The COVID-19 Public Health Emergency (PHE) is scheduled to end on May 11, 2023. When this occurs, the waiver for the Qualifying Hospital Stay (3-Day Stay) also ends— reinstating the 3-day inpatient requirement to qualify for Medicare A coverage of a Skilled Nursing Facility (SNF). In partnership with Phoenix Medical Management Inc., we provide insight and tips for case managers navigating this change. — The Center for Case Management
– May 2023
What is toxic stress and how can it be treated? We’ve learned that Social Work best practices are key to developing positive outcomes. As we continue to lead efforts to address and close gaps in health disparities, we aim to make healthcare education accessible and equitable to all. — The Center for Case Management, Kiandra Florence, MA
– Fall 2022
Our conceptual framework addresses the benefits of transforming your case management department. — The Center for Case Management, Bonnie Geld, MSW
– Summer 2022
COVID-19 has changed the face of medicine and forced us to the limits of our adaptive capacity. There are some positive aspects of this pandemic but the negative impact on patients and caregivers must be recognized. We remain hopeful that the lessons learned will sustain us for years to come. – authored by O’Neil Green, Department of Medicine, Division of Pulmonary and Critical Care Medicine – UMass Chan Medical School of Medicine/Baystate Health Mohammad Abu-Hishmeh, Department of Medicine, Division of Pulmonary and Critical Care Medicine – UMass Chan Medical School of Medicine/Baystate Health Thomas L. Higgins, Department of Medicine, Division of Pulmonary and Critical Care Medicine – UMass Chan Medical School of Medicine/Baystate Health
– April 2022
If Ida Cannon were alive today, she likely would not only recognize the importance of social work sticking true to its core mission of assessing the whole person; but also figure out ways to make sure it consistently happens. In honor of National Social Work Month, this article discusses the essential role that social workers play in health care. – authored by Bonnie Geld, MSW; Matt Boettcher, MSW, LMSW; Shawna Kates, MSW, MBA; Laurie Signorelli, DBH, MAQ, MSW
– March 2021
This article presents an overview of current case-management operational considerations, important benchmarks to monitor, and likely challenges for physician executives.. – authored by Thomas L. Higgins, MD, MBA, FACP, FAAPL, and Bonnie Geld, MSW
– Jan/Feb 2021
Authored by Bonnie Geld, MSW
– Jan/Feb 2021
This article provides a valuable précis on the strengths and potential weaknesses of one of many available sources of “big data.” — Authored by Thomas L. Higgins, MD, MBA, MCCM
– November 2020
This article provides information on the effectiveness of implementing a remote case management program during COVID-19 and beyond. – authored by Bonnie Geld, MSW, President and CEO CFCM
– August 2020
In the wake of numerous civilian deaths occuring during encounters with the police, we are reminded of the unfortunate legacy of systemic racism in this country. As the US forges a solution to equality in policing, we are hearing encouraging ideas that many behavioral issues could be re- interpreted as societal rather than criminal.
– June 2020
This article provides guidance, insights and tactics for case managers and physician advisors who are working on improving access and managing surge. – authored by Bonnie Geld, MSW, President and CEO CFCM
– May 2020
Promoting high value inpatient care via a coaching model of structured, interdisciplinary team rounds
-British Journal of Hospital Medicine 2015
Patient Flow- Decreasing Emergency Department Walkout Rate and Boarding Hours by Improving Inpatient Length of Stay
Decreasing Emergency Department Walkout Rate and Boarding Hours by Improving Inpatient Length of Stay – co-authored by Bonnie Geld, MSW, VP CFCM
Vol 31 No 1. A
Why Become Certified in Case Management?
Vol 30 No 3. Why Become Certified in Case Management? Certification is generally thought to indicate expertise as either a staff case manager, or in the case of the (CMA-C) Case Management Administrator-Certified™, as a leader or administrator of case management programs including Inpatient and Outpatient, and Transition Case Managers. The exam is also geared to case management administrators on the payer-side of the industry.
New Definition- Karen Zander
Care Management in the Era of Bundled Payment for Care Initiatives
Vol 30 No 2. Care Management in the Era of Bundled Payment for Care Initiatives. Care management’s place in healthcare has never been more vital than now. There are a high degree of government and payer initiatives aimed at reducing healthcare spending and cost, and improving quality and efficiency. Based upon the nature of core functions performed by care management professionals, they are poised to be instrumental in effecting the outcomes of these initiatives within a variety of healthcare settings and in the community
New Definition -Anne Mosomillo, MBA, BSN, RN, CPHQ, CMAC
15 Best Practices in Acute Care/Case Management
Vol 30 No 1. 15 Best Practices in Acute Care Case Management. After 30 years of not only pioneering provider-side case management, but paying attention to Case Management practice, it is time to list at least 15 best practices.
New Definition Karen Zander RN, MS, CMAC, FAAN
The Overwhelming Moral and Ethical Reality of Care Management Practice
Vol 29 No 2. The Overwhelming Moral and Ethical Reality of Care Management Practice. The traditional primary ethical duty of every nurse and social worker is to the patient and family; this has been true since the origin of the professions. Yet Care Managers are commonly employed by facilities or organizations in which financial and regulatory constraints limit the resources that are available for provision of care. Additionally, the resources available for care vary according to the financial circumstances (including health care coverage) of the patient, in itself a circumstance that is discordant with the core values of health care. Policies and regulations dictate how much care can be delivered in which setting and by which professional. Clinical decisions must be weighed within community and organizational contexts. The importance of patients’ and employees’ individual rights must be balanced with the survival of the institution or organization within the community. Article includes 5 remedies.
New Definition – Mary Ramos PhD, RN-C, CMAC
Predicting ED Case Management: The Next 5 Years
Vol 29 No 1. Predicting ED Case Management: the Next 5 Years. Due to the wide variation in ED Case Management, CCM conducted an opinion survey beginning in 2013 at an ED conference, once in 2014, and following a webinar in 2015. All 63 respondents were ED case management professionals. There EDs ranged greatly in be size, from critical access hospitals to large academic medical centers. read on to see what we discovered.
New Definition Karen Zander RN, MS, CMAC, FAAN