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Take a holistic approach to managing the care of your health plan members.(Brief article)
January 1, 2007... Take a holistic approach to managing the care of your health plan members
Look at the whole person, not just the disease
Health plans are beginning to take a holistic approach to managing patient care, focusing on the member's overall...
Multi-tiered model helps manage chronic diseases.(Keystone Mercy Health Plan)
January 1, 2007... Multi-tiered model helps manage chronic diseases
Plan takes a holistic approach to care coordination
An intensive case management program that provides case management, disease management, and behavioral health coordination for...
Program follows members through continuum.(Regence BlueCross BlueShield holistic case management)
January 1, 2007... Program follows members through continuum
Members managed through illness and wellness
Under a new holistic case management program at Regence BlueCross BlueShield, one case manager, called a care advocate, follows members along the...
CMs coordinate all their clients' health care needs.(medical case managers at Crescent PPO )
January 1, 2007... CMs coordinate all their clients' health care needs
DM, CM, home visits are part of the program
At Crescent PPO, case managers follow their clients through the continuum, helping them with all of their needs, whether it's disease...
Programs face challenge with older patients.
January 1, 2007... Programs face challenge with older patients
Physiological, psychological, emotional needs differ
With individuals who are ages 65 and older undergoing almost one-third of the 25 million surgical procedures performed annually, and with...
Documentation confirms educational needs met.(patient education)
January 1, 2007... Documentation confirms educational needs met
Communicate what was taught
Similar to teaching, documentation must meet the needs of a patient. While some documentation is better than no documentation, more detail benefits the patient...
SHHH takes NY hospital 'back to the basics'.(Silent Hospitals Help Healing at Montefiore Medical Center)
January 1, 2007... SHHH takes NY hospital 'back to the basics'
Patient complaints sparked effort
To enhance patients' satisfaction levels, not to mention their ability to rest and heal — Montefiore Medical Center in Bronx, NY, has gone "back to the...
CE objectives/questions.
January 1, 2007... CE objectives
After reading this issue, continuing education participants will be able to:
*Identify clinical, legal, legislative, regulatory, financial, and social issues relevant to case management.
*Explain how those issues...