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Physician's Guide

Understanding and Working With Integrated Case Managers

  • Book
  • © 2016

Overview

Authors:
  1. Roger G. Kathol

    1. Adjunct Professor, University of Minnesota, Cartesian Solutions, Inc.™, Burnsville, USA

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  2. Katherine Hobbs Knutson

    1. Department of Psychiatry and Behavioral Sciences, Medical Instructor, Duke University School of Medicine, Durham , USA

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    You can also search for this author in PubMed   Google Scholar

  3. Peter J. Dehnel

    1. Medical Director for Case Management and Utilization Management, Blue Cross Blue Shield of Minnesota, Edina, USA

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  • Comprehensive review of health system changes that have led to the development of patient assistance and support through case management

  • Discusses how to more effectively and efficiently manage patients with health complexity in meeting the challenges faced by treating practitioners and their health systems

  • Provides a lexicon and clinical tools, including the integrated case management-complexity-assessment grid (ICM-CAG), that lead to improved health while reducing healthcare service use

  • Includes supplementary material: sn.pub/extras

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Table of contents (10 chapters)

  1. Front Matter

    Pages i-xv
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  2. Overview of Case Management, Health Complexity, and the Integrated Case Management Approach

    1. Front Matter

      Pages 1-1
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    2. Patient Health Care Assist and Support Services, Integrated Case Management, and Complexity Assessment Grids

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 3-26

    3. Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Adults

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 27-49

    4. Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Children and Youth

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 51-77

    5. The Organizational and Operational Setup of Adult Integrated Complex Case Management

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 79-98

    6. The Organizational and Operational Setup of Pediatric Integrated Complex Case Management

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 99-120

    7. Indirect and Direct Physician Support for Integrated Case Management in Adults

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 121-143

    8. Indirect and Direct Physician Support for Integrated Case Management in Children/Youth

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 145-170

  3. Guidelines for Physicians Working to Maximize Patient Outcomes in Collaboration with Integrated Case Managers

    1. Front Matter

      Pages 171-171
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    2. Organizing and Implementing Value-Added Integrated Case Management

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 173-197

    3. Connecting Integrated Case Management with Integrated Complex Inpatient and Outpatient Care

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 199-212

    4. Physicians’ Contributions to Building and Participating in a Population-Based Case Management Centers of Excellence

      • Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel
      Pages 213-229

  4. Back Matter

    Pages 231-343
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Keywords

About this book

Improving the outcomes for patients in our changing healthcare system is not straightforward. This grounding publication on case management helps physicians better meet the unique needs of patients who present with poor health and high healthcare-related costs, i.e., health complexity. It details the many challenges and optimal practices needed to work effectively with various types of case managers to improve patient outcomes.  Special attention is given to integrated case management (ICM), specifically designed for those with health complexity. The book provides a systematic method for identifying and addressing the needs of patients with biological, psychological, social, and health-system related clinical and non-clinical barriers to improvement. Through ICM, case managers are trained to conduct relationship-building multidisciplinary comprehensive assessments that allow development of prioritized care plans, to systematically assist patients to achieve and document health outcomes in real time, and then graduate stabilized patients so that others can enter the case management process. Patient-centered practitioner-case manager collaboration is the goal. 


This reference provides a lexicon and a roadmap for physicians in working with case managers as our health system explores innovative ways to improve outcomes and reduce health costs for patients with health complexity. An invaluable, gold-standard title, it adds to the literature by capturing the authors' personal experiences as clinicians, researchers, teachers, and consultants. The Physician's Guide: Understanding and Working With Integrated Case Managers summarizes how physicians and other healthcare leadership can successfully collaborate with case managers in delivering a full package of outcome changing and cost reducing assistance to patients with chronic, treatment resistant, and multimorbid conditions.  



Authors and Affiliations

  • Adjunct Professor, University of Minnesota, Cartesian Solutions, Inc.™, Burnsville, USA

    Roger G. Kathol

  • Department of Psychiatry and Behavioral Sciences, Medical Instructor, Duke University School of Medicine, Durham , USA

    Katherine Hobbs Knutson

  • Medical Director for Case Management and Utilization Management, Blue Cross Blue Shield of Minnesota, Edina, USA

    Peter J. Dehnel

About the authors

Roger G. Kathol, MD
Adjunct Professor, University of Minnesota
President, Cartesian Solutions, Inc.™
Chief Medical Officer/Physician Board Advisor, Case Management Society of America
Burnsville, MN, USA 
 
Katherine Hobbs Knutson, MD, MPH
Medical Instructor, Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine
Durham, NC, USA
 
Peter J. Dehnel, MD
Medical Director for Case Management and Utilization Management
Blue Cross Blue Shield of Minnesota
Edina, MN, USA






Bibliographic Information

  • Book Title: Physician's Guide

  • Book Subtitle: Understanding and Working With Integrated Case Managers

  • Authors: Roger G. Kathol, Katherine Hobbs Knutson, Peter J. Dehnel

  • DOI: https://doi.org/10.1007/978-3-319-28959-5

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer International Publishing Switzerland 2016

  • Softcover ISBN: 978-3-319-28957-1Published: 09 August 2016

  • eBook ISBN: 978-3-319-28959-5Published: 27 July 2016

  • Edition Number: 1

  • Number of Pages: XV, 343

  • Number of Illustrations: 12 illustrations in colour

  • Topics: Internal Medicine, Primary Care Medicine, Psychiatry, Public Health

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