Module H: Cross-Sector Interventions

CE Credits: 1.25

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This module looks at the problem of under-insured or uninsured patients, who often need ongoing, holistic care as well as proactive patient advocacy. It begins by looking at how hospitals can start addressing the issues around uncompensated care, in part by extending their insurance counseling. Next, the module looks at specific ways that the team can help patients access better care across the continuum, both by accessing community and public health programs, and by forging better connections with patients through culturally and linguistically appropriate services (CLAS).

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Learning objectives: After completing this module case managers will be able to:
» Discuss organizational policies and team coordination within uncompensated care
» Describe the effect of uncompensated care
» Identify teamwork and opportunities in forging transitional care planning across the continuum
» Discuss national standards for culturally and linguistically appropriate services (CLAS)

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Advance your professional practice: Since CMs often act on the front line of the transdisciplinary team, we are uniquely qualified to help uninsured patients close their gaps in care, and work collaboratively to manage resources for timely, quality and cost-effective care.

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Improve organizational performance: Uninsured and underinsured patients can create a huge loss of revenue for hospitals, especially in the emergency room. When we can help connect patients with appropriate coverage and interventions, we can help them achieve better outcomes while also improving the hospital’s fiscal health.