Targeting case management at conditions and populations that will have the greatest impact on closing gaps in care, while avoiding unnecessary and avoidable resource utilization is the critical element of a successful case management program.
In addition to its clinical case managers, CareOregon has been building its case management program capacity over the last five years to include non-clinical staff members to fill the role of health guides for its Medicare and Medicaid members. Members in need of case management are stratified into this multi-disciplinary team through an overlapping identification methodology.
Listen to pre-conference comments from Rebecca Ramsay.
During Case Management: Identifying, Monitoring and Managing Target Populations, a 60-minute webinar now available as a CD-ROM, via On Demand Web access or as a training DVD, Rebecca Ramsay, BSN, MPH, senior manager of care support and clinical programs at CareOregon, shared the strategies that CareOregon is using to segment patients into different buckets based on patient complexity to ensure that case management resources are allocated effectively.
You will get details on:
- Identifying those at-risk of high utilization and complex cases through multiple methods;
- Understanding the population being served to determine the case management approach, interventions and staff resources to use;
- Recruiting, hiring and educating case managers for effective outcomes;
- Engaging case management patients through motivational interviewing techniques;
- Encouraging patient self-management in the case management process; and
- Monitoring and managing the case manager and the patient.
Register for Case Management: Identifying, Monitoring and Managing Target Populations and the August 25th webinar, Best Practices in Case Management Patient Contact, Monitoring and Follow-up and save 15%. Use coupon code CM at checkout.
Have questions on our webinar and/or webinar formats? Visit our webinar FAQ.
You can listen to this program right in your office and enjoy significant savings Ė no travel time or hassle; no hotel expenses. Itís so convenient! Invite your staff members to gather around a conference table to listen to the CD, DVD or the On Demand version.
WHO WILL BENEFIT FROM THIS CONFERENCE?
CEOs, medical directors, disease management directors, managers and coordinators, case management executives, case managers, health plan executives, care management nurses, physician executives and business development and strategic planning directors.
ABOUT OUR PANELIST:
||CareOregon uses two techniques to identify Medicare patients for a transitional care program.
Rebecca Ramsay, B.S.N., M.P.H., is the senior manager of care support and clinical programs at CareOregon. During her five year tenure at CareOregon she has worked to develop and implement an innovative, nationally recognized team-based care management program that targets the planís highest risk and costliest members. Unlike many care management programs that focus outreach and management to specific disease states, CareOregonís care support program adheres to a holistic biopsychosocial model that is rooted in population management strategies.
Over the past two years, Ramsay has worked with colleagues at Oregon Health Sciences University (OHSU) to develop a competency based motivational interviewing training program for CareOregonís case managers. This training has profoundly enhanced the programís client-centeredness and the case managersí skills in self- management support for the planís members. Most recently, Ramsay has been developing and facilitating a primary care-based care management learning collaborative as a critical component of the medical home transformation project that CareOregon is sponsoring in partnership with their safety net providers.
After receiving her BSN, Ramsay worked for 10 years as a nurse and research associate at OHSU, with a clinical focus on promotion of self-management among women experiencing high-risk pregnancies, ambulatory womenís health, and labor and delivery. Her interest in public health principles, including population-based promotion and prevention strategies, led her to pursue an MPH.
Ramsay received her Bachelor of Science in Nursing at the University of Madison, Wis., and her Masters in Public Health at Portland State University.