CMSA Today - Issue 8, 2012 - (Page 4)

President’s Letter “It Was The Best Of Times” new pathways for the reimbursement of necessary services. In France, the battle cry of French revolutionaries was “Liberté, Egalité, Fraternité“ – Liberty, Equality, Brotherhood. In America, today’s health care innovators support a rallying cry that promotes health care that is safe, timely, effective, efficient, equitable, and patient-centered. Historians have confirmed the French Revolution was due not to one single event but to a series of events. Together, those 18th century events changed the structure of political power, the nature of society, and the exercise of individual freedoms not only in France but also throughout the world. Our 21st century attempt to transform health care in America is also a result of multiple events and triggers. Studies from both the World Health Organization and Commonwealth Fund have supported the fact that Americans pay more for health care1 than any other industrialized society. And, those dollars do not appear to buy an enhanced quality of care2 nor do they assure consistent and equitable access to care. These are the drivers that have led to and continue to influence today’s health care reform and revolution. It is my absolute hope and continuing belief that today’s health care revolution may be seen by tomorrow’s historians as change designed to advance the quality of health care for all members of the American society. I fully expect that 200 years from now, health care historians will view this revolution as a series of events that supported innovation; cultivated transdisciplinary collaboration and multidisciplinary care coordination across all sites of care; advanced the adoption of quantifiable metrics to establish and to define quality in the delivery of those health care services; and, promoted affordable care for every member of society while establishing avenues for patient engagement, empowerment and advocacy through and across all levels of care. If we look again to Mr. Dickens’ quote, he begins with a positive statement, “it was the best of times.” In a country that is closely scrutinizing attempts to reengineer or to enhance health care delivery, which strategy or intervention facilitates the achievement of “the best”? And, what specific gauge or group of metrics do we utilize to define and to describe this arbitrary term? To me “the best of times” in health care includes innovation both in the development of new treatment options and in the methods we utilize to deliver care. The “best” represents an ability to address deadly disease states including cancer, transforming them into chronic manageable diseases that may lead to death but not today or for many tomorrows. To me the “best” in health care is care that is available to all members of American society with no exclusions but with many expectations. Those expectations include engaged patients who actively participate in managing their own care; patients who are accountable and responsible for understanding their diagnosis and treatment plan; patients who follow the consistent steps necessary to implement that plan and are cognizant of the BY NANCY SKINNER, RN-BC, CCM “I t was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity.” This quote from Charles Dickens in his novel, A Tale of Two Cities, spoke to a time of unrest and revolution in France in the late 18th century. These words written over 200 years ago also hold true to a revolution that we, as case managers, are facing today. Today’s revolution is related to the manner in which health care interventions and services are delivered in America. Our time of change addresses balancing cost and quality while establishing 4 CMSA TODAY Issue 8 • 2012 • DIGITAL

Table of Contents for the Digital Edition of CMSA Today - Issue 8, 2012

President's Letter
Transitions in Care
Passion in Case Management
Patient Assistance Programs
Association news
View from Capital Hill
Case Management and the Law
Ethics Casebook
Mentoring Matters
CMSA Corporate Partners
Index of Advertisers

CMSA Today - Issue 8, 2012