Managing Complex Cases: A Study Guide for Case Managers
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Case managers face complex cases everyday. Each case presents a unique challenge and case managers often find themselves struggling to find an effective approach to safely discharge the patient while keeping length of stay (LOS) and costs low. Now there's help. Managing Complex Cases: A study guide for case managersis designed especially for case managers and provides innovative and field-tested strategies that will help case managers tackle any complex case effectively.
Managing Complex Cases walks you through 12 real-life complex cases from practicing case managers such as undocumented aliens, end-of-life patients, patients using free care, and patients with behavioral and psychological issues. Each case is designed to spark conversation among staff so they can share successful strategies and approaches to various complex circumstances.
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This unique resource also features the High-Average-Low ("HAL") competency assessment tool—a field-tested model that empowers case managers to approach complex cases more effectively through assessing their competency before seeking resources to tackle a complex case.
Managing Complex Cases will help case managers:
- Reduce unnecessary hospitalization days—boosting your bottom line!
- Achieve greater job satisfaction—which increases staff retention rates!
- Gain confidence when approaching a new case—no matter how complex the case may be, it's the key to an effective case management strategy
- Use resources appropriately and effectively—knowing all of your options is your best bet for success!
- Reduce the number of staff hours spent on a complex case—case managers will feel more competent and become more efficient when managing complex cases
Bonus: Earn 4.0 case management CE units!
Use this tool to lunch and learn!
Case managers can go through the series of questions after each case study and share their ideas for handling each case. It's an excellent way to learn field-tested strategies from peers. Plus, we've provided space to write local and state resources that they can go back and reference if confronted with a patient with similar circumstances.
12 real-life cases from practicing case managers. Take a look!
- Ethics consult helps convince a difficult physician to implement a plan of care
- Considering the patient's best interest, payment, and bed capacity while managing a case
- A case manager thinks outside the box when planning discharge for uninsured patient
- A non-compliant patient incurs extreme costs and extended LOS
- Helping a non-compliant patient with both Schizophrenia and diabetes manage his health
- A comatose stroke patient with no significant other, family, or friends
- Russian woman discharged early with nursing staff help
- Seizure disorder patient non-compliant with medications
- Adult patient with an eating disorder
- Testicular cancer patient with severe anxiety
- Patient with subdural hematoma becomes complex after poor discharge planning
- A diabetic patient with behavioral and mental issues
With Managing Complex Cases: A study guide for case managers your staff will be fully equipped to take on any complex situation and manage every complex case successfully.
About the Authors:
June Stark, RN, BSN, MEd, is the Director of Quality Support Services, Tufts Medical Center, Boston. She also acts as an Associate Consultant for The Center of Case Management in Natick, MA. Stark previously held the positions of Director of Case Management at North Shore Medical Center in Salem, MA, which included Salem and Union Hospitals, and Director of Care Management at St. Elizabeth's Medical Center in Boston. She is also noted for participation in the development of case management at New England Medical Center in the 1980s.
Della Webb, LCSW, CCM, is the Clinical Manager for the Unit Based Case Managers at Piedmont Hospital in Atlanta, GA. Della is a Case Manager with over 25 years of increasing experience in Medical Social Work program administration and Case Management program development.
This educational activity has been approved by the Commission for Case Manager Certification for 4 continuing education credits.
Vested Interest Statement
The authors have disclosed that they do not have any vested interest in the products or services associated with this activity.
Published: November 2004