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Monday, March 9, 2015
  Clinical Accuracy Spoken Here  

Abuse: CMs Play a Crucial Role

The interventions for patients in emergency and acute health care settings who have experienced domestic violence (DV) should focus on three domains of care:

  • Providing physical, psychological and emotional support
  • Enhancing safety of the patient and their family
  • Promoting self-efficacy

“CMs play a crucial role in connecting the disparate silos of available services and agencies that present a confusing maze to victims of abuse.

“Facilitation and coordination among transdisciplinary and cross sector team members on behalf of the victims is the key to navigating the maze and gaining access to support.”

Mindy Owen, RN, CRRN, CCM

[Reference: Abuse, Module B, Assessment and Interventions in DV]
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  Excellence in Case Mgmt  

Abuse: Changing Landscape of HC

There are a few key provisions of the Affordable Care Act (ACA) explicitly addressing domestic violence:

  • Since January 1, 2014, the ACA has prohibited insurance companies, healthcare providers, and health programs that receive federal financial assistance from denying coverage to women based on many factors, including being a survivor of DV/IPV.
  • Since August 1, 2012, all new and non-grandfathered health plans are required to cover screening and brief counseling for DV/IPV and plans cannot require cost sharing or deductibles for these services

The ACA law identifies domestic violence screening as a national health priority.

[Reference: Abuse, Module F, CM Role]
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  Improving Patient Care...  

Abuse: Maintain Boundaries

Ethical issues associated with the management of DV/IPV, child and elder abuse include:

  • Boundary violations
  • Patient autonomy
  • Patient privacy
One of the more difficult ethical dilemmas that may confront CMs relates to boundary violations. Professional boundaries need to be observed to ensure that professional standards are maintained. This can be complex, but it helps to share difficult experiences with colleagues, reflecting on where the boundaries should sit.

[Reference: Abuse, Module F, CM Role]
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