CMSA’s Integrated Case Management – A Manual for Case Managers by Case Managers

Key stakeholders (injured workers, rehabilitation co-ordinators, rehabilitation providers, treating doctors and insurers) in the occupational rehabilitation process were interviewed to gain their perspective concerning the degree to which case management was viewed as the organising principle of post-injury management and to whom this role was most frequently assigned. Findings indicated that there were differences in stakeholder perceptions about who should fill this role for the injured worker, with the majority of each group claiming case management as their proper role. In contrast, 35% of the injured workers interviewed stated that they either did not have a case manager or that they case managed themselves. Although it was argued that rehabilitation co-ordinators are suitably placed to act as case managers, they were nominated least by injured workers. Three vignettes of successful case management were presented and recommendations for policy and practice were made.

Download Full-text

Community Physician's Role in Case Management of Children With Chronic Illnesses

PEDIATRICS ◽

10.1542/peds.84.3.465 ◽

1989 ◽

Vol 84 (3) ◽

pp. 465-471

Author(s):

Gregory S. Liptak ◽

Gail M. Revell

Keyword(s):

Primary Care ◽

Case Management ◽

Primary Care Physicians ◽

Current System ◽

Care Physician ◽

Case Managers ◽

Chronic Illnesses ◽

Rural Physicians ◽

Children With Chronic Illnesses ◽

Time Required

There is general agreement that case management should be provided to children with chronic illnesses, yet it is not clear who should provide this service. A survey of physicians and parents of children with chronic illnesses was conducted to evaluate the practice and views of pediatricians and compare their assessments with those of parents. Surveys were mailed to 360 physicians and 519 families with response rates of 39% and 63%, respectively. The majority of physicians (74%) thought that the primary care physician should provide case management. When compared with parents, physicians underestimated the parental need for information about the child's diagnosis (8% vs 52%, P < .001), treatments (3% vs 54%, P < .01), and prognosis (30% vs 78%, P < .01). They also overestimated parental needs for information regarding financial aid (70% vs 58%, P < .01), vocations (78% vs 54%, P < .01), and insurance (62% vs 51%, P < .05). Four services ranked by need by parents in the top 10 were not ranked in the top 10 by physicians. Rural physicians noted that services were more difficult to obtain than did those in nonrural areas. The physicians surveyed made several recommendations for steps that could be implemented to facilitate their role as case manageers. If primary care physicians are to be effective case managers, alterations in the current system of care will be required including continuing education related to chronic illness, information about community resources, reimbursement for the time required to perform case management, and better communication between physician and parents.

Download Full-text

Barriers in Case Managers’ Roles: A Qualitative Systematic Review

Western Journal of Nursing Research ◽

10.1177/0193945917728689 ◽

2017 ◽

Vol 40 (10) ◽

pp. 1522-1542 ◽

Cited By ~ 6

Author(s):

Jee Young Joo ◽

Diane L. Huber

Keyword(s):

Systematic Review ◽

Health Care ◽

Case Management ◽

Health Care Providers ◽

Management Practices ◽

Case Managers ◽

Qualitative Studies ◽

Complex Case ◽

Bibliographic Databases ◽

Care Providers

The challenges faced by case managers when implementing case management have received little focus. Several qualitative studies have been published that may be able to shed light on those challenges. This study is a systematic review of qualitative literature to identify barriers case managers have when implementing case management. Five electronic bibliographic databases were systematically searched, and 10 qualitative studies were identified for inclusion in the review which were published from 2007 to 2016. Through thematic synthesis of findings, five themes were identified as barriers to case management implementation: unclear scope of practice, diverse and complex case management activities, insufficient training, poor collaboration with other health-care providers, and client relationship challenges. This review study suggested that standardized evidence-based practical protocols and certification programs may help overcome case managers’ barriers and improve case management practices. Health policymakers, case management associations, and health-care management researchers should develop educational and practical supports for case managers.

Download Full-text

Case Management and Outreach: Similarities and Differences in Worker Tasks

Care Management Journals ◽

10.1891/1521-0987.9.2.51 ◽

2008 ◽

Vol 9 (2) ◽

pp. 51-62 ◽

Cited By ~ 2

Author(s):

Therese Macan ◽

Jennifer Cunningham ◽

Matthew R. Lemming ◽

Robert J. Calsyn

Keyword(s):

Case Management ◽

Performance Appraisal ◽

Selection Criteria ◽

Case Managers ◽

Client Outcomes ◽

Work Activities ◽

Outreach Programs ◽

Outreach Work ◽

Outreach Workers ◽

The Many

Case management and outreach are two important services provided to many individuals, particularly people with multiple problems. Unfortunately, no taxonomy or measuring instrument has been developed that captures the many dimensions of the jobs performed by both case managers and outreach workers. This study conducted a job analysis that led to the development of an instrument that has a variety of potential uses. It can be (a) a method for classifying both case management and outreach programs on a number of dimensions that can be used in comparing different models of case management and outreach, (b) a means to identify specific case management and outreach activities that might be correlated with client outcomes, and (c) a tool for developing selection criteria as well as performance appraisal dimensions to assess case management and outreach work activities.

Download Full-text