CMSA Today - Issue 4, 2011 - (Page 24)

Improvement Tools Quality and Performance Improvement Recognizing Our Success with Evidence-Based Performance Improvement Tools BY MARGARET P. CHU, RN, BSN, MPA, RNC, CCM, CPHQ C ase management is no longer a bestkept secret! Administrators, regulators, politicians, and case managers all know the value of case management. But here’s a question: Case managers do a terrific job, but where are all the documented successes, the showcasing of good outcomes that we have helped to achieve? Here’s the answer: The time is ripe and right for case managers to move forward in demonstrating our worth on our own, adding a personal touch, and our voices, to the organized efforts under way on our behalf and on behalf of the patients we serve every day in a variety of settings! Why is this so important now? Because case management is at the forefront of our nation’s health care reform – that’s why! The Patient Protection and Affordable Care Act (PPACA) references: • Case management • Care coordination • Transitions of care • Patient-centered medical homes • Hospital readmission-reduction programs • Community-based care-transition programs • And much more Case management is in the limelight like never before and we should take advantage by recognizing our successes with evidence-based performance and research projects. CMSA Standards of Practice, released in 2010, also reflects on using evidence-based guidelines in practice. OUTCOMES AND OBJECTIVES Outcomes are one of four strategic objectives of the CMSA Board. The goal of this objective is to increase case managers’ influence in the health care team by elevating the awareness of the strategic importance and value of case management. Influence and research are what this objective is all about. Most case managers are respected for their clinical expertise, but we must bear focus at a more strategic level to articulate how case management drives the bottom line and has an impact on business objectives. The CMSA Board recognized the need to demonstrate case management’s effectiveness by establishing a Performance and Outcomes Committee to provide a structure and to develop guidelines for the production, collection, evaluation, archiving, communication, dissemination, and recognition of case management performance and outcomes. The committee charter was developed and accepted by the CMSA Board of Directors in September 2009. The committee established two prestigious awards for case management performance and outcomes. The Performance and Outcomes Committee (POC) secured grants through the Case Management Foundation for two $2,500 awards for the best in class of a case management performance improvement project and a case management research project. The CMSA’s first annual award was WHO IS A CASE MANAGER? In 2009, the Case Management Society of America (CMSA) recognized the importance of defining who a case manager should be and established manager g The Case Management Model Act. This se Manag important docu importan import nt document establishes the key elements of a comprehensive case elements m management pr management program that should be e implemented at the federal and state level. implemented m It enhances the r of case management enhances nha role within health ca reform, and provides a care legislative guide for consistency in the guideline role and function of case management. functi Here’s how CMSA defines case management: A collaborative managem process which assesses, plans, w implements, coordinates, monitors, coo and evalu evaluates options and services to meet an individual’s service health needs through heal communication and available com resources to promote quality reso cost-effective outcomes. The 24 CMSA TODAY Issue 4 • 2011

Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2011

True Care Integration The Case Manager on the Interdisciplinary Team
Guided Care Program at Johns Hopkins HealthCare Wins CMSA’s 2011 Case Management Research Award
Scholarships Available for Online Guided Care Nursing Course
Oncology Case Management
Quality and Performance Improvement
CMSA’s 21st Annual Conference & Expo

CMSA Today - Issue 4, 2011