CMSA Today - Issue 4, 2011 - (Page 24)
Quality and Performance
Recognizing Our Success with Evidence-Based Performance Improvement Tools
BY MARGARET P. CHU, RN, BSN, MPA, RNC, CCM, CPHQ
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 costwww.cmsa.org
Issue 4 • 2011
Table of Contents for the Digital Edition of CMSA Today - Issue 4, 2011
CASE MANAGEMENT’S CONTINUING EVOLUTION We Can’t Afford to Miss The Boat!
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 CORPORATE PARTNERS
CMSA’s 21st Annual Conference & Expo
VIEW FROM CAPITOL HILL
CASE MANAGEMENT AND THE LAW
INDEX OF ADVERTISERS
CMSA Today - Issue 4, 2011