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Monday, March 31, 2014
  Clinical Accuracy Spoken Here  

Advocacy: Navigating Milestones

The patient-centered CM care plan is designed to navigate the hospital milestones. It usually includes the following objectives:

  • Smooth transition of the patient from one phase of care to the next;
  • Timely, efficient, and effective provision of needed care and treatments;
  • Appropriate resource utilization and management
  • Appropriate discharge/transitional planning and preparation
  • Patient and family education
  • Arrangements for equipment
With an effective and efficient CM plan, the patient should traverse the admission, changes in levels of care, and discharge/transition with minimal effort, reduced cost, and maximum efficiency and safety.

[Reference: Patient Advocacy, Mod A, Advocacy and Care Management]

  Excellence in Case Mgmt  

Advocacy: CM Authority =
CM Effectiveness

According to the National Association of Social Workers (NASW) Standards for Social Work Case Management:

"At all stages of client intervention, it is crucial that the social work CM be granted sufficient authority to access, allocate, monitor, and evaluate service and fiscal resources. Such authority is a prerequisite of effective CM practice."

Although the lack of resources may limit a client's options, the case manager should inform the client of the full range of existing choices. Full disclosure includes information on the lack or limited availability of relevant services and the financial implications of service selections and use.

[Reference: Patient Advocacy, Mod C, Key Components of CM Success]

  Improving Patient Care...  

Advocacy: Collaborate to Advocate

Physician-CM collaborative partnerships can result in positive outcomes. However, the physician's decisions determine whether or not care is of high quality and cost effective.

Successful collaboration begins when the CM meets the physician armed with information about his patients. The informed HCM accompanies the physician on rounds, promotes discussions about treatment plans, intended outcomes, and probable post-acute service needs on a real-time basis.

As evidence that the partnership has value emerges, these interactions become increasingly fluid and trust develops. Effective partnerships ultimately benefit the physician, the CM, and the patient.

[Reference: Patient Advocacy, Mod B, Right Care Guidelines]


Tom RasmussenTom Rasmussen
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