Professional Case Management: The Leader in Evidence-Based Practice is a peer-reviewed, contemporary journal that crosses all case management settings. The Journal features best practices and industry benchmarks for the professional case manager and also features hands-on information for case managers new to the specialty. Articles focus on the coordination of services, management of payer issues, population- and disease-specific aspects of patient care, efficient use of resources, improving the quality of care/patient safety, data and outcomes analysis, and patient advocacy. The Journal provides practical, hands-on information for day-to-day activities, as well as cutting-edge research.

Professional Case Management: The Leader in Evidence-Based Practice is a peer-reviewed contemporary journal that encompasses all case management settings. The journal showcases best practices and industry benchmarks for professional case managers, while also providing practical information for those new to the specialty. Articles focus on service coordination, management of payer issues, population- and disease-specific aspects of patient care, efficient resource utilization, improving quality of care and patient safety, data and outcomes analysis, and patient advocacy. The journal offers practical, hands-on information for daily activities, as well as cutting-edge research.

《Professional Case Management》是一本同行评审的现代期刊，致力于提供基于证据的最佳实践，涵盖所有案例管理领域。该期刊展示了专业案例管理者的最佳实践和行业基准，同时也为新入行的案例管理者提供实用信息。文章内容主要集中在服务协调、支付方问题管理、特定人群和疾病的患者护理、资源的高效利用、提高护理质量和患者安全、数据与结果分析以及患者倡导等方面。期刊为日常工作提供实用的、切实可行的信息，并展示前沿研究成果。

Professional Case Management

Purpose: Effective interprofessional (IP) collaboration is essential for managing complex patient cases. Collaborative clinical reasoning (CCR) is an approach where IP teams collectively analyze and address complex clinical cases, facilitating a shared understanding of patient management. While simulation and case-based learning are established methods for fostering IP collaboration, the process by which students develop a shared mental model for patient management after a simulated home visit and how this approach promotes the development of IP competencies is unknown. Understanding this process is critical for advancing IP competences that are fundamental to case management practice. The purpose of this study was to explore students’ perceptions of the CCR processes used to develop an integrated care plan following a simulated home visit. Primary Practice Settings: Home care and community-based practice settings Methodology and Sample: A qualitative descriptive approach was employed to explore PT and nursing student teams’ perceptions of the CCR processes used to develop an integrated care plan following a simulated home visit. Written responses to five reflection questions were analyzed using conventional content analysis among n = 87 physical therapy and nursing students. Results: There were three overarching themes: clarifying roles; developing a mutual approach; embracing shared values. Students’ perceptions reflected skills needed to develop IP competencies including CCR. More research is needed to explore how student teams resolve disputes and use interdisciplinary knowledge in the process of CCR. Implications for Case Management Practice: Findings highlight the importance of IP collaboration in clinical case management, emphasizing the need for case managers to facilitate clear role clarification, mutual approaches, and shared values among IP teams to enhance integrated care planning and improve patient outcomes. These insights can inform training and development programs for case managers on IP teams, promoting the adoption of CCR in practice.

Stephanie Hart

Christine Lysaght

Ryan Wedge

Development of Interprofessional Competencies Through the Process of Collaborative Clinical Reasoning

通过协作临床推理过程发展跨专业能力

Purpose: Emergency departments (EDs) are a vital component of the United States healthcare system and care for over 130 million patient visits annually. Nonurgent ED visits can contribute to crowding, delays in care, and adverse effects. Many high-utilizing ED patients may present with complex medical, behavioral, and social needs that are not necessarily emergent or urgent in nature. The authors created an Integrated Care Model, called the Multi-Visit Patient (MVP) program, for patients with 5 or more visits to the ED in a rolling 12-month period. The MVP program incorporated an interdisciplinary group of ED leadership and case management (CM) to identify, engage, and intervene with ED MVPs, aiming to improve their ED utilization. Patients received comprehensive screenings for depression, falls, alcohol use disorder, caregiver support, social determinants of health, and more. Based on these screenings, the CM team implemented interventions such as connecting patients with outpatient specialists and linking patients to community-based organizations to optimize stability, wellness, and reduce ED utilization. Primary Practice Setting: The collaboratively developed MVP program was implemented in the ED of a large, suburban, tertiary care academic hospital. Findings/Conclusions: The MVP program identified 221 MVP patients over a 20-month period and successfully connected with 89% of them. Of these 221 patients, 78% (172 patients) chose to engage in the MVP program, with 160 completing their engagement with an outcome. Among the patients who completed their engagement and for whom the study could match separate utilization data (151 patients), the study observed a 57% reduction in ED visits. Implications for Case Management Practice: Case managers play a crucial role in the effectiveness of the MVP program by coordinating comprehensive care for high-utilizing ED patients. The MVP program includes transition of care initiatives designed to improve patient outcomes. Through screenings and targeted interventions, case managers identify and address the complex medical, behavioral, and social needs of MVP patients. This collaborative, interdisciplinary approach underscores the importance of timely and coordinated care, benefiting both patients and the health system. The MVP program exemplifies the critical role of case managers in reducing unnecessary ED visits and enhancing overall patient care.

April Feld

Matt Carollo

Jere Freeman-Reyes

Susan McCarthy

Mary Ann Lind

Robert Weinstein

Caitlin O’Dea

Maria Joy

Eric J. Morley

Paul Aitken

Robert Schwaner

Dominic Giarraputo

Samita M. Heslin

Gather “Round”

“围”聚

Purpose of Initiative: After noting an elevated chronic obstructive pulmonary disease readmission rate for 2022, the inpatient Nurse Navigator at a rural nonprofit, 116-bed acute care facility in the State of Virginia met with interdisciplinary team (IDT) members to identify improvement efforts to decrease 30-day readmission rates. Primary Practice Setting: A 116-bed health care facility in Southside Virginia. Methodology and Sample: Quality improvement initiative aimed to decrease 30-day penalty readmission rates using a collaborative IDT approach, focusing on patients 65 years or older who are discharged home or to an assisted living facility with a diagnosis of acute myocardial infarction, heart failure, chronic obstructive pulmonary disease, and pneumonia. Results: Compared to the readmission rates obtained in 2022, the 2023 readmission rates among the four diagnoses groups met or were under the disease-specific targets for 2023, supporting the efforts of the collaborative interdisciplinary approach to decrease 30-day readmission rates. Implications for Case Management Practice: Addressing community barriers and social determinants of health at the index admission. Collaborating with IDT members for a safe transition of care. Using the community paramedic program to provide additional resources to a rural community.

Melissa Cawley-Chambers

Reducing Readmissions Using Collaborative Care

使用协作护理减少再入院

Purpose of Study: Thirty-day readmission is associated with increased morbidity and mortality among postoperative coronary artery bypass graft (CABG) surgery patients. Interventions such as case management and follow-up care may reduce 30-day readmission. The purpose of this article is to report a study on modifiable factors that may have significant implications for case management in the prevention of readmission after CABG surgery. Primary Practice Setting(s): The study population included all the adult patients who underwent first-time CABG surgery from January 1, 2013, to January 1, 2016, from a Mid-South hospital. Methodology and Sample: A retrospective case–control study was employed to examine 1,712 patients who underwent CABG surgery. Results: The results revealed that patients readmitted within 30 days had a significantly shorter length of stay (LOS) (6 days vs. 10 days; p &lt; .0001), more days in intensive care unit (6 days vs. 4 days; p = .0391), and significantly higher diabetes/renal (4% vs. 1%), infection (17% vs. 2%), and respiratory-related diagnoses (10% vs. 1%; p &lt; .0001). Implications for Case Management Practice: Among these factors, hospital LOS is a major factor that can be addressed through case management in addition to other modifiable risk factors. Understanding modifiable factors associated with higher readmission risk is crucial for effective intervention and case management planning.

Annapoorna Mary

Fawaz Mzayek

Leanne L. Lefler

Yu (Joyce) Jiang

Meghan Meadows Taylor

Case Management in Prevention of 30-Day Readmission in Post-Coronary Artery Bypass Graft Surgery

冠状动脉旁路移植术后30天再入院预防中的病例管理

This study assessed the effectiveness of a virtual interprofessional education (IPE) discharge planning simulation, focusing on collaborative patient education, and recommendations for hospital discharge.

Leslie M. Smith

Julie Jacob

Nicholas Prush

Sheryl Groden

Elizabeth Yost

Stephanie Gilkey

Carman Turkelson

Megan Keiser

Virtual Interprofessional Education

虚拟跨专业教育

Ed Quick

Patricia Nunez

Addressing Physical and Mental Health: Work as a Transition of Care

解决身心健康问题：工作作为护理的过渡

Ellen Fink-Samnick

Diversity, Equity, Inclusion, and Belonging’s Evolving Regulatory Landscape: Legal Mandates and Ethical Context for Professional Case Management

多样性、公平性、包容性和归属感的不断演变的监管环境：专业个案管理的法律要求和伦理背景

Some estimate that 1.5 billion people worldwide suffer from chronic pain. In the United States, chronic pain affects about 20% of the people with an annual cost of $600 billion. The most common type of chronic pain is chronic back pain. Since pain assessment and management is not always successful, this Editorial put some alternative pain modalities in the case managers’ toolbox.

Suzanne K. Powell

What are the Tools in Your CM Toolbox for Pain?

你的CM工具箱里有哪些缓解疼痛的工具？

短名	Prof. Case Manag.
Journal Impact	0.65
国际分区	HEALTH CARE SCIENCES & SERVICES(Q4)

ISSN	1932-8087, 1932-8095
h-index	25

涉及主题	政治学法学医学心理学护理部生物业务计算机科学化学精神科生物化学梅德林工程类经济过程管理案例管理经济增长医疗保健
出版信息	出版商: Lippincott Williams and Wilkins Ltd.，出版周期: ，期刊类型: journal，开源期刊: 否
基本数据	创刊年份: 2007，原创研究文献占比: 92.11%，自引率:12.50%， Gold OA占比: 3.37%

Professional Case Management

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Development of Interprofessional Competencies Through the Process of Collaborative Clinical Reasoning

Gather “Round”

Reducing Readmissions Using Collaborative Care

Case Management in Prevention of 30-Day Readmission in Post-Coronary Artery Bypass Graft Surgery

Virtual Interprofessional Education

Gather “Round”

Development of Interprofessional Competencies Through the Process of Collaborative Clinical Reasoning

Addressing Physical and Mental Health: Work as a Transition of Care

Diversity, Equity, Inclusion, and Belonging’s Evolving Regulatory Landscape: Legal Mandates and Ethical Context for Professional Case Management

What are the Tools in Your CM Toolbox for Pain?