"Designated a Doody's Core Title! An ideal reference guide for case managers who work with complex, multimorbid patients, "The Integrated Case Management Manual" helps readers enhance their ability to work with these patients, learn how to apply new evidence-based assessments, and advocate for improved quality and safe care for all patients. This text encourages case managers to assess patients with both medical and mental health barriers to improvement in order to coordinate appropriate integrated health interventions and treatment planning. Built upon the goals and values of the Case…mehr
"Designated a Doody's Core Title! An ideal reference guide for case managers who work with complex, multimorbid patients, "The Integrated Case Management Manual" helps readers enhance their ability to work with these patients, learn how to apply new evidence-based assessments, and advocate for improved quality and safe care for all patients. This text encourages case managers to assess patients with both medical and mental health barriers to improvement in order to coordinate appropriate integrated health interventions and treatment planning. Built upon the goals and values of the Case Management Society of America (CMSA), this manual guides case managers through the process of developing new and important cross-disciplinary skills. These skills will allow them to alter the health trajectory of some of the neediest patients in the health care system. Key features: Tools and resources for deploying an Integrated Health Model (physical and mental health treatment) to the medically complex patient Complexity assessment grids: a color-coded tool for tracking patient progress and outcomes throughout the trajectory of the illness Methods for building collaborative partnerships in emerging models of care delivery within multidisciplinary health care teams Strategies for using an integrated case management approach to improve efficiency, effectiveness, accountability, and positive outcomes in clinical settings Guidance on connecting multi-disciplinary teams to assist with health issues in the biological, psychological, and social domains to overcome treatment resistance, reduce complications, and reduce cost of care "
Roger G. Kathol, MD,is president of Cartesian Solutions, Inc.
Inhaltsangabe
Foreword Preface Acknowledgments Overview Introduction CHAPTER 1 Case Management, Integrated Case Management, and Complexity Assessment Grids CHAPTER 2 Overview of Health Complexity and the Interaction Between Physical Health and Mental Conditions CHAPTER 3 The Organization of Integrated Case Management Environments and Work Processes CHAPTER 4 Motivational Interviewing and Health Behavior Change in Complex Patients With contributions by Jos Dobber, MSc CHAPTER 5 Cross-Disciplinary Training for Integrated Case Managers CHAPTER 6 Examples of Basic Information on Common Physical and Mental Conditions CHAPTER 7 Adult Integrated Case Management Using INTERMED Complexity Assessment Grid Methodology CHAPTER 8 Child/Youth Integrated Case Management Using Pediatric INTERMED-Complexity Assessment Grid Methodology CHAPTER 9 Interpreting Complexity Assessment Grid Anchor Point Scores CHAPTER 10 Using a Case Manager-Patient Dialogue for Complexity Assessment and Care Plan Development CHAPTER 11 Managing Adult and Pediatric Cases Using Integrated Case Management CHAPTER 12 Assisting Lucinda: Depressed Diabetic Patient With Numerous Complications, Poor Control, and High Service Use CHAPTER 13 Assisting Robert: Disabled Employee With Chronic Lung Disease, Panic Att acks, and Alcohol Abuse CHAPTER 14 Assisting Paul: Thirteen-Year-Old With Congenital Heart Disease, Family Anxiety, and School Nonatt endance Appendices Case Management Flowcharts APPENDIX 1A: Integrated Case Management Team Formation and Training APPENDIX 1B: Cross-Disciplinary Integrated Case Manager Training APPENDIX 1C: Integrated Case Manager Care Plan: Triggering and Triage APPENDIX 1D: Integrated Case Management Checklist APPENDIX 1E: Integrated Case Manager Care Plan: Initial and Iterative Intervention APPENDIX 1F: Integrated Case Manager Care Plan: Progression Review APPENDIX 1G: Integrated Case Manager Care Plan: Discharge Triaging and Informed Consent Tools APPENDIX 2: Triage Guidelines with Examples of Case Management Triggers APPENDIX 3: Universal Consent Form INTERMED-Complexity Assessment Grid's APPENDIX 4: IM-CAG Scoring Sheet APPENDIX 5: PIM-CAG Scoring Sheet APPENDIX 6: IM-CAG Complexity Items and Anchor Points APPENDIX 7: PIM-CAG Complexity Items and Anchor Points APPENDIX 8: Activities Associated With IM-CAG Scores APPENDIX 9: Activities Associated With PIM-CAG Scores Templates for Care Plan Development and Outcome Measurement APPENDIX 10: Care Plan Development (CD) APPENDIX 11: Record of Outcome Measures (ROM) APPENDIX 12: Measurement of Progress (MP3) Abbreviations and Terminology APPENDIX 13: Abbreviations APPENDIX 14: Defi nition of Terms European INTERMED in English APPENDIX 15: European INTERMED in English: IM-CAG v6 Appendices Available on Springer Website APPENDIX A: Stratifi cation and Prioritization of Triggered Complex Case Management Candidates APPENDIX B: Case Management Candidate Induction Templates APPENDIX C: Potential Content for a Case Management Brochure APPENDIX D: Notifi cation Lett er to Patient's Clinician(s) APPENDIX E: Scripted Questions: Integrated Case Management Assessment for Adults APPENDIX F: Scripted Questions: Integrated Case Management Assessment for Children/Youth Index
Foreword Preface Acknowledgments Overview Introduction CHAPTER 1 Case Management, Integrated Case Management, and Complexity Assessment Grids CHAPTER 2 Overview of Health Complexity and the Interaction Between Physical Health and Mental Conditions CHAPTER 3 The Organization of Integrated Case Management Environments and Work Processes CHAPTER 4 Motivational Interviewing and Health Behavior Change in Complex Patients With contributions by Jos Dobber, MSc CHAPTER 5 Cross-Disciplinary Training for Integrated Case Managers CHAPTER 6 Examples of Basic Information on Common Physical and Mental Conditions CHAPTER 7 Adult Integrated Case Management Using INTERMED Complexity Assessment Grid Methodology CHAPTER 8 Child/Youth Integrated Case Management Using Pediatric INTERMED-Complexity Assessment Grid Methodology CHAPTER 9 Interpreting Complexity Assessment Grid Anchor Point Scores CHAPTER 10 Using a Case Manager-Patient Dialogue for Complexity Assessment and Care Plan Development CHAPTER 11 Managing Adult and Pediatric Cases Using Integrated Case Management CHAPTER 12 Assisting Lucinda: Depressed Diabetic Patient With Numerous Complications, Poor Control, and High Service Use CHAPTER 13 Assisting Robert: Disabled Employee With Chronic Lung Disease, Panic Att acks, and Alcohol Abuse CHAPTER 14 Assisting Paul: Thirteen-Year-Old With Congenital Heart Disease, Family Anxiety, and School Nonatt endance Appendices Case Management Flowcharts APPENDIX 1A: Integrated Case Management Team Formation and Training APPENDIX 1B: Cross-Disciplinary Integrated Case Manager Training APPENDIX 1C: Integrated Case Manager Care Plan: Triggering and Triage APPENDIX 1D: Integrated Case Management Checklist APPENDIX 1E: Integrated Case Manager Care Plan: Initial and Iterative Intervention APPENDIX 1F: Integrated Case Manager Care Plan: Progression Review APPENDIX 1G: Integrated Case Manager Care Plan: Discharge Triaging and Informed Consent Tools APPENDIX 2: Triage Guidelines with Examples of Case Management Triggers APPENDIX 3: Universal Consent Form INTERMED-Complexity Assessment Grid's APPENDIX 4: IM-CAG Scoring Sheet APPENDIX 5: PIM-CAG Scoring Sheet APPENDIX 6: IM-CAG Complexity Items and Anchor Points APPENDIX 7: PIM-CAG Complexity Items and Anchor Points APPENDIX 8: Activities Associated With IM-CAG Scores APPENDIX 9: Activities Associated With PIM-CAG Scores Templates for Care Plan Development and Outcome Measurement APPENDIX 10: Care Plan Development (CD) APPENDIX 11: Record of Outcome Measures (ROM) APPENDIX 12: Measurement of Progress (MP3) Abbreviations and Terminology APPENDIX 13: Abbreviations APPENDIX 14: Defi nition of Terms European INTERMED in English APPENDIX 15: European INTERMED in English: IM-CAG v6 Appendices Available on Springer Website APPENDIX A: Stratifi cation and Prioritization of Triggered Complex Case Management Candidates APPENDIX B: Case Management Candidate Induction Templates APPENDIX C: Potential Content for a Case Management Brochure APPENDIX D: Notifi cation Lett er to Patient's Clinician(s) APPENDIX E: Scripted Questions: Integrated Case Management Assessment for Adults APPENDIX F: Scripted Questions: Integrated Case Management Assessment for Children/Youth Index
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