CMSA'S Pulse eNewsletter

Case Management Society of America

Special Announcement
The nominations period is now open for our CMSA awards program! This program was established to pay special tribute to those individuals who have demonstrated distinguished service to the case management profession.


 

A primary goal of the awards program is to inform members of the case management profession, other health professionals, government officials, and the public of the outstanding accomplishments and significant achievements of individual case managers in the delivery of healthcare. In addition, the awards program assists the public in gaining a better understanding of the role of case management and its significant contribution to the delivery of healthcare.

 

Learn more and nominate yourself or a colleague at www.cmsa.org/awards. But first, head over to view a short video featuring our recent award winners!

Visit https://animoto.com/play/YNyANnvMXtPCk0rO0vgKFQ?autostart=1 to view the full article online.

 
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CareerSmart Learning
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Featured Events

Event is free to CMSA members!

 

Care Coordination and care transitions are key ingredients in the national agenda to improve the quality and affordability of healthcare in the US. According to HHS, patient-centered care improves the patient experience and long-term health outcomes. To deliver patient-centered care, we must adopt CMSA’s Standards of Practice, most specifically the ethics Standard. A sound care coordination or transition model involves the patient and family/caregiver recognizing and attending to their needs and preferences.

 

Objectives:
As a result of this program, the participant will:

• Accept the ethical obligations for care coordination and transitions of care
• Recognize unethical practices and know where and how to report
• Learn the definition of patient-centered care
• Become familiar with the models of care coordination and transitions
• Learn the appropriate measurements used to evaluate the success of care coordination and care transitions


Event is free to members. Non-Members = $40
Earn 1 CE Hr: RN, SW, and CCM Ethics

Visit https://www.pathlms.com/cmsa/courses/9695 to view the full article online.

 
Months ago, we announced early registration for our 2019 Annual Conference & Expo in Las Vegas. Now, we have more good news: All three keynote speakers are confirmed!

 
Keynote sessions begin on Tuesday, June 11 with Vernice “FlyGirl” Armour, America’s First African American Female Combat Pilot. With her fresh, edgy style, contagious energy and gutsy essence, FlyGirl will help attendees create a breakthrough mentality and life!
 
On Wednesday, June 12, Anton J. Gunn, MSW, CDM, CSP, best-selling author, hospital executive and former healthcare spokesperson for the president of the United States, continues CMSA's 2019 keynote series, sharing five keys to unlock greater influence and impact as a leader.
 
Human behavior expert Colette Carlson delivers our closing keynote on Thursday, June 13, inspiring attendees to depart the conference and expo with new and relevant ways to connect and communicate. Get ready to laugh out loud while learning to make positive, long-lasting changes in the way you manage time and stress!
 

Learn more about our keynotes and register for CMSA’s 29th Annual Conference and Expo at www.cmsa.org/conference.

Visit http://conference.cmsa.org/ to view the full article online.

 

Significant advancements in multiple sclerosis care, including the arrival of new therapies, have made treatment decision-making and navigating health insurance requirements increasingly complex for patients and their providers. To simplify the process, PRIME worked in partnership with the CMSA and the Academy of Managed Care Pharmacy (AMCP) Foundation to develop myMS.care, a new online tool featuring 2 complimentary web apps. The web apps – a CarePath for patients, and a CareNavigator for providers – are tethered to facilitate shared decision-making and help guide critical conversations between those receiving care and those delivering it. Aligning preferences and goals to ensure patients and providers are on the same page often leads to greater satisfaction and improves the patient experience throughout the course of the MS journey. By offering specific tips on efficiently navigating the insurance process, the web apps are instrumental in avoiding unnecessary delays in treatment.Additionally, patients using the web app are able to print a customized "care guide" to take with them to their medical appointments. The care guide, which includes a list of the patient’s preferences, key concerns, and questions, serves as an important resource and reference tool when patients are deciding on a care plan with their providers.

Access the website here: https://www.myms.care/s/cmsa

Visit https://www.myms.care/s/cmsa to view the full article online.

 

A few months ago, CMSA invited you to join us on our first professional delegation to Cuba. The CMSA delegation to Cuba is an exceptional opportunity that includes visits to key healthcare facilities and sites in Havana, opportunities to engage in meaningful dialogue with Cuban counterparts and activities that allow you to experience our field from an international vantage point.

 

The delegation is from May 13 to May 18, 2019. You can view a preliminary itinerary on the delegation website. The fee is $4,750 and may be tax deductible. A deposit of $500 is required to secure your spot. Space is limited, and enrollment closes on February 12, 2019. Enrolling is easy on the delegation website.

 

Please direct any and all questions to Professionals Abroad at 1-877-298-9677 or www.professionalsabroad.org.

Visit http://www.professionalsabroad.org to view the full article online.

 
Member Announcements
CMSA is proud to to announce that there is now a discounted rate for retired members who are no longer working but would like to remain active as a member. Remaining active will allow one to stay current on industry trends, remain connected to their local chapter network, or even mentor new case managers in their careers.
The requirements are as follows:
- Must have been a CMSA member for at least 3 consecutive years.
- Must be a minimum of sixty-five (65) years of age.
- Must be permanently retired (may not be employed by a company that is classified as a contract or consultant).
Please note: this discount cannot be combined with any other CMSA discount. To be considered for the discount, please click below to access the retiree form and submit it to CMSA.

Visit http://solutions.cmsa.org/acton/attachment/10442/f-0636/1/-/-/-/-/Retiree%20rate%20form%20.pdf to view the full article online.

 
CMSA is pleased to announce a partnership with Bruce Berger, PhD, of Berger Consulting, LLC to bring you comMIt: Comprehensive Motivational Interviewing Training for Health Care Professionals at a discounted price. This 8-hour online program is centered around motivational interviewing, which is an evidence-based effective method for improving adherence to health behaviors. It was developed specifically for patients who are either ambivalent or resistant to change regarding these health behaviors.

CMSA has really listened to your requests for a practical motivational interviewing course targeted at healthcare professionals and their needs. We are thrilled to bring you an accredited course developed by the foremost authorities of MI in healthcare, Drs. Bruce Berger and William Villaume.

There are a limited number of seats for this program, accessible to CMSA members only, so you'll want to act soon! Click below to explore more information and register.

Visit http://www.cmsa.org/mi-learning/ to view the full article online.

 

Developed by Pfizer, ArchiTools offers a comprehensive grouping of information and resources such as interactive training modules, actionable tools that members can download and use with patients, annotated articles, and a robust set of relevant external links specifically for case managers.

Members: Access your benefit today! Enter casear71 in the account code field.

Visit http://www.cmsa.org/pfizer-architools-2/ to view the full article online.

 
CMSA's Standards of Practice for Case Management, 2016 revision, provides practice guidelines for the case management industry and its diverse stakeholders. The impetus for the 2016 revision of the Standards is the need to emphasize the professional nature of the practice and role of the case manager. The 2016 Standards of Practice contain information about case management including an updated definition, practice settings, roles and responsibilities, case management process, philosophy and guiding principles, as well as the standards and how they are demonstrated.

Visit http://solutions.cmsa.org/acton/media/10442/sop-2016 to view the full article online.

 
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Featured Article
Pat Stricker, RN, M Ed, SVP, Clinical Services, TCS Healthcare Technologies

Adverse events have been tracked for years, but mostly as they relate to issues that occur during a hospitalization, or during drug or clinical trials.  Adverse events refer to harm from medical care rather than underlying disease and are defined as:


- "An injury that was caused by medical management (rather than the underlying disease) and that prolonged the hospitalization, produced a disability at the time of discharge, or both."
- "An unintended physical injury resulting from or contributed to by medical care (including the absence of indicated medical treatment), that requires additional monitoring, treatment, or hospitalization, or that results in death."
- “Any unfavorable and unintended sign (e.g., an abnormal laboratory finding), symptom, or disease temporarily associated with the use of a drug, without any judgment about causality or relationship to the drug.” (Used in drug and clinical trials)
- An injury that occurs due to “negligent care that falls below the standards expected of clinicians in the community.”

While numerous studies have been conducted to identify adverse events occurring during hospital stays and trials, there are only a few that address adverse events that occur after a patient is discharged from the hospital and transitioned to home or an outpatient facility. Because the process of transitioning a patient from a hospital setting to home can lead to patient safety and quality issues if not done correctly, more emphasis needs to be placed on trying to study and identify the causes for post-discharge adverse events.

Visit https://www.naylornetwork.com/cmsapulse/articles/index-v3.asp?aid=531423&issueID=54968 to view the full article online.

 
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Articles and Links
Agency waivers to take effect in Georgia 

 


Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma in November 14 announced that the agency has taken steps and is monitoring conditions in support of California residents displaced and recovering from the wildfires destroying portions of the state. On Nov. 13, 2018, Health and Human Services Secretary Alex Azar declared a public health emergency (PHE) in areas of California retroactive to Nov. 8, 2018. The PHE allows CMS to waive or modify certain Medicare, Medicaid and Children’s Health Insurance Program (CHIP) requirements if necessary to provide health services.

 

“The lives and homes of thousands of Californians are at risk from dangerous wildfires and CMS is taking the necessary steps to provide flexibilities that help meet the medical needs of all those who are affected,” said Administrator Verma. “We are committed to helping everyone who has been impacted as they recover and rebuild their lives by ensuring access to care for themselves and their families.”



 


Source: Centers for Medicare and Medicaid Services

Visit https://www.cms.gov/newsroom/press-releases/cms-strengthens-federal-support-california-residents-affected-wildfires-2 to view the full article online.

 
by Jose Alejandro, PhD, RN-BC, MBA, CCM, FACHE, FAAN



 

The summer has come to a close quickly after such a wonderful CMSA Annual Conference & Expo in Chicago. Each year, this event allows me to network and learn from peers on innovative ways to tackle the intricate supply and demand relationships within our organization.

 

As a director of care management at an academic medical center and level 1 trauma center, there is a constant balancing act of meeting, prioritizing and balancing the supply of available acute beds with the multiple placement requests from the emergency room, transfer center, direct admits and surgical patients. The overwhelming theme in those discussions is the need to partner and build relationships with the post-acute continuum (i.e., home health, skilled nursing facilities, long-term acute care hospitals and rehabilitation hospitals). Case management is often aligned and/or intertwined with revenue capture and discharge planning, but the central focus should be care progression. All of the above functions are focused on transitioning the patient out of the acute care hospital setting. My experiences at a number of academic medical centers and other healthcare organizations have solidified the critical need to build solid and effective relationships with the post-acute continuum.


Visit https://www.cmsatoday.com/2018/10/05/transitions-of-care-the-importance-of-post-acute-continuum-relationships/ to view the full article online.

 
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Industry Events
CMSA is on Instagram, and in 2018 we're celebrating case managers with a new photo every day! Send us your photo to post or tag your Instagram photo with #365daysofcm (make sure your profile is public so we can see it)! Follow along @cmsanational; we'll see you there!

Visit https://www.instagram.com/cmsanational/ to view the full article online.

 
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