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How can case managers lead in a changing healthcare environment?

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Case management is a vital skill in the healthcare sector, as it involves coordinating and facilitating the care of patients across different settings and providers. However, the healthcare environment is constantly changing, due to factors such as new technologies, regulations, policies, consumer preferences, and population health needs. How can case managers lead in a changing healthcare environment and ensure that they deliver quality, efficient, and patient-centered care?

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Ravi Mariwalla

Healthcare Consulting Leader driving digital healthcare transformation at LTIMindtree

1 Understand the changes and their impacts

The first step to leading in a changing healthcare environment is to understand the nature and scope of the changes and how they affect the case management practice. For example, case managers need to be aware of the latest evidence-based guidelines, quality standards, reimbursement models, and accreditation requirements that shape their work. They also need to monitor the trends and challenges in the healthcare system, such as the shift to value-based care, the integration of social determinants of health, the emergence of telehealth, and the impact of COVID-19. By understanding the changes and their impacts, case managers can anticipate the needs and expectations of their patients, providers, and payers, and adapt their strategies accordingly.

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Ravi Mariwalla

Healthcare Consulting Leader driving digital healthcare transformation at LTIMindtree
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Care Managers are at the center of a challenging care delivery environment, full of great expectations. Today, PopHealth is associated with Value Based Care programs and there is need for all round improvements, spanning discharge planning, education, follow ups as well as chronic and complex care management. There are also different quality measures, aligned with shared risk, Govt. VBC and commercial VBC programs. Keeping track of those is not humanly possible. However, technology can truly deliver with managing the complex programmatic needs of VBC and helping the Care Management team do the right thing using tools like Next Best Action ( NBA), push notifications, smart worklists and shared decision making!

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Lena Maksimova

Business Growth | Recruiter | AllegianceTek
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As much of the development today is technology-driven, it is absolutely imperative to stay up-to-date on the latest developments and technology solutions to use them to your benefit. Techonologies such as AI, ML, and MR have much to offer when it comes to healthcare sector, the case managers must explore the use of these technologies in their respective fields and take advantage of the benefits they offer. At the same time, it is crucial to be aware of the limitations of these technologies and develop understanding of how best to make use of them.

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2 Communicate and collaborate effectively

The second step to leading in a changing healthcare environment is to communicate and collaborate effectively with all the stakeholders involved in the case management process. Case managers need to establish and maintain clear and consistent communication channels with their patients, families, caregivers, providers, and payers, and ensure that they share relevant information, feedback, and updates. They also need to foster a culture of collaboration and trust among the members of the interdisciplinary care team, and leverage their skills and expertise to achieve common goals. By communicating and collaborating effectively, case managers can enhance the coordination and continuity of care, reduce errors and conflicts, and improve outcomes and satisfaction.

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Ravi Mariwalla

Healthcare Consulting Leader driving digital healthcare transformation at LTIMindtree
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Care Management is all about collaboration, about shared decision-making and information sharing. Technology platforms actually enable these objectives, and carry great potential in this regard. However, the care team needs to drive process improvement along these lines. Just because a platform allows for information sharing and shared decision making, it is not a given that the care team will use it that way! Their leadership needs to find process gaps and or opportunities, based on best practices. Often times, platform vendors have this infromation but mayn't think of sharing it and or introducing you to other users of their products who will willingly share such process improvement ideas with you. Make sure to ask, research and adopt!

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3 Embrace innovation and learning

The third step to leading in a changing healthcare environment is to embrace innovation and learning as part of the case management practice. Case managers need to be open to new ideas and technologies that can improve their efficiency, effectiveness, and quality of care. They also need to seek and participate in opportunities for professional development and education, such as training, mentoring, certification, and research. By embracing innovation and learning, case managers can keep up with the evolving standards and expectations of their profession, and demonstrate their competence and value to their patients, providers, and payers.

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Ravi Mariwalla

Healthcare Consulting Leader driving digital healthcare transformation at LTIMindtree
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With the explosion in electronic data and technology solutions, case managers may need to pro-actively embrace these solutions. Obviously, when new solutions are implemented they'll need to be demanding and push technology to deliver! Building the Golden record, using Machine Learning to extract insights, setting up collaborative team work groups for the Care team, assessing and improving Voice of customer by establishing listening posts, leveraging risk algorithms and customizing them for optimal insights can only happen, when the case manager's team is aware that such solutions are actually out there and can transform their work.

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4 Advocate for patients and case management

The fourth step to leading in a changing healthcare environment is to advocate for patients and case management as a key component of the healthcare system. Case managers need to use their knowledge and skills to promote the best interests of their patients, and ensure that they receive appropriate, timely, and equitable care. They also need to raise awareness and recognition of the role and contribution of case management to improving healthcare quality, efficiency, and outcomes. By advocating for patients and case management, case managers can influence the policies and practices that affect their work, and strengthen their position and reputation in the healthcare sector.

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Dr. Kishan Pareek

Public Health Specialist
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In a changing healthcare environment, case managers can lead by staying informed about evolving policies, technologies, and best practices through continuous education and networking. They should advocate for patients by ensuring care coordination, promoting patient-centered approaches, and addressing social determinants of health. Proactive involvement in policy discussions and fostering partnerships with healthcare stakeholders enhances case managers' advocacy role. By championing the value of case management in improving patient outcomes and reducing healthcare costs, they contribute to positive changes in the healthcare landscape.

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5 Practice self-care and resilience

The fifth step to leading in a changing healthcare environment is to practice self-care and resilience as a case manager. Case management is a demanding and stressful job, especially in a dynamic and uncertain healthcare environment. Case managers need to take care of their physical, mental, and emotional health, and seek support and resources when needed. They also need to develop and maintain a positive and flexible attitude, and cope with the challenges and changes that they face. By practicing self-care and resilience, case managers can prevent burnout and compassion fatigue, and enhance their well-being and performance.

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6 Lead by example and inspire others

The sixth and final step to leading in a changing healthcare environment is to lead by example and inspire others as a case manager. Case managers need to demonstrate their leadership skills and qualities, such as vision, integrity, accountability, and collaboration, in their daily work. They also need to share their insights and experiences, and mentor and motivate other case managers, especially the new and emerging ones. By leading by example and inspiring others, case managers can create a positive and productive work environment, and foster a culture of excellence and innovation in case management.

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7 Here’s what else to consider

This is a space to share examples, stories, or insights that don’t fit into any of the previous sections. What else would you like to add?

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How can case managers lead in a changing healthcare environment?

1

2

3

4

5

6

7

1 Understand the changes and their impacts

2 Communicate and collaborate effectively

3 Embrace innovation and learning

4 Advocate for patients and case management

5 Practice self-care and resilience

6 Lead by example and inspire others

7 Here’s what else to consider

Case Management

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How can case managers lead in a changing healthcare environment?

1

2

3

4

5

6

7

1 Understand the changes and their impacts

2 Communicate and collaborate effectively

3 Embrace innovation and learning

4 Advocate for patients and case management

5 Practice self-care and resilience

6 Lead by example and inspire others

7 Here’s what else to consider

Case Management

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