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BY SAMANTHA WALKER, RN, DNP, CCM, AND SANDRA ZAWALSKI, MSN, RN, CRRN, CCM, ABDA, MSCC This story is based on true events; only the names have been changed to protect identities. Therefore, we will call the patient Stella and, as luck would have it, Stella was also a certified case manager. Of note, Stella is a healthy, […]

BY DOROTHY SANDERS, MHL, RN, CCM THE SILO IMPACT Ask any experienced care or case manager about integrated care, and many will tell you that our healthcare system is not designed for the patient with complex needs or front-line staff in mind. Our system is built on a silo care approach, often to the point where

BY ANNE LLEWELLYN, MS, BHSA, RN, CCM, CRRN, CMGT-BC, BCPA, FCM, AND DENNIS ROBBINS, PhD, MPH I asked Dennis Robbins, a longtime friend and trusted advisor, to talk to me about outcomes and what they really mean in today’s value-based care models. In this article we ask you to look at outcomes with a new lens –

BY SUSAN PLOUGH, MSN, RN, PHCNS-BC, CCM Part of the rich history of CMSA is its commitment to grassroots advocacy through Day on the Hill events. Hill Day is an important advocacy event because it connects members of Congress and their staff to case managers from across the country to talk about critical issues facing our

BY SADIE HUTCHINSON, RN Baton Rouge General Medical Center (BRGMC) did a review of their care management department to evaluate and identify structural and operational improvements. The reason for this review was to address growing hospital and physician concerns of patient delays in transitions for discharge. Nursing leadership was also concerned with the increasing number of

BY MARYANN OTT, RN, BSN, CCM, CPC, AND ANNE LLEWELLYN, MS, BHSA, RN, CCM, CRRN, CMGT-BC, BCPA, CM FELLOW Determining outcomes in workers’ compensation case management comes down to knowing the rules in your state, the organization you work for and the needs of the injured worker. In this article two seasoned workers’ compensation case managers talk