Module B: “Right Care” Guidelines for Practice

CE Credits: 1.7

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This module explores the shift in a general approach to how we treat patients—giving patients the right care at the right place and at the right time. It begins by defining “right care”—or evidence-based treatment—as opposed to clinical pathways, which is the more traditional, timeline-based treatment that some hospitals still practice due to habit and previous training. The module then looks at physician profiling— accounting for a physician’s performance, based on treatment strategies, costs and outcomes. It also details how physicians, case managers and patients can benefit when CMs and doctors find ways to partner in their treatment.

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Learning objectives: After completing this module case managers will be able to:
» Describe the features of a right care approach to case management
» Explain what is meant by evidence-based clinical practice
» Trace the evolution from clinical pathways and care plans to professionally endorsed protocols
» Explain the purpose of physician practice profiles and how practice variations affect quality and costs
» Review the opportunities for partnerships and the benefits of collaboration among members of the clinical team as well as providers in the community

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Advance your professional practice: When we understand what “right care” means—looking at evidence-based treatments as our foundation, rather than relying on how things have been done in the past—we can offer the most proactive care for our patients, and also strengthen our role in the transdisciplinary team.

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Improve organizational performance: Given the range of experiences and training that our team members have had, it’s important that we find common ground so that we can care for our patients in the most efficient and effective way possible. By understanding the right- care approach and evidence-based treatment, we can be better equipped to collaborate with our peers when caring for patients.