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BY MOLLYMAEVE LUSK The Nurse Licensure Compact (NLC) is a multistate licensure solution, which allows nurses (RNs and LPN/VNs) to have one license, issued by their primary state of residence, with the privilege to practice in both their primary state of residence as well as other participating NLC states without obtaining additional licensure. Operational for …

The Nurse Licensure Compact (NLC): A Modern Licensure Solution for A Workforce in Crisis Read More »

BY JENNY QUIGLEY-STICKNEY, RN, MSN, MHA, MA, CCM, ACM-RN, CPHM, CMAC CMS 1135 pandemic waivers give healthcare providers throughout the COVID pandemic the ability to relax legal standards for Conditions of Participation and transitions of care. Allowing the healthcare industry flexibility with current CMS Conditions of Participation rules for managing transitions of care has increased …

Covid Waivers 1135 in the Year 2023: Will They Continue? Read More »

 Title protection for professional case managers has been discussed for decades, but little has been done. The term case manager is utilized in many industries and is a fixture in the court system. In that circumstance, the term case manager literally means a person who manages the cases and their flow through a division of …

Professional Case Managers: What’s in a Name? Read More »

BY GARRY CARNEAL, JD, MA The U.S. medical system is dynamic and always evolving. Understanding the regulatory landscape is essential for case managers to optimize their patient-centered mission. Simply put, a basic knowledge of the laws and regulations applicable to the jurisdiction that case managers work in and the programs they support is important to …

Case Management Regulations Overview Read More »

BY REBECCA PEREZ, MSN, RN, CCM Everyone aspires to provide quality healthcare. The definition of healthcare quality would seem straightforward; however, establishing metrics is not necessarily so straightforward, a point recognized by Avedis Donabedian, a Lebanese physician and founder of the study of healthcare quality over half a century ago. In 1966, Dr. Donabedian recommended …

The Importance of Quality Measures: Making Care Matter Read More »

BY MELANIE A. PRINCE, RN, BSN, MSN, NE-BC, CCM, FCM, FAAN This issue of CMSA Today is a compilation of articles, editorials and resources about legal considerations in healthcare. I recently attended a Health Equity Summit with leaders from a variety of sectors, including law, government, healthcare, academia, public health and community advocacy. These professionals …

The Power of the Medical-Legal Partnership in Population Health Read More »