CMSA Today - Issue 1, 2014 - (Page 6)

President's Letter The Times, They Are a-Changin' BY NANCY SKINNER, RN-BC, CCM A s I write this letter, I am looking at the front page of a newspaper. The front page headline speaks to the need to "ensure adequate protection for all, while keeping premiums affordable." This newspaper is not from New York City, Chicago, or any other large American city - rather, it is from a country halfway around the world. Like America, this country is faced with an expanding population of aging citizens, with its eldest being one of the fastest growing groups. The needs of those with chronic disease far surpass the demand for management of acute injuries or infectious disease states. That system of care, like ours, is searching for strategies that advance the delivery of quality health care services in a cost-efficient manner. One tactic they are considering is a "shift from treating health cost as an individual responsibility to one of collective responsibility." Bringing all of the uninsured population into the system of care will carry a significant cost. That cost must be borne by every segment of society. Without that 6 CMSA TODAY commitment and accepted responsibility, their system will fail. That country's struggles reflect discussions we are currently having in our own country. Whether you support every aspect of the Affordable Care Act (ACA), or fear it will fail in meeting the health care needs of our nation, we all must agree that without change the current track we are on is doomed to fail. Change is necessary to meet the evolving needs of our society. In considering this need for necessary, comprehensive change, we must realize no one focus or step will achieve it. It is not: insurance coverage for all; access to services for all; coordinated care for all; or accountability across systems, providers, and health care consumers that is needed, but all of this and more. In 1964, Bob Dylan released The Times They Are a-Changin', a song that contained the following lyrics: Come gather 'round people Wherever you roam And admit that the waters Around you have grown Issue 1 * 2014 * DIGITAL And accept it that soon You'll be drenched to the bone If your time to you Is worth savin' Then you better start swimmin' Or you'll sink like a stone For the times they are a-changin'. This song is said to represent the spirit of social and political change that characterized the 1960s. I also feel it might symbolize the challenge that change brings on a local and global level. The change in health care that we are advancing today is change that impacts the delivery of services in America and throughout the world. We are facing a "sink or swim" situation, and global failure must not be an option. There may be failures in certain strategies along the way, but we will learn from those failures and move forward. Will every aspect of the ACA bring success? It is my belief that components of the bill may not be successful and, therefore, we must embrace those small failures, learn from them, and move forward with revised strategies and re-engineered ideas. We must always keep in mind the consistent objective of affecting change. However, change for change's sake is not acceptable. All change must focus on the attainment of a primary goal of better care for individual Americans, as well as patient populations with chronic disease states, and achieving this in a cost-efficient manner. While case managers and care coordinators might not be able to impact all aspects of the change that is necessary to advance the efficacy of health care delivery in America, I do feel each of us can make a significant contribution to affecting it. Our contribution includes linking all aspects of patient care into an efficient and effective journey with minimal obstacles and few gaps in services.

Table of Contents for the Digital Edition of CMSA Today - Issue 1, 2014

President’s Letter
CMSA Corporate Partners
Association News
The Opportunity to Lead Change
An Integrated Approach
Health Care Reform in the Military
Innovation as Necessity
Opioid Abuse Crisis
Index of Advertisers

CMSA Today - Issue 1, 2014