Conference Prepares Case Managers to Deliver Improved Quality of Care

By COL Suzanne Scott, WTC Chief Nurse

As case managers, our “raison d’être” is to integrate and coordinate care and services for our patients in order to help them achieve optimum health or improved functional capability in the right setting. Recently, thousands of case managers from across the country gathered in San Antonio, TX, for the Case Management Society of America’s Annual Conference & Expo. This weeklong session was designed to help case managers improve the delivery of services to both individual patients and across organizations.

For the over 350 Department of Defense (DOD) and Veterans Affairs (VA) case managers attending the conference, information-sharing and collaboration started early with a combined DOD/VA case management session to discuss hot topics within our individual healthcare settings. This year’s hot topics significantly impact the delivery of care to wounded, ill, and injured Soldiers, Veterans, and their Families. Topics included the Americans with Disabilities Act, suicide prevention, the Comprehensive Pain Management Campaign Plan, women’s health services in the VA, and patient-centered medical homes.

The keynote address was delivered by RADM Christine Hunter, the Deputy Director for TRICARE Management Activity. Hunter touched on each of the hot topics of interest to case managers and tied everything back to the delivery of quality, effective care by case managers. She specifically addressed the case managers caring for wounded, ill, and injured servicemembers, and discussed some of the how-to processes for case managers to effectively navigate TRICARE to coordinate network services for Soldiers, Veterans, and their Families.

Adriana Wilson and Susan Turner from the VA reinforced the critical skills case managers need in the area of suicide prevention. Through a series of vignettes based on actual patient encounters, the Wilson-Turner team drove home the importance of relationship building and the critical need for an ongoing thorough assessment process. Wilson reviewed current suicide statistics and Turner talked about key suicide warning signs to look for in our patients. The duo reminded attendees that as professionals, case managers must ask the right questions to have an impact on suicide prevention.

Ten case management teams from all military services and the VA presented best practices in a poster session. I hope to highlight a few key initiatives in future blog postings. As we walked around the room and talked to the presenters, it was evident that we continue to demonstrate the value of case management through the continued improvements made in individual practice settings.

The conference included a panel discussion with representatives from TRICARE Management Activity, Army, Navy, and Air Force on patient centered medical homes as well as a review of Defense Center of Excellence resources and tools for psychological health and traumatic brain injury for case managers.

At this point, I imagine you are asking, “What’s in it for me?” Well, you can expect that this team of over 350 case managers from DOD and VA returned home with improved skills and a wealth of knowledge on best practices from both military and civilian healthcare management that they will share with you to help continue to enhance warrior care. Case managers can expect in-service training to communicate new evidence-based practice findings and key initiatives. Wounded, ill, and injured Soldiers, Veterans, and Families can expect an expanding resource list to help you through the transition process. Commanders and leaders can expect motivated case manager leaders to continue to facilitate warrior care and transition.

Case Management—Where it All Comes Together

By COL Suzanne Scott, WTC Clinical Support Division

COL Suzanne Scott explains the importance of Case Managers and how they improve their skills to better serve Warriors in Transition and their Families.

Although our Warrior Transition Command Annual Training Conference was canceled, education and training of our case management team continued this week in order to better deliver services to our Warriors.

Case management is a specialty area of practice that requires additional training and ongoing education. To help our Army military and civilian case managers better support Warriors in Transition, the Army Medical Command Medical Management Department hosts a monthly training seminar for case managers and other members of the medical management team.

Our speaker was Navy CPT Andy Spencer, the Chief of Medical Management, TRICARE Region Office North. His seminar focused on defining the role of the nurse case manager and exploring how this role is integrated in the overall model for medical management.

How does this apply to the wounded warrior community? Our Warriors in Transition and their Families are at the center of everything we do. One of the case manager’s roles, and certainly a key focus area, is the integration of healthcare services. CPT Spencer noted that case management is a collaborative process. Case managers use their talents to collaborate and help integrate services between our Military Health System facilities, with our civilian network partners, and with the Department of Veteran Affairs (VA).

Case managers are instrumental in communicating between locations, between disciplines, within the unit, and most importantly with our patients and their Families. Case managers must look at key standards and benchmarks to ensure that our Warriors in Transition and their Families have appropriate access to care. Case managers ensure that the healthcare team and our Warrior Transition Unit team are achieving the outcomes expected to better support Warriors in Transition.

The “so what” of what CPT Spencer addressed is that case managers all entered the profession and became nursing case managers because of their sincere passion for delivering care to Warriors in Transition. In order to effectively assist our Warriors in Transition, we as case managers have a responsibility to determine what is safe and effective. To do this, case managers must turn to evidence based practice guidelines to help guide the delivery of care. The goal is to deliver efficient, proven, and effective care that is consistently medically necessary and safe for Warriors in Transition.

Case managers have lots of new and emerging tools to help with the communication and collaboration process. We use secure e-mail capabilities and Web enabled data transfer tools to exchange information with our healthcare partners at other military medical treatment facilities and with the VA. We use social media to help affect communication and collaboration between patients and providers, and between members of the healthcare team. In addition to the Twitter and Facebook pages used by the Warrior Transition Command, case managers have access to professional forums to exchange best practices and develop better clinical and business processes. To help disseminate data such as patient and staff education seminars, nurse case managers turn to video and audio conferencing through Defense Connect on Line.

So, faithful blog readers, what does this mean for you? If you’re a Warrior in Transition or Family member or a member of the healthcare team, you can feel confident that you have a dedicated member of your team who is focused on bringing all the other members of the team together to help you achieve you or your Warrior’s goals. If you’re a nurse case manager, and had an opportunity to attend this month’s seminar, you have a better sense of how what you do fits in to the larger model. If you did not have a chance to attend, we’re going to repeat this seminar on Thursday, 21 April at 0900. Talk to your Regional Senior Nurse case manager for the Defense Connect Online portal connection information and dial in number.

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Warriors in Transition can submit a blog by e-mailing WarriorCareCommunications [at] conus.army.mil.