Advertisement

Adult and Pediatric Value-Based Integrated Case Management from “A” to “Z”

  • Roger G. Kathol
  • Rachel L. Andrew
  • Michelle Squire
  • Peter J. Dehnel
Chapter

Chapter Objectives

  • To depict manager activities in value-based adult and pediatric integrated case management from initiation through graduation.

  • To describe the value-based integrated case management team approach and the use of manager “pods” for assistance to individuals with health complexity.

  • To outline needed value-based integrated case management training prior to the delivery of adult and pediatric value-based integrated case management.

  • To summarize value-based integrated case management triage, prioritization, stratification, and enrollment procedures.

  • To walk budding value-based integrated case management managers though the process of delivering outcome-changing assistance to complex individuals.

Keywords

VB-ICM work processes VB-ICM pods Triage Prioritization Stratification Care plan development Patient-centered ICM performance measurement VB-ICM graduation 

References

  1. 1.
    Newell S, Jordan Z. The patient experience of patient-centered communication with nurses in the hospital setting: a qualitative systematic review protocol. JBI Database System Rev Implement Rep. 2015;13(1):76–87.CrossRefGoogle Scholar
  2. 2.
    Truglio-Londrigan M, Slyer JT, Singleton JK, Worral P. A qualitative systematic review of internal and external influences on shared decision-making in all health care settings. JBI Libr Syst Rev. 2012;10(58):4633–46.PubMedGoogle Scholar
  3. 3.
    Scholl I, Zill JM, Harter M, Dirmaier J. An integrative model of patient-centeredness - a systematic review and concept analysis. PLoS One. 2014;9(9):e107828.CrossRefGoogle Scholar
  4. 4.
    Blumenthal D, Abrams MK. Tailoring complex care management for high-need, high-cost patients. JAMA. 2016;316(16):1657–8.CrossRefGoogle Scholar
  5. 5.
    Kathol RG, Knutson KH, Dehnel PJ. Physician’s guide: understanding and working with integrated case managers. Switzerland: Springer; 2016.CrossRefGoogle Scholar
  6. 6.
    Malone SM. A guide to 42 CFR and the Federal register: what’s in them and how to obtain them. Clinical Information Consulting: Colorado Springs, CO; 1998.Google Scholar
  7. 7.
    United States. Congress. House. Committee on Energy and Commerce. Subcommittee on Health, Examining H.R. 2646, the Helping Families in Mental Health Crisis Act: hearing before the Subcommittee on Health of the Committee on Energy and Commerce, House of Representatives, One Hundred Fourteenth Congress, first session, June 16, 2015. Washington, DC.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Roger G. Kathol
    • 1
  • Rachel L. Andrew
    • 2
  • Michelle Squire
    • 3
  • Peter J. Dehnel
    • 4
  1. 1.Cartesian Solutions, Inc.™ and University of MinnesotaBurnsvilleUSA
  2. 2.Premera Blue Cross Mountlake TerraceUSA
  3. 3.ManahawkinUSA
  4. 4.Twin Cities Medical SocietyEdinaUSA

Personalised recommendations