The Case Manager's Survival Guide: The Case Manager's Survival Guide / Edition 2

by Toni G. Cesta PhD, RN, FAAN, Hussein A. Tahan MS, DNSc(C), RN, CNA

Overview

This practical, "hands-on" guide includes vital information every case manager and administrator of a case management program need to be successful. A useful resource for working in the changing face of healthcare, it addresses case managers in all settings with an emphasis on nurse case managers and their role in providing patient care and containing costs. Focusing on the "nuts and bolts" aspects of case management, it discusses the operations of case management programs based on the authors' first hand experiences.

• Case Management Tip boxes in each chapter highlight important tips and provide easy access to this information.
• Case studies in several chapters address possible situations the case manager may confront along with the most effective solutions.
• Key points at the end of each chapter summarize pertinent information.
• Appendices provide extensive examples of forms and multi-disciplinary action plans used in various healthcare settings.

Product Details

ISBN-13:	9780323082594
Publisher:	Elsevier Health Sciences
Publication date:	12/03/2002
Edition description:	2nd ed.
Pages:	464
Product dimensions:	8.40(w) x 11.00(h) x 1.20(d)

About the Author

Director of Case Management, Saint Vincent Catholic Medical Centers of New York, Manhattan Region; Principal, Case Manager Solutions, LLC, Tucson, AZ

Director of Nursing, Cardiothoracic and Vascular Services, New York Presbyterian Hospital, Columbia Presbyterian Medical Center, New York, NY

Table of Contents

1. Introduction to Case Management
2. Financial Reimbursement Systems
3. Case Management Models
4. Role of the Nurse Case Manager
5. Utilization Management
6. Transitional Planning
7. Disease Management
8. Skills for Successful Case Management
9. Nurse Case Manager's Documentation
10. Hiring Case Managers: Role of the Candidate and the Interviewer
11. Curricula and Certification in Nurse Case Management
12. Developing Case Management Plans
13. Quality Patient Care
14. Measuring the Effectiveness of a Case Management Model
15. Linking JCAHO to Case Management
16. Legal Issues in Case Management
17. Application of Legal Concepts to Case Management Practice
18. Ethical Issues in Case Management
19. Internet Resources and Case Management

APPENDICES
A. Community Nurse Case Management Problem List and Plan of Care
B. Community Nurse Case Management Intervention Flow Sheet and Problem Rating Scale for Outcomes
C. Community-Based Wound Care Pathway and Flow Sheet
D. Home Care Plan for Congestive Heart Failure and Hypertension
E. Sub-Acute Care
E-1 Clinical Guideline for Short-Term
Sub-Acute Admissions
E-2 Referral Assessment Form
E-3 Sub-Acute Data Collection Tool
F. Long-Term Care Resident Assessment Instrument Case Study and Care Plans
G. Pre-Printed Order Sets
H. Documentation Guides for Physicians
I. Case Manager – Inpatient
J. Case Manager – Admitting Office
K. Case Manager – Emergency Department
L. Case Manager – Community
M. Physician Advisor
N. Guide for a Case Manager's Competency-Based Performance Appraisal
O. Performance Management Form – Case Coordinator
Glossary
Index

Editorial Reviews

3 Stars from Doody

Reviewer: Pamela J. Manning, RN (University of Colorado Health Sciences Center)
Description: This book addresses the issues case managers face on a daily basis. It is a great tool for the novice as well as seasoned case manager and the case manager's tip section in each chapter is very useful. The first edition was published in 1998.
Purpose: The purpose is to not only update the information, but to also address new topics such as disease management, ethics, utilization management, and transitional planning. This book is an excellent "hands on resource" for the case manager as the role continues to expand. New topics are covered in detail and previously addressed areas are updated; therefore, the authors objectives are met.
Audience: As an RN case manager, I think the book could be used by a nursing student as well as a practicing case manager, especially in the hospital environment. It covers a vast number of situations that we either have faced, are currently facing, or may face one day.
Features: The book covers a variety of topics, including but not limited to, the role of a case manager, required skills, and the hiring process. It also addresses case management models, the role of a utilization management case manager, and the overall impact case managers have on patient care delivery. Documentation issues are reviewed and contain important aspects that JCAHO, as well as the legal system, require. The Case Manager's Tip sections in each chapter capture the ideas in a very concise and easy to understand format. The chapter on documentation is extremely informative. I would recommend this chapter to all case managers, especially new ones, as it addresses the how, what, when, who, and why aspects of documentation. The use of the "checkmark in a box" (indicating Case Manager's Tip) is eye catching. The boxed areas are also The book is easy to read and an excellent tool for those in case management.
Assessment: This book could be (should be) incorporated as part of a case managers' orientation. I wish I would have had this hands-on resource three years ago. The second edition is required since many aspects of healthcare have changed, and continue to do so, since the publication of the first edition.

Doody's Review Service