and patients with amazing skill and tenacity. In our current healthcare arena, case managers must also lead their colleagues, teams, and communities through change. Case managers have the skills, education, and experience to serve as change leaders. The case manager as change leader requires he or she examine his or her leadership style and how it impacts those you serve. The case manager determines how he or she will help others master the change and build consensus to reach the organizational goals, even as the 6 CMSA TODAY Issue 5 * 2016 * DIGITAL goals may change. The case manager must understand the larger organization and the cultural and political realities within. Now more than ever before, our profession is needed. This is our time to drive the change we know is important for our patients and clients. We must be in a continual relationship with those in our organizations, persuading them to persevere through difficult moments and to stretch well beyond any comfort zone they previously had. The case manager has a tool to master change in the CMSA Standards of Practice for Case Management, revised 2016. The Standards provide the "true north" for the case manager to navigate the turbulent emotions that accompany transformative change. Our values and standards light our way and challenge us to open our hearts and minds to new ideas, concepts, and strategies. We can manage this through our understanding of why change is necessary, as well as the scope and timeline for the proposed change. The case manager as change leader must engage others in decisions about how the change will evolve because at every juncture decisions are made that involve relationships, alignments and commitments. The case manager as change leader is communicating consistently and constantly. He or she recognizes that those involved in the change, no matter the pace, require time to absorb the repercussions. The change leader cares deeply about relationships and provides his or her team transparency about what is known to be true and acknowledge what is uncertain. The case manager can encourage the team to focus on what they have the power to influence. Our community of case managers must now, more than at any other time, lead through the constant sea of change in the healthcare environment. We are in unprecedented times, and although change is a constant it has never been this rapid. Case managers and CMSA have led the way for the past twenty-five years-long before case management and the work of care coordination was in the spotlight. Case managers are the obvious leaders through these turbulent waters; we know the path and we carry the torch. CMSA leaders wrote our Standards of Practice to cement our foundation and provide a framework for our practice. Our patients and our clients are at the heart of our practice. We know that case management is essential to safe care coordination. Ironically, although we enjoy a high profile and respect, we are at risk of becoming obsolete unless we continue to adapt, listen, and engage our patients or clients, our colleagues, our organizations, and our legislators. This is our time, and not only must we adapt to change, we must lead through change. ■ Mary McLaughlinDavis, DNP, RN, MSN, ACNS-BC, CCM President, CMSA National Board of Directors Dr. McLaughlin Davis is the president of CMSA. She has been a certified case manager since 1993; she is a clinical nurse specialist for adult health and the senior director for care management for Cleveland Clinic, Avon Hospital. REFERENCES Dinwoodie, D.; Pasmore, W.; Quinn, L.; Rabin, R. Navigating Change: A Leader's Role, Center for Creative Leadership, Jan. 2015 Murphy, J. Cleveland Clinic Foundation, 2015.

Table of Contents for the Digital Edition of CMSA Today - Issue 5, 2016

President's Letter: Leading Through Change
Immediate Past President's Letter: Risks, Challenges and Progress
Association News
CMSA Corporate Partners
Normalizing End-of-Life Care with Rich Conversations
Personal Feelings/Professional Face: The Hidden Grief of the Helping Professional
INDEX OF ADVERTISERS
CMSA Today - Issue 5, 2016 - cover1
CMSA Today - Issue 5, 2016 - cover2
CMSA Today - Issue 5, 2016 - 3
CMSA Today - Issue 5, 2016 - 4
CMSA Today - Issue 5, 2016 - 5
CMSA Today - Issue 5, 2016 - President's Letter: Leading Through Change
CMSA Today - Issue 5, 2016 - 7
CMSA Today - Issue 5, 2016 - 8
CMSA Today - Issue 5, 2016 - Immediate Past President's Letter: Risks, Challenges and Progress
CMSA Today - Issue 5, 2016 - 10
CMSA Today - Issue 5, 2016 - 11
CMSA Today - Issue 5, 2016 - Association News
CMSA Today - Issue 5, 2016 - 13
CMSA Today - Issue 5, 2016 - CMSA Corporate Partners
CMSA Today - Issue 5, 2016 - 15
CMSA Today - Issue 5, 2016 - Normalizing End-of-Life Care with Rich Conversations
CMSA Today - Issue 5, 2016 - 17
CMSA Today - Issue 5, 2016 - 18
CMSA Today - Issue 5, 2016 - 19
CMSA Today - Issue 5, 2016 - 20
CMSA Today - Issue 5, 2016 - 21
CMSA Today - Issue 5, 2016 - Personal Feelings/Professional Face: The Hidden Grief of the Helping Professional
CMSA Today - Issue 5, 2016 - 23
CMSA Today - Issue 5, 2016 - 24
CMSA Today - Issue 5, 2016 - 25
CMSA Today - Issue 5, 2016 - 26
CMSA Today - Issue 5, 2016 - INDEX OF ADVERTISERS
CMSA Today - Issue 5, 2016 - 28
CMSA Today - Issue 5, 2016 - cover3
CMSA Today - Issue 5, 2016 - cover4
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