Case Management Advisor articles from October 2003

Case Management Advisor archives from October 2003

For diabetics, compliance involves more than just knowing what to do: award-winning program helps members overcome lifestyle issues.(MVP Health Care's Diabetes Care program)
October 1, 2003... Coaching diabetics to make lifestyle changes, helping members overcome issues that affect their compliance, and offering classes to help patients cope with chronic disease have paid off for MVP Health Care's award-winning Diabetes Care program....

Coaching, counseling help promote compliance: program targets high-risk members.(MVP Health Care offers high-risk diabetes program)
October 1, 2003... A woman with diabetes who has struggled with compliance for years before getting her disease under control told Gayle McLaughlin, RN, BSN, "Every time I start to go off track, I keep hearing your voice in my head." The woman is just one of...

Incentives back plan's management program: patients, endocrinologists earn rewards.(Oxford Health Plans)
October 1, 2003... Case managers at Oxford Health Plans have a new set of tools to help noncompliant members in the plan's diabetes disease management program. The case management program, for Oxford's diabetics with the highest risk of complication, is...

Health plan moves diabetes management in-house: care managers work with members at highest risk.(Fallon Community Health Plan )
October 1, 2003... After four years of positive experiences with a national disease management vendor, Fallon Community Health Plan in Worcester, MA, decided it would be more beneficial to members and providers if the diabetes management program was transitioned...

Lifestyle change hardest part of managing diabetes: members are encouraged to take small steps.
October 1, 2003... Prompting members who are at high risk for complications of diabetes to change their lifestyle to better control their disease is the hardest part of Fallon Community Health Plan's diabetes program, points out Janice Betz, RN, senior clinical...

Flextime appeals to care managers in program: nurses allowed to work at home.
October 1, 2003... When it needed to hire nine nurse care managers for its in-house diabetes management program, Fallon Community Health Plan found a way to overcome the area's nursing shortage. It gave the nurse care managers in the diabetes program the...

When tracking outcomes, start with job description: show what you contribute to your organization.
October 1, 2003... More and more often, case managers are being called on to demonstrate their value by reporting on outcomes. But there are no hard-and-fast rules as to what outcomes to measure because they differ from organization to organization, says Mary...

Stay connected to meet today's challenges.(advice for medical case managers)
October 1, 2003... In order to meet today's challenges and those of the future, case managers need to "stay connected and keep their finger on the pulse of today's health care system," says Anne Llewellyn, RN, BHSA, CCM, CRRN, CEAC. Llewellyn, co-founder of...

CE questions.(continuing education)(Brief Article)
October 1, 2003... 16. MVP Health Plan's Personal Health Improvement Program is designed to help members cope with stress-induced physical symptoms and pain from chronic disease. A. True B. False? 17. Oxford Health Plans has persuaded its high-risk...