Saturday, December 3, 2016
Cybersecurity is the responsibility of the Information Technology (IT) team, right? Nurses don’t have to worry about that, right? WRONG! While IT may be responsible for managing the overall cybersecurity of an organization, each of us has an individual responsibility to be aware of cybersecurity, how it impacts health care and the privacy of our patients, and what procedures we need to follow to assure safe security practices. This article is the first in a series of three that will discuss these topics and how they relate to our individual role as case managers.
Friday, November 18, 2016
Regardless of the population type, all self-insured organizations are looking for strategies that will decrease costs (both short term and long term) while improving quality. Continue reading to learn more about utilization management, population health management and the role of the TPA in this marketplace.
Sunday, November 6, 2016
Choosing a medical management software system is not simple. Evolving healthcare trends coupled with a slew of new features and functions to consider can overwhelm anyone charged with the task.
Thursday, October 27, 2016
Case managers are burdened by heavy workloads, numerous tasks, and demanding time frames. In addition, they need to have a vast amount of knowledge about a myriad of health care topics (e.g., conditions and diseases; insurance and benefits; available financial and community resources; treatment protocols; clinical standards and guidelines; medications, including dosages, indications, and side effects; and many, many more). It is impossible for nurses to memorize everything they need to know. The constant pressure to provide the best possible care and stay up-to-date with current knowledge and practices is a daunting task for even the most qualified case managers.
Thursday, October 6, 2016
At TCS, we’re looking forward to National Case Management Week. We’ve been supporting the work of case managers (and others involved in this ever-important industry) since 1983. We thought we’d prepare for this noteworthy week with a discussion on the history of case management and how it’s evolved through the years. According to the Case Management Society of America (CMSA), care management is “a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes.” That definition should be familiar to all of us in the industry. However, this was not always the case.