Professional Case Management最新文献

{"title":"Contracts Revisited.","authors":"Lynn S Muller","doi":"10.1097/NCM.0000000000000808","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000808","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"177-180"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Interprofessional Competencies Through the Process of Collaborative Clinical Reasoning: A Qualitative Study.","authors":"Stephanie Hart, Christine Lysaght, Ryan Wedge","doi":"10.1097/NCM.0000000000000774","DOIUrl":"10.1097/NCM.0000000000000774","url":null,"abstract":"<p><strong>Purpose: </strong>Effective interprofessional (IP) collaboration is essential for managing complex patient cases. Collaborative clinical reasoning (CCR) is an approach where IP teams collectively analyze and address complex clinical cases, facilitating a shared understanding of patient management. While simulation and case-based learning are established methods for fostering IP collaboration, the process by which students develop a shared mental model for patient management after a simulated home visit and how this approach promotes the development of IP competencies is unknown. Understanding this process is critical for advancing IP competences that are fundamental to case management practice. The purpose of this study was to explore students' perceptions of the CCR processes used to develop an integrated care plan following a simulated home visit.</p><p><strong>Primary practice settings: </strong>Home care and community-based practice settings.</p><p><strong>Methodology and sample: </strong>A qualitative descriptive approach was employed to explore PT and nursing student teams' perceptions of the CCR processes used to develop an integrated care plan following a simulated home visit. Written responses to five reflection questions were analyzed using conventional content analysis among n = 87 physical therapy and nursing students.</p><p><strong>Results: </strong>There were three overarching themes: clarifying roles; developing a mutual approach; embracing shared values. Students' perceptions reflected skills needed to develop IP competencies including CCR. More research is needed to explore how student teams resolve disputes and use interdisciplinary knowledge in the process of CCR.</p><p><strong>Implications for case management practice: </strong>Findings highlight the importance of IP collaboration in clinical case management, emphasizing the need for case managers to facilitate clear role clarification, mutual approaches, and shared values among IP teams to enhance integrated care planning and improve patient outcomes. These insights can inform training and development programs for case managers on IP teams, promoting the adoption of CCR in practice.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"146-153"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of Interprofessional Competencies Through the Process of Collaborative Clinical Reasoning.","authors":"","doi":"10.1097/NCM.0000000000000815","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000815","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"E12"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Case Management Board Certification Means: The Latest Job Task Analysis.","authors":"MaryBeth Kurland","doi":"10.1097/NCM.0000000000000802","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000802","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"175-176"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Permanent Supportive Housing: Case Management Considerations.","authors":"Heather Gayle Beeson, Shondel Mishaw, Kanwal Hassan, Patricia Elder, Miranda Gustuson, Bryan Cafferky, Elizabeth James","doi":"10.1097/NCM.0000000000000809","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000809","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"181-185"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Continued Evolution of the Professional Case Manager Role: A National Study From the Commission for Case Manager Certification.","authors":"","doi":"10.1097/NCM.0000000000000812","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000812","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"E11"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Denials: The Good, the Bad, and the Ugly.","authors":"Suzanne K Powell","doi":"10.1097/NCM.0000000000000797","DOIUrl":"10.1097/NCM.0000000000000797","url":null,"abstract":"<p><p>Clinical and administrative DENIALS have ramifications beyond the fiscal reach of our healthcare system. It is a cause of angst to the patients and healthcare providers alike. What can cause them? What should be done about them?</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"125-126"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increasing Follow-Up Appointment Completion Rates in Transitions of Care.","authors":"Kimberly D Reschke","doi":"10.1097/NCM.0000000000000755","DOIUrl":"10.1097/NCM.0000000000000755","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose of study: &lt;/strong&gt;Noncompletion of follow-up appointment requests is an ongoing problem due to competing staff responsibilities, technology challenges, and inadequate communication during hospital transitions to post-acute care. From 1 January 2019 to 31 March 2019, 58% of follow-up appointments requested by an acute care hospital on discharge were not ordered after transition of care to a skilled nursing facility (SNF) and 44% of SNF residents were readmitted to acute care within 30 days. The follow-up appointment completion rate was 42%. Barriers associated with poor attendance of follow-up appointments were not documented. The purpose of the study is to implement a follow-up appointment completion protocol to increase follow-up appointment completion rates and identify barriers to decrease hospital readmission rates with the use of a computerized clinical information system.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Primary practice setting: &lt;/strong&gt;A 232-bed for-profit, corporate-owned SNF in the west suburb of Chicago that offers a variety of services in addition to skilled nursing care including short-term rehabilitation, physical therapy, and long-term care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methodology and sample: &lt;/strong&gt;An attendance log was utilized to evaluate stakeholder agreement and completion of staff training. Data were collected electronically via a password-protected Microsoft Excel spreadsheet by the project director to evaluate the completion of orders placed for follow-up appointments and chart audits were completed. A quantitative data analysis was completed to obtain the percentage of the number of key stakeholders in agreement of interventions, staff attendance to training sessions, and residents whose orders for follow-up appointments were entered into PointClickCare (PCC). To evaluate the barriers identified, completion of follow-up appointments, hospital readmission rates, and chart audits were completed throughout the project implementation and data were collected electronically via a password-protected Microsoft Excel spreadsheet by the project director. Post implementation data were collected biweekly for 1 month, and then again for 1, 2, and 3 months throughout the project implementation. A quantitative data analysis was completed to obtain the percentage of barriers identified, completion of follow-up appointments, and hospital readmission rates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;81% of admitted residents to the short-term care stay unit had orders for follow-up appointments. The follow-up appointment completion rate increased to 46% and the readmission rate decreased by 20%. Barriers were identified as non-scheduled appointments and resident refusal.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Implications for case management practice: &lt;/strong&gt;Implementing a follow-up appointment protocol can significantly enhance the quality of patient care and operational efficiency. Regular follow-up appointments allow health care professionals to assess progress, manage medications","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"154-168"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Continued Evolution of the Professional Case Manager Role: A National Study from the Commission for Case Manager Certification.","authors":"Hussein Tahan, MaryBeth Kurland, Patricia Kelley Morgan","doi":"10.1097/NCM.0000000000000807","DOIUrl":"10.1097/NCM.0000000000000807","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this national job-task analysis research study was to identify the roles and functions of professional case managers from the perspective of those currently functioning in such roles, regardless of their professional discipline background.</p><p><strong>Primary practice settings: </strong>This study covered the diverse case management practices and/or work settings across the full continuum of health and human services.</p><p><strong>Methodology and sample: </strong>This cross-sectional descriptive study used the job-task analysis method and online survey research design. It employed a purposive sample of case managers in which an open participation link was e-mailed to more than 68,500 case managers, both certified and not yet certified. A total of 3,297 responses were received, leading to 2,145 as a final acceptable sample for inclusion in the study.</p><p><strong>Results: </strong>Data analysis applied descriptive statistics by survey item, consisting of mean frequency and mean criticality ratings. An importance rating was then computed for each item, applying the multiplicative model that statistically combines the frequency and criticality ratings. The study resulted in an update to the 2019 certified case manager (CCM) test specification blueprint. This included six domains, instead of the previous five, deemed necessary for competent and effective performance by professional case managers. The update was necessary to ensure the certification examination reflects current practice.</p><p><strong>Implications for case management practice: </strong>The study defined how competent and effective professional case management practice has evolved since the 2019 study. It also helps keep the CCM credentialing examination evidence-based and maintains its validity for evaluating the competency of professional case managers. Additionally, the findings are useful for the development of programs and curricula for the training and advancement of case managers.</p>","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":" ","pages":"127-145"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Managing Chronic Disease: The Evolving Role of Case Management.","authors":"Janet Coulter","doi":"10.1097/NCM.0000000000000803","DOIUrl":"https://doi.org/10.1097/NCM.0000000000000803","url":null,"abstract":"","PeriodicalId":45015,"journal":{"name":"Professional Case Management","volume":"30 4","pages":"169-171"},"PeriodicalIF":0.8,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188221","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}