The Case Managers Survival Guide and The Basic Principles of Effective Consulting

The Case Manager's Survival Guide: Winning Strategies for Clinical Practice

Author: Toni G Cesta

This practical, "hands-on" guide includes vital information every case manager and administrator of a case management program need to be successful. A useful resource for working in the changing face of healthcare, it addresses case managers in all settings with an emphasis on nurse case managers and their role in providing patient care and containing costs. Focusing on the "nuts and bolts" aspects of case management, it discusses the operations of case management programs based on the authors' first hand experiences.
• Case Management Tip boxes in each chapter highlight important tips and provide easy access to this information.
• Case studies in several chapters address possible situations the case manager may confront along with the most effective solutions.
• Key points at the end of each chapter summarize pertinent information.
• Appendices provide extensive examples of forms and multi-disciplinary action plans used in vari ous healthcare settings.
• Six new chapters have been added on Utilization Management (Chapter 5), Transitional Planning (Chapter 6), Disease Management (Chapter 7), Application of Legal Concepts in Case Management Practice (Chapter 17), Ethical Issues in Case Management (Chapter 18), and Internet Resources and Case Management (Chapter 19).
• Content on Financial Reimbursement Systems has been expanded to cover community case management issues such as the new community reimbursement systems for ambulatory, home, and long-term care.
• Information on community-based models is covered in more detail in response to growth in this area — including managed care, telephonic, rehabilitation,sub-acute, and long-term and emergency department case management.
• The chapter on Skills for Successful Case Management has been expanded to include a discussion of additional skills such as clinical reasoning, cost-effectiveness, and negotiation among other s.
• Content on Developing Case Management Plans has been updated to include more content on community plans and a detailed review of the types of case management plans, including algorithms.
• The chapter on Quality Patient Care has been updated to include an historical review, minimum data sets, report cards, and the relationships between outcomes and quality. Quality indicators and organizations across the continuum are included.
• Appendices have been expanded to include community-based case management plans, home care plans, and long term care plans.
• A new CD-ROM with each book provides the entire text in an electronic format.

Doody Review Services

Reviewer: Pamela J. Manning, RN (University of Colorado Health Sciences Center)
Description: This book addresses the issues case managers face on a daily basis. It is a great tool for the novice as well as seasoned case manager and the case manager's tip section in each chapter is very useful. The first edition was published in 1998.
Purpose: The purpose is to not only update the information, but to also address new topics such as disease management, ethics, utilization management, and transitional planning. This book is an excellent "hands on resource" for the case manager as the role continues to expand. New topics are covered in detail and previously addressed areas are updated; therefore, the authors objectives are met.
Audience: As an RN case manager, I think the book could be used by a nursing student as well as a practicing case manager, especially in the hospital environment. I t covers a vast number of situations that we either have faced, are currently facing, or may face one day.
Features: The book covers a variety of topics, including but not limited to, the role of a case manager, required skills, and the hiring process. It also addresses case management models, the role of a utilization management case manager, and the overall impact case managers have on patient care delivery. Documentation issues are reviewed and contain important aspects that JCAHO, as well as the legal system, require. The Case Manager's Tip sections in each chapter capture the ideas in a very concise and easy to understand format. The chapter on documentation is extremely informative. I would recommend this chapter to all case managers, especially new ones, as it addresses the how, what, when, who, and why aspects of documentation. The use of the "checkmark in a box" (indicating Case Manager's Tip) is eye catching. The boxed areas are also The book is easy to read and an excellent tool for those in case management.
Assessment: This book could be (should be) incorporated as part of a case managers' orientation. I wish I would have had this hands-on resource three years ago. The second edition is required since many aspects of healthcare have changed, and continue to do so, since the publication of the first edition.

Rating

3 Stars from Doody

Table of Contents:

1	Introduction to Case Management	1
2	Financial Reimbursement Systems	15
3	Case Management Models	40
4	Role of the Case Manager	69
5	Utilization Management	96
6	Transitional Planning and Case Management	113
7	Diseases Management	134
8	Skills for Successful Case Management	153
9	Case Manag er's Documentation	174
10	Hiring Case Managers: Role of the Candidate and the Interviewer	195
11	Curricula and Certification in Case Management	204
12	Developing Case Management Plans	217
13	Quality Patient Care	254
14	Measuring the Effectiveness of Case Management	271
15	Linking JCAHO to Case Management	293
16	Legal Issues in Case Management	304
17	Application o f Legal Concepts to Case Management Practice	311
18	Ethical Issues in Case Management	324
19	Using the Internet for Case Management	336
App. A	Community Nurse Case Management Problem List and Plan of Care	351
App. B	Community Nurse Case Management Intervention Flow Sheet and Problem Rating Scale for Outcomes	368
App. C	Community-Based Wound Care Pathway and Flow Sheet	370
App. D	Home Care Plan for Congestive Heart Failure and Hypertension	373
App. E	Subacute Care	378
App. F	Long-Term Care Resident Assessment Instrument Case Study and Care Plans	384
App. G	Preprinted Order Sets	390
App. H	Documentation Guides for Physicians	391
App. I	Case Manager - Inpatient	396
App. J	Case Manager - Admitting Office	398
App. K	Case Manager - Emergency Department	399
App. L	Case Manager - Community	400
App. M	Phys ician Advisor	402
App. N	Guide for a Case Manager's Competency-Based Performance Appraisal	403
App. O	Performance Management Form - Case Coordinator	404
	Glossary	412
	Index	421

The Basic Principles of Effective Consulting

Author: Linda Stroh

This is a very good time for consultants. As corporations have been reorganizing and downsizing, merging and globalizing, the consulting business has been booming.

The Basic Principles of Effective Consulting is about what effective consultants do and how they do it. It provides a step-by-step process that can provide successful outcomes for consultants and their clients. The chapters have plenty of examples and cases of the process used by effective consultants, as cases and examples are one of the best ways to learn the consulting business. Also provided as part of each chapter are short pieces of expert advice by established consultants and users of consulting services. Teachers in business schools will find this book can serve as an excellent supplemental textbook on consulting practices.