Care Transitions Today: Recent Episodes
American Case Management Association
Presented by the American Case Management Association, this podcast focuses on healthcare case management and transitions of care throughout the healthcare systems. So much is happening in healthcare today, and consumers as well as healthcare professionals are required on a daily basis to respond and adapt. Join host Deb McElroy in her discussions with experts in this space as they share their experience, wisdom, and expertise. Whether you are new to case management or a seasoned leader, listeners are sure to take away new ideas to benefit themselves, their facility, and their patients.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
In this conversation, the physicians discuss two complex medical cases involving patient transitions and payer denials. The first case involves a 66-year-old male with significant eye trauma and multiple comorbidities, leading to a complicated hospital stay and subsequent denial from the payer. The second case focuses on a patient with atrial fibrillation undergoing drug loading, where the necessity of inpatient care is debated. The discussion highlights the challenges of navigating payer requirements, and the importance of thorough documentation and peer-to-peer appeals in ensuring appropriate patient care.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field. APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
In this conversation, the participants discuss two medical cases and the decision-making process for inpatient versus outpatient care. The first case involves a patient with cord compression and the need for surgery. The second case involves a patient who was scheduled for a TAVR procedure but it was aborted. They also discuss the billing and coding implications of these cases.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
In this conversation, the physicians discuss two cases and whether they should be classified as inpatient or outpatient. The first case involves an 86-year-old patient with bilateral lower lobe pneumonia and hemoptysis. The team believes it meets the criteria for inpatient status, but the medical director denies the claim due to the lack of hypoxia. The consensus is to suggest appealing the denial and having a peer-to-peer discussion to present the case's complexity. In the second case, a six-month-old with short gut syndrome and a viral illness is admitted for observation and antibiotic treatment. The team calls it inpatient, but they anticipate potential denial due to the short length of stay. They emphasize the need to educate payers on the unique considerations for pediatric cases.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
In this episode, Dr. Rebecca Severe brings two interesting cases to the conversation. The first case involves an 87-year-old patient with slurred speech and dizziness. The patient was admitted for further monitoring and neuro workup. The second case is also an 87-year-old patient with untreated lymphoma who presented with generalized weakness and multiple falls. The patient had hypercalcemia and acute kidney injury. Both cases were initially denied, and the discussion revolves around the appropriateness of inpatient care and the challenges of appealing denials.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
This conversation features a complex case involving a 56-year-old man with chronic pancreatitis and multiple comorbidities, admitted for intractable pain. The case highlights the challenges in obtaining inpatient designation and navigating insurance denials, even when clinical judgment suggests the need for hospitalization. The episode underscores the complexities of managing patients with chronic conditions, the challenges of working within insurance guidelines, and the importance of persistent advocacy for appropriate patient care.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
In this episode, we delve into a multifaceted case involving a 76-year-old patient with a history of coronary artery disease, heart failure, and multiple comorbidities. The discussion highlights the intricacies of managing Medicare Advantage plans, justifying extended inpatient stays, and addressing payer resistance. Additionally, the episode shifts focus to the challenges of handling out-of-network denials, illustrated by a case of a 43-year-old female with a complex ankle injury and subsequent cardiac issues. The podcast shares insights on navigating out-of-network claims and ensuring appropriate care despite payer restrictions.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.
In this conversation, two medical cases are covered, each with complex patient care and payer denials. The first case is a 57-year-old male with a severe rash and lower extremity edema, while the second case involves a 64-year-old male with Huntington's disease presenting with acute confusion and elevated blood sugars. Both cases required careful consideration of medical necessity and utilization of resources to justify inpatient stays.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School
In this conversation, the physicians focus on two patient cases. The first case covers a 42-year-old female who had a total knee replacement and developed a wound dehiscence and infection. The question arises whether the patient should be admitted as an inpatient or placed under observation. The second case is a riveting dialogue regarding a 75-year-old female with relapsed IgG lambda multiple myeloma who requires 48 hours of monitoring after each dose of a new immunotherapy medication. The dilemma is whether this patient should be admitted as an inpatient or placed under observation.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School
In this conversation, the physicians focus on two patient cases. The first case is of a 66-year-old female with a history of COPD and ovarian cancer who presented with increased shortness of breath. The physician advisor had to argue for the medical necessity of the hospital stay, focusing on the treatment of pneumonia. The second case discusses a 74-year-old female with hyponatremia and dizziness. The physician advisor had to argue for the inpatient level of care based on the severity of illness, utilization of resources, and medical necessity.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by two physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health and Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School.
In this conversation, Rebecca and Sweta discuss two patient cases and the determination of level of care. The first case is a 36-year-old male with a history of spinal cord injury and bilateral above knee amputation. The patient presented with weakness and flank pain and was found to have a high white blood cell count. The speakers discuss whether the patient should be classified as inpatient or observation status. The second case involves an 82-year-old male with a history of abdominal hernia repair. The patient presented with increased abdominal pain and respiratory distress after a CT scan. The speakers discuss whether the patient should be admitted as inpatient or observation status, considering the possibility of an allergic reaction to contrast.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by two physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health and Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School.
In this conversation, Rebecca and Sweta discuss twodifferent cases involving Medicare patients. The first case, a patient who underwent back surgery was initially downgraded to outpatient status, but later needed to be converted back to inpatient status. In the second case, an elderly patient with multiple medical conditions presented with lower abdominal pain after a hip replacement surgery. The decision to convert the patient to inpatient status is discussed, along with considerations for commercial payers. Overall, the conversation highlights the importance of proper documentation and timely decision-making in determining the appropriate status for patients.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American CaseManagement Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMAhas a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership inAPLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership isvaluable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by two physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, and Dr. Sweta Singh, Medical Director of CareManagement at the University of Michigan Medical School.
In this episode, our physicians discuss two intriguing cases. The first case involves a 67-year-old female with a history of COPD and aortic stenosis who presents with shortness of breath and fever. The doctors discuss whether the patient should be admitted as an inpatient or placed in observationstatus. The second case involves a 71-year-old female with a history of seizures who is undergoing long-term EEG monitoring. The doctors discuss the challenges of obtaining inpatient status for planned admissions and the importance of documentation in justifying the need for inpatient care.
The Association of Physician Leadership in Care Management, or APLCM, was created to provide support and education for physicians in this field. APLCM is unique because of its connection to the American Case Management Association, focusing on the partnership and collaborative model of nurse case managers, social workers, and physicians in care management. ACMA has a rich, 25-year history of supporting the case management field.
APLCM is inclusive of all practice settings. Membership in APLCM also gives you access to all ACMA resources and benefits. Whether you're new to case management or have years of experience, APLCM membership is valuable. Gain access to professional networking opportunities and resources. Visit www.aplcm.org to learn more.
Please visit www.acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association and sponsored by Xsolis. Join our host, Deb McElroy, along with featured guest, Rikki Moye. Rikki is a registered nurse with 20 years of progressive leadership experience in the field of Case Management. She has been the Vice President of Case Management for the Oklahoma division of Ardent Healthcare, Hillcrest HealthCare System for the last 5 years. Her responsibilities include planning, managing, directing and evaluating the activities, functions and the personnel of the division Case Management program. In this episode, the discussion focuses on innovative ways in which technology has been leveraged, leading to a redesigned care management model and improved outcomes. They also dive into implications for the future.
Xsolis provides data-driven, analytics-fueled solutions to break down the silos that exist between providers and payers to create a better healthcare system for all. When you hear XSOLIS, think excellence in utilization management. Contact XSOLIS today to demo the CORTEX platform, learn more about our work connecting payers and providers, or just run ideas past us. Learn more today by visiting www.xsolis.com/acmapodcast
Do you have topic requests or feedback about this episode? Reach out to us at podcast@acmaweb.org.
Today’s episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Dr. Vikram Patel. Dr. Patel is the Pershing Square Professor of Global Health and Wellcome Trust Principal Research Fellow at the Harvard Medical School. He is a psychiatrist whose work over the past two decades has focused on addressing the vast unmet needs for mental health care, especially in low resourced settings. He holds honorary professorships at the Harvard TH Chan School of Public Health, the Public Health Foundation of India, and the London School of Hygiene & Tropical Medicine.
The pandemic has led to an economic downturn and associated increase in the prevalence of mental health problems globally and considerably worsened the pre-existing crisis of unmet need for care. Dr. Patel argues this presents a historic opportunity to reimagine mental health care, by scaling interventions designed to improve the access, quality, and person-centered features of care. Several programs are discussed throughout this discussion, including the Mental Health for All Lab, the Global Mental Health Initiative at Harvard and Sangath.
Resources referenced by Dr. Patel include:
EMPOWER program - www.empower.care This is a not-for-profit effort of Harvard Medical School's GlobalMentalHealth@Harvard initiative to build the community based mental health workforce.
Mental Health for All Lab - https://mentalhealthforalllab.hms.harvard.edu/This provides information about the research program led by Dr. Patel at Harvard.
RAND Corporation report on transforming mental health in the U.S. - https://www.rand.org/pubs/research_reports/RRA889-1.html
Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to resources like the Collaborative Case Management Journal, a bimonthly, peer-reviewed digital journal dedicated to all things case management and transitions of care; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.
Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Thomas Rhodes. Thomas has over 16 years of experience in respiratory care with ten of those years in leadership. He currently oversees two locations for Houston Methodist. Today the conversation focuses on the impact of a respiratory therapist led COPD education program on acute care hospital readmissions.
Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Take advantage of local chapter engagement. Gain access to insights and professionals in your area by joining one of over 30 ACMA chapters across the country; available exclusively to ACMA Members. Visit acmaweb.org/membership to learn more.
Please visit acmaweb.org/podcastfor more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Kathleen Bellamy. Kathleenhas been an inpatient case manager at the Arthur James Cancer Hospital at the Ohio State University Wexner Medical Center for almost 28 years. Today the conversation is centered around the development, implementation, challenges, and advantages of a case management clinical ladder. The work discussed in this episode won the most innovative poster presentation at the 2019 National ACMA conference.
Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to the Member Education Center, where you can access a multitude of recorded webinars, CEs and peer-reviewed articles 24/7; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.
This episode is presented by the American Case Management Association (ACMA). Join our host, Deb McElroy, along with featured guests from Trinity Health - Colleen Fitzgerald and Kyle McDaniel, and from the ACMA, Kathleen Ferket. In this episode, the discussion addresses the application of case management simulation, the process for implementation, how simulation for the case management teams is used to improve care transitions, and much more.
Advanced Care Transitions Simulation (ACTS) is a simulation program created by the ACMA. ACTS is focused on improving care transitions through assessment, communication, planning and collaboration. It leverages unique, team-based simulations of patient scenarios and enhances care coordination and critical thinking. For more information on the Advanced Care Transitions Simulation program, please visit acmaweb.org/acts
Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or for exhibition and sponsorship opportunities.
Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guests from the Hartford HealthCare Center for Healthy Aging, Wendy Martinson and Michelle Wyman. This episode discusses Caregiver Coaching, an approach to case management for persons with dementia. This approach won the most innovative poster presentation at the 2018 National ACMA conference.
The conversation walks through the initial signs and symptoms of dementia, ways to increase the quality of life for people with dementia, options for long term case management, and resources available for the caregiver of the person with dementia.
The “Dementia Care Partner Resource Guide” is a free guide that has been developed by the Hartford HealthCare Center for Healthy Aging. It is a valuable resource for a caregiver and family and provides helpful information to support caregivers in their vital work. To download your free guide in English or Spanish visit cthealthyaging.org
Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or for exhibition and sponsorship opportunities.
Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Take advantage of local chapter engagement. Gain access to insights and professionals in your area by joining one of over 30 ACMA chapters across the country; available exclusively to ACMA Members. Visit acmaweb.org/membership to learn more.
Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Kim Brady. Kim is the System Director of Care Management at United Health Services. In this episode, the conversation is centered around the role artificial intelligence has played in risk stratification, efficiency, care management satisfaction, observation rates, patient safety, and more.
Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or for exhibition and sponsorship opportunities.
Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to our Learning Link, an online discussion thread where you can connect and ask questions to thousands of care management professionals across the country; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.
Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Sarah Bradshaw. Sarah is the principal investigator for the research and development of the High Acuity Readmission Risk Pediatric Screen Tool, also known as the HARRPS Tool. She has presented her quality improvement and research findings at several regional and national conferences and has been published in the Journal of Pediatric Nursing and the American Case Management Association’s Collaborative Case Management publication.
In this episode, the conversation is centered around identifying patients at risk for poor transitions, quality improvement, and the process for development of the High-Acuity Readmission Risk Pediatric Screen Tool.
The HARRPS Tool is a collection of questions that calculates an overall readmission risk score for a pediatric patient. The score is then associated with a risk category of low, moderate, or high risk. The evidence-based tool has undergone research providing credibility to the tool’s predictive power in identifying readmission risk for the pediatric population. If you would like to learn more about this free tool for your pediatric patient population, please email HARRPS@cmh.edu or visit childrensmercy.org/harrps.
Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or click herefor exhibition and sponsorship opportunities. Register before April 21 to save.
Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to resources like the Collaborative Case Management Journal, a bimonthly, peer-reviewed digital journal dedicated to all things case management and transitions of care; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.
Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association . Join our host, Deb McElroy, along with featured guest, Marlene Bober. Marlene is currently the VP of Practice Development at the American Case Management Association (ACMA). In this episode, the discussion addresses plans and strategies for emergency preparedness, successful models for staffing and communication, and what steps ACMA has taken to support members and the case management community throughout the COVID-19 pandemic.
The Coronavirus pandemic has taught us that preparation and flexibility are vital to successful care transitions during a crisis. The PiVoT Crisis Response Guide assists care management leaders with a structured checklist of objectives that must be considered before and during a crisis. To learn more about the PiVoT Crisis Management Guide, please click here.
Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or click herefor exhibition and sponsorship opportunities. Register before April 21 to save.
Please visit acmaweb.org/podcast for more information, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
This episode is presented by the American Case Management Association and sponsored by Shirley Ryan AbilityLab and Paradigm.
Join our host, Deb McElroy, along with featured guests, Dr. Leslie Rydberg, Diane Rowles, and Sheila Bennion. Their discussion addresses transitioning COVID-19 patients to rehabilitation facilities, identifying aspects of good rehab programs for COVID-19 patients, psychosocial issues and challenges faced by patients after COVID-19, and includes innovative processes for managing cases when access to the patient is limited. They also focus on the lasting rehab and support needs of patients and much more.
Shirley Ryan AbilityLab has provided critical rehabilitation services for more than 200 COVID patients. Surviving the disease is the first step -- recovering cognitive deficits, endurance and other functions requires intensive inpatient rehabilitation and this organization is leading the cause. Their state-of-the-art, 262-bed facility is the first inpatient rehabilitation hospital to integrate research into the clinical setting. Doctors, nurses, therapists, and scientists work side-by-side surrounding the patient, collaborating on new therapy and technology to deliver the best patient outcomes. Ranked #1 by U.S. News & World Report for 30 years, Shirley Ryan AbilityLab is the premiere rehabilitation destination for adults and children with complex conditions such as stroke, brain and spinal cord injuries, amputation and cancer-related impairments. To learn more, visit sralab.org/ACMA.
Paradigm is an accountable care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. We have been a pioneer in value-based care since 1991, offering deep clinical expertise, high-value specialty networks, behavioral health support, payment integrity solutions, and robust data analytics to generate the very best outcomes for patients, payers, and providers. Paradigm is headquartered in Walnut Creek, California, with offices across the U.S. For more information, please visit www.paradigmcorp.com.
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This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation. Join our host, Deb McElroy, along with featured guest, Dr. Ariana Peters. Dr. Peters is currently a board member of the Association of Physician Leadership in Care Management (APLCM). In this episode, the conversation involves a reflection of the changes and challenges that arose during the COVID-19 pandemic, the impact the pandemic has had on the roles of physician advisors, how staff’s emotional well-being was addressed, and much more.
Please visit acmaweb.org/podcast for more information, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
The mission of the Association of Physician Leadership in Care Management (APLCM) is to support the evolving role of physician advisors, physician case management and transitions of care leaders, medical directors and chief medical officers who work with case management teams. Support for the physician role in the case management team includes collaboration, networking, research, education, training, knowledge, and publication opportunities. To learn more, please visit aplcm.org.
This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation. Join our host, Deb McElroy, along with featured guests, Dr. Robert Grant and Dr. Julie Mirkin from New York. Their discussion addresses lessons learned during the height of the pandemic in New York including innovative work processes for staffing, workload, and emergency preparedness. They also focus on the lasting impact of COVID-19 in case management and transitions of care practice and much more.
Please visit acmaweb.org/podcast for more information, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
The mission of the Association of Physician Leadership in Care Management (APLCM) is to support the evolving role of physician advisors, physician case management and transitions of care leaders, medical directors and chief medical officers who work with case management teams. Support for the physician role in the case management team includes collaboration, networking, research, education, training, knowledge, and publication opportunities. To learn more, please visit aplcm.org.
This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation. Join our host, Deb McElroy, along with featured guest Diane DiFiore, Director of Care Management, Development, and Education at Beaumont Health. Their conversation highlights training for case management staff during the COVID-19 pandemic, how staff was educated about ongoing changes in legislation and processes, challenges faced, and more.
Please visit acmaweb.org/podcast for more information, or contact us directly at podcast@acmaweb.org with questions, topic requests, or other feedback.
Case management teams across the nation rely on Compass as a comprehensive solution to train and measure competency for their staff. If your organization is interested in learning about Compass Directional Training for case managers and physician advisors, please visit acmaweb.org/compass.
This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation. Join our host, Deb McElroy, along with featured guest and Chair of ACMA Public Policy Committee, Pat Kramer, in their discussion regarding changes in public policy, information regarding CMS waivers , current and future ACMA advocacy efforts, and much more!
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For more information regarding public policy and the American Case Management Association visit acmaweb.org/advocacy
This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation. Join our host, Deb McElroy, along with featured guests Patti Velky and Dr. Matthew Harbison from Memorial Hermann Health System in a conversation about their experiences and lessons regarding COVID-19, community impacts, and much more!
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This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation. Join our host, Deb McElroy, along with featured guest and National ACMA Board Member, Lynn Bree, in their discussion regarding the payer perspective of COVID-19, information regarding how health plans are working to assist providers and members, a look into 2021 and beyond, and much more!
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Additional resources mentioned: America’s Health Insurance Plans.
This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation.
Join our host, Deb McElroy, along with featured guest Max Perkins, Senior VP of Lobbyit, in their discussion regarding the regulatory impact of COVID-19, potential changes in the future, and much more.
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This episode is presented by the American Case Management Association and underwritten by The Pfizer Foundation.
Joining host Deb McElroy are two leaders from Trinity Health - Mary Beth Pace, VP of Care Management, and Sheila Johnson, VP of Population Health Clinical Operations. Here they will dive into the impact of COVID-19 on population health, lessons learned, challenges faced during this crisis, and more.
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