Tabla de Contenidos:
  • Cover
  • Half Title
  • Series Title
  • Title
  • Copyright
  • Dedication
  • Contributors
  • Reviewers
  • Foreword
  • Preface
  • Acknowledgments
  • Contents
  • SECTION 1 The Foundation of Case Management Practice
  • CHAPTER 1 Introduction to the CMSA Core Curriculum for Case Management
  • Introduction
  • Descriptions of Key Terms
  • Applicability of the Core Curriculum to CMSAâ#x80;#x99;s Standards of Practice for Case Management
  • Historical Perspective on CMSAâ#x80;#x99;s Standards of Practice for Case Management
  • Select Definitions of Case Management
  • Philosophy of Case ManagementGuiding Principles of Case Management
  • The Case Management Team
  • CHAPTER 2 History and Evolution of Case Management
  • Introduction
  • Descriptions of Key Terms
  • Applicability to CMSAâ#x80;#x99;S Standards of Practice
  • Factors for the Rapid Growth of Case Management
  • Professional Development of Case Management Practice
  • Purposes and Goals of Case Management
  • Philosophical Tenets of Case Management
  • Case Management Knowledge Domains
  • Case Management Target Populations
  • Case Management Versus Other Job Titles
  • CHAPTER 3 Health Care Insurance, Benefits, and Reimbursement SystemsIntroduction
  • Descriptions of Key Terms
  • Applicability to CMSAâ#x80;#x99;s Standards of Practice
  • Driving Forces Behind Health Care Reimbursement Systems
  • Types of Insurance
  • Components of Health Care Reimbursement
  • Health Care Delivery Systems
  • Reimbursement Methods
  • Challenges with Health Care Reimbursement
  • Legal Issues Impacting Managed Care
  • Strategies in Managed Care
  • Compliance Considerations for Case Managers
  • Reimbursement Implications for Case Managers
  • CHAPTER 4 Case Management Practice SettingsIntroduction
  • Descriptions of Key Terms
  • Applicability to CMSAâ#x80;#x99;s Standards of Practice
  • Case Management Practice Settings
  • Telephonic Case Management
  • Case Management in the Payer-Based Settings or Insurance Companies
  • Case Management in the Community Care Setting
  • Case Management in the Ambulatory Clinic and Outpatient Care Setting
  • Case Management in the Patient-Centered Medical Home Care Setting
  • Case Management in the Admitting Department
  • Case Management in the Perioperative Services
  • Independent/Private Case ManagementCase Management in the Emergency Department
  • Patient Flow, Throughput, and Case Management
  • Transitions of Care and Case Management
  • Role of the Case Manager in Patient Safety and Prevention of Medical Errors During Transitions
  • SECTION 2 Case Management and the Health Care Continuum
  • CHAPTER 5 Case Management in the Acute Care Setting
  • Introduction
  • Descriptions of Key Terms
  • Applicability to CMSAâ#x80;#x99;s Standards of Practice
  • Background/Historical Perspective
  • Distinguishing the Hospital Venue