Module A: Advocacy and Care Management
CE Credits: 1.3
Even though a case manager works for a healthcare organization, his or her main priority is acting as a patient advocate. This module looks at the components of a CM’s job in terms of care management: identifying patients who would benefit from case management and then putting into action for each patient a care plan, including proper interventions for the patient at the hospital and then helping to facilitate acute/post-acute care needs, all while respecting the patient’s value system, financial capabilities and informed choice. The module also details different scenarios in which case managers can make a difference in a patient’s acute care.
Learning objectives: After completing this module case managers will be able to:
» Identify the dimensions of care management across the episode of acute care
» Describe settings and navigational milestones for the typical inpatient admission
» Relate the CMSA’s definition of case management to day-to-day case management practice
» Discuss interventions that promote the case manager’s advocacy role
Advance your professional practice: Given the fragmented nature of many patients’ hospital stays, it’s important that the case manager learns how to act as the gate keeper, the advocate who sees the big picture for each patient and can help connect them with the care they need for the best outcomes.
Improve organizational performance: Since each member of the transdisciplinary team may play only a small part in a patient’s overall care, it’s important that we all understand and support the role of the case manager in facilitating the care plan for patients.