Care Transitions Today

This episode is presented by the American Case Management Association and sponsored by Xsolis. Join our host, Deb McElroy, along with featured guest, Rikki Moye. Rikki is a registered nurse with 20 years of progressive leadership experience in the field of Case Management. She has been the Vice President of Case Management for the Oklahoma division of Ardent Healthcare, Hillcrest HealthCare System for the last 5 years. Her responsibilities include planning, managing, directing and evaluating the activities, functions and the personnel of the division Case Management program.  In this episode, the discussion focuses on innovative ways in which technology has been leveraged, leading to a redesigned care management model and improved outcomes. They also dive into implications for the future.

Xsolis provides data-driven, analytics-fueled solutions to break down the silos that exist between providers and payers to create a better healthcare system for all. When you hear XSOLIS, think excellence in utilization management. Contact XSOLIS today to demo the CORTEX platform, learn more about our work connecting payers and providers, or just run ideas past us. Learn more today by visiting www.xsolis.com/acmapodcast

Do you have topic requests or feedback about this episode? Reach out to us at [email protected].

Today’s episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Dr. Vikram Patel. Dr. Patel is the Pershing Square Professor of Global Health and Wellcome Trust Principal Research Fellow at the Harvard Medical School. He is a psychiatrist whose work over the past two decades has focused on addressing the vast unmet needs for mental health care, especially in low resourced settings.  He holds honorary professorships at the Harvard TH Chan School of Public Health, the Public Health Foundation of India, and the London School of Hygiene & Tropical Medicine.

The pandemic has led to an economic downturn and associated increase in the prevalence of mental health problems globally and considerably worsened the pre-existing crisis of unmet need for care. Dr. Patel argues this presents a historic opportunity to reimagine mental health care, by scaling interventions designed to improve the access, quality, and person-centered features of care. Several programs are discussed throughout this discussion, including the Mental Health for All Lab, the Global Mental Health Initiative at Harvard and Sangath.

Resources referenced by Dr. Patel include:

EMPOWER program - www.empower.care This is a not-for-profit effort of Harvard Medical School's GlobalMentalHealth@Harvard initiative to build the community based mental health workforce.

Mental Health for All Lab -  https://mentalhealthforalllab.hms.harvard.edu/This provides information about the research program led by Dr. Patel at Harvard.

RAND Corporation report on transforming mental health in the U.S. - https://www.rand.org/pubs/research_reports/RRA889-1.html

Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to resources like the Collaborative Case Management Journal, a bimonthly, peer-reviewed digital journal dedicated to all things case management and transitions of care; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Thomas Rhodes. Thomas has over 16 years of experience in respiratory care with ten of those years in leadership. He currently oversees two locations for Houston Methodist. Today the conversation focuses on the impact of a respiratory therapist led COPD education program on acute care hospital readmissions.

Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Take advantage of local chapter engagement. Gain access to insights and professionals in your area by joining one of over 30 ACMA chapters across the country; available exclusively to ACMA Members. Visit acmaweb.org/membership to learn more.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Kathleen Bellamy. Kathleen has been an inpatient case manager at the Arthur James Cancer Hospital at the Ohio State University Wexner Medical Center for almost 28 years. Today the conversation is centered around the development, implementation, challenges, and advantages of a case management clinical ladder. The work discussed in this episode won the most innovative poster presentation at the 2019 National ACMA conference.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to the Member Education Center, where you can access a multitude of recorded webinars, CEs and peer-reviewed articles 24/7; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.

This episode is presented by the American Case Management Association (ACMA). Join our host, Deb McElroy, along with featured guests from Trinity Health - Colleen Fitzgerald and Kyle McDaniel, and from the ACMA, Kathleen Ferket. In this episode, the discussion addresses the application of case management simulation, the process for implementation, how simulation for the case management teams is used to improve care transitions, and much more.

Advanced Care Transitions Simulation (ACTS) is a simulation program created by the ACMA. ACTS is focused on improving care transitions through assessment, communication, planning and collaboration. It leverages unique, team-based simulations of patient scenarios and enhances care coordination and critical thinking. For more information on the Advanced Care Transitions Simulation program, please visit acmaweb.org/acts

Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or for exhibition and sponsorship opportunities.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guests from the Hartford HealthCare Center for Healthy Aging, Wendy Martinson and Michelle Wyman. This episode discusses Caregiver Coaching, an approach to case management for persons with dementia. This approach won the most innovative poster presentation at the 2018 National ACMA conference.

The conversation walks through the initial signs and symptoms of dementia, ways to increase the quality of life for people with dementia, options for long term case management, and resources available for the caregiver of the person with dementia.

The “Dementia Care Partner Resource Guide” is a free guide that has been developed by the Hartford HealthCare Center for Healthy Aging. It is a valuable resource for a caregiver and family and provides helpful information to support caregivers in their vital work. To download your free guide in English or Spanish visit cthealthyaging.org

Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or for exhibition and sponsorship opportunities.

Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Take advantage of local chapter engagement. Gain access to insights and professionals in your area by joining one of over 30 ACMA chapters across the country; available exclusively to ACMA Members. Visit acmaweb.org/membership to learn more.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Kim Brady. Kim is the System Director of Care Management at United Health Services. In this episode, the conversation is centered around the role artificial intelligence has played in risk stratification, efficiency, care management satisfaction, observation rates, patient safety, and more.

Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or for exhibition and sponsorship opportunities.

Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to our Learning Link, an online discussion thread where you can connect and ask questions to thousands of care management professionals across the country; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association. Join our host, Deb McElroy, along with featured guest, Sarah Bradshaw. Sarah is the principal investigator for the research and development of the High Acuity Readmission Risk Pediatric Screen Tool, also known as the HARRPS Tool. She has presented her quality improvement and research findings at several regional and national conferences and has been published in the Journal of Pediatric Nursing and the American Case Management Association’s Collaborative Case Management publication.

In this episode, the conversation is centered around identifying patients at risk for poor transitions, quality improvement, and the process for development of the High-Acuity Readmission Risk Pediatric Screen Tool.

The HARRPS Tool is a collection of questions that calculates an overall readmission risk score for a pediatric patient. The score is then associated with a risk category of low, moderate, or high risk. The evidence-based tool has undergone research providing credibility to the tool’s predictive power in identifying readmission risk for the pediatric population. If you would like to learn more about this free tool for your pediatric patient population, please email [email protected] or visit childrensmercy.org/harrps.

Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or click here for exhibition and sponsorship opportunities. Register before April 21 to save.

Join thousands of your peers who have made the decision to further their connections, learning and knowledge afforded through ACMA membership. Gain access to resources like the Collaborative Case Management Journal, a bimonthly, peer-reviewed digital journal dedicated to all things case management and transitions of care; available exclusively to ACMA Members. Visit www.acmaweb.org/membership to learn more.

Please visit acmaweb.org/podcast for more information about the podcast, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association . Join our host, Deb McElroy, along with featured guest, Marlene Bober. Marlene is currently the VP of Practice Development at the American Case Management Association (ACMA). In this episode, the discussion addresses plans and strategies for emergency preparedness, successful models for staffing and communication, and what steps ACMA has taken to support members and the case management community throughout the COVID-19 pandemic.

The Coronavirus pandemic has taught us that preparation and flexibility are vital to successful care transitions during a crisis. The PiVoT Crisis Response Guide assists care management leaders with a structured checklist of objectives that must be considered before and during a crisis. To learn more about the PiVoT Crisis Management Guide, please click here.

Join us for the premier case management event of the year at the ACMA 2021 National Conference in Orlando, June 22-25. Please visit acmaweb.org/national for more information or click here for exhibition and sponsorship opportunities. Register before April 21 to save.

Please visit acmaweb.org/podcast for more information, or contact us directly at [email protected] with questions, topic requests, or other feedback.

This episode is presented by the American Case Management Association and sponsored by Shirley Ryan AbilityLab and Paradigm. 

Join our host, Deb McElroy, along with featured guests, Dr. Leslie Rydberg, Diane Rowles, and Sheila Bennion. Their discussion addresses transitioning COVID-19 patients to rehabilitation facilities, identifying aspects of good rehab programs for COVID-19 patients, psychosocial issues and challenges faced by patients after COVID-19, and includes innovative processes for managing cases when access to the patient is limited. They also focus on the lasting rehab and support needs of patients and much more.

Shirley Ryan AbilityLab has provided critical rehabilitation services for more than 200 COVID patients. Surviving the disease is the first step  -- recovering cognitive deficits, endurance and other functions requires intensive inpatient rehabilitation and this organization is leading the cause. Their state-of-the-art, 262-bed facility is the first inpatient rehabilitation hospital to integrate research into the clinical setting. Doctors, nurses, therapists, and scientists work side-by-side surrounding the patient, collaborating on new therapy and technology to deliver the best patient outcomes. Ranked #1 by U.S. News & World Report for 30 years, Shirley Ryan AbilityLab is the premiere rehabilitation destination for adults and children with complex conditions such as stroke, brain and spinal cord injuries, amputation and cancer-related impairments. To learn more, visit sralab.org/ACMA.

Paradigm is an accountable care management organization focused on improving the lives of people with complex and catastrophic injuries and diagnoses. We have been a pioneer in value-based care since 1991, offering deep clinical expertise, high-value specialty networks, behavioral health support, payment integrity solutions, and robust data analytics to generate the very best outcomes for patients, payers, and providers. Paradigm is headquartered in Walnut Creek, California, with offices across the U.S. For more information, please visit www.paradigmcorp.com. 

Do you have topic requests or feedback about this episode? Reach out to us at [email protected].