Case Management

CMW Tip of the Week: Case managers and core measures

Case Management Weekly, December 24, 2008

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This week’s tip, an “Ask the Expert” is provided by June Stark, RN, BSN, MEd.

Q: What role does the case manager play in coordinating and implementing core measures?

A:
The primary barrier to having a case manager in this role is that it adds yet another responsibility to an already overburdened caseload.

If a case manager accepts the responsibility of becoming involved in the core measure process, this should not mean he or she becomes the leader of the project or carries out the core measures at the bedside. Instead, the case manager performs what is called “the sweep,” which is a final review of a patient’s chart.

This is the last opportunity to make sure all the core measures have been carried out and documented by the staff nurses and physicians throughout a patient’s entire hospital stay. In essence, the case manager has the final word on the completion and documentation of the core measures.

Have a tip or tool you’d like to share? Or maybe a question for our experts? E-mail it to editor Julie McGinley at jmcginley@hcpro.com.Your thoughts could be featured in the next issue of Case Management Weekly!



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