Full Description
Thoroughly revised and updated since its initial publication in 2010, the second edition of this gold standard guide for case managers again helps readers enhance their ability to work with complex, multimorbid patients, to apply and document evidence-based assessments, and to advocate for improved quality and safe care for all patients. Much has happened since Integrated Case Management (ICM), now Value-Based Integrated Case Management (VB-ICM), was first introduced in the U.S. in 2010. The Integrated Case Management Manual: Valued-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition emphasizes the field has now moved from "complexity assessments" to "outcome achievement" for individuals/patients with health complexity. It also stresses that the next steps in VB-ICM must be to implement a standardized process, which documents, analyzes, and reports the impact of VB-ICM services in removing patient barriers to health improvement, enhancing quality and care coordination, and lowering the financial impact to patients, providers, and employer groups. Written by two expert case managers who have used VB-ICM in their large fully disseminated VB-ICM program and understand its practical deployment and use, the second edition also includes two authors with backgrounds as physician support personnel to case managers working with complex individuals. This edition builds on the consolidation of biopsychosocial and health system case management activities that were emphasized in the first edition. A must-have resource for anyone in the field, The Integrated Case Management Manual: Value-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition is an essential reference for not only case managers but all clinicians and allied personnel concerned with providing state-of-the-art, value-based integrated case management.
Contents
Chapter 1 Introduction to Value-Based Integrated Case Management.- Chapter 2 Assisting Lucinda: A Depressed Individual with Diabetes Mellitus, Numerous Complications, Poor Control, and High Service Use.- Chapter 3 Overview of Health Complexity and the Interaction between Physical and Behavioral Health Conditions.- Chapter 4 The Value-Based Integrated Case Management Workplace.- Chapter 5 Cross-Disciplinary Training for Integrated Case Managers.- Chapter 6 Motivational Interviewing and Health Behavior Change in Patients with Health Complexity.- Chapter 7 Cross-Disciplinary Training for Value-Based Integrated Case Management Managers.- Chapter 8 Child/Youth Integrated Case Management Using Pediatric INTERMED-Complexity Assessment Grid Methodology.- Chapter 9 Medical and Behavioral Health Information Gathering by Value-Based Integrated Case Managers.- Chapter 10 Using a Value-Based Individual and Integrated Case Manager Dialogue for Complexity Assessments and Care Plan Development.- Chapter 11 Scoring Adult and Pediatric Value-Based Integrated-Case-Management Complexity-Assessment-Grids.- Chapter 12 Care Plan Development, Barrier Reversal, Patient-Centered ICM Performance, Graduation, Outcome Analysis.- Chapter 13 Assisting Lucinda: Depressed Diabetic Patient With Numerous Complications, Poor Control, and High Service Use.- Chapter 14 Assisting Robert: Disabled Employee With Chronic Lung Disease, Panic Attacks, and Alcohol Abuse.- Chapter 15 Assisting Paul: Thirteen-Year-Old With Congenital Heart Disease, Family Anxiety, and School Non-Attendance.- Chapter 16 Working with Medical Directors and Clinicians as Part of Value-Based Integrated Case Management.- Chapter 17.- Appendices:Appendix 1 Value-Based Integrated Case Management from "A" to "Z" (1A to 1G).- Appendix 2 Adult and Pediatric Study Session Assignments (2 Appendices).- Appendix 3 Adult (Pediatric) Universal Consent (2 Appendices).- Appendix 4 Value-Based Integrated Case ManagementRecruitment (3 Appendices—Letter, enrollment dialogue without letter, enrollment dialogue with letter).- Appendix 5 Value-Based Integrated Case Management Explanation (Patient—1 Appendix for adults and peds).- Appendix 6 Introductory Letter to Clinicians.- Appendix 7 Value-Based Integrated Case Management Explanation (Clinician—1 Appendix for adults and kids).- Appendix 8 Value-Based Integrated Case Management Scoring Sheet (Adult and Pediatric).- Appendix 9 Value-Based Integrated Case Management Anchor Points (2 Appendices-Adult and Pediatric).- Appendix 10 Value-Based Integrated Case Management Actions (1 Appendix for adults and kids—much shorter since action lists are in the adult and peds documentation tools).- Appendix 11 Value-Based Integrated Case Management Scripted Dialogue (2 Appendices-Adult and Pediatric).- Appendix 12 Value-Based Integrated Case Management Care Plans with Outcome Documentation Capabilities (2 Appendices-Care Plan and Outcome Documentation).- Appendix 13 Instructions for Using the Value-Based Integrated Case Management Documentation System (1 Appendix).- Appendix 14 Patient Centered Value-Based Integrated Case Management Performance (2 Appendices-Adult [PCIP] and Pediatric [P-PCIP]).- Appendix 15 Value-Based Integrated Case Management Action Notes (1 Appendix).- Appendix 16 Value-Based Integrated Case Management Adult Curriculum.- Appendix 17 Value-Based Integrated Case Management Pediatric Curriculum.- Appendix 18 Study Session Assignments for Adult Value-Based Integrated Case Management Training.- Appendix 19 Study Session Assignments for Pediatric Value-Based Integrated Case Management Training.- Appendix 20 Practice Questions (2 Appendices--Adult and Pediatric).- Appendix 21 Abbreviations.
