The Integrated Case Management Manual : Value-Based Assistance to Complex Medical and Behavioral Health Patients

Thoroughly revised and updated since its initial publication in 2010, the second edition of this gold standard guide for case managers again helps readers enhance their ability to work with complex, multimorbid patients, to apply and document evidence-based assessments, and to advocate for improved quality and safe care for all patients. Much has happened since Integrated Case Management (ICM), now Value-Based Integrated Case Management (VB-ICM), was first introduced in the U.S. in 2010. __The Integrated Case Management Manual: Valued-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition__ emphasizes the field has now moved from “complexity assessments” to “outcome achievement” for individuals/patients with health complexity. It also stresses that the next steps in VB-ICM must be to implement a standardized process, which documents, analyzes, and reports the impact of VB-ICM services in removing patient barriers to health improvement, enhancing quality and care coordination, and lowering the financial impact to patients, providers, and employer groups. Written by two expert case managers who have used VB-ICM in their large fully disseminated VB-ICM program and understand its practical deployment and use, the second edition also includes two authors with backgrounds as physician support personnel to case managers working with complex individuals. This edition builds on the consolidation of biopsychosocial and health system case management activities that were emphasized in the first edition. A must-have resource for anyone in the field, __The Integrated Case Management Manual: Value-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition__ is an essential reference for not only case managers but all clinicians and allied personnel concerned with providing state-of-the-art, value-based integrated case management. Front Matter ....Pages i-xvi Introduction to Value-Based Integrated Case Management (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 1-18 Assisting Lucinda: A Depressed Individual with Diabetes Mellitus, Numerous Complications, Poor Control, and High Service Use (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 19-39 Overview of Health Complexity and the Interaction Between Physical and Behavioral Health Conditions (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 41-52 The Value-Based Integrated Case Management Workplace (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 53-64 Adult and Pediatric Value-Based Integrated Case Management from “A” to “Z” (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 65-83 Motivational Interviewing and Health Behavior Change in Individuals with Health Complexity (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 85-102 Cross-Disciplinary Training for Value-Based Integrated Case Managers (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 103-117 Assisting Paul: A 13-Year-Old with Congenital Heart Disease, Family Anxiety, and School Nonattendance (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 119-139 Medical and Behavioral Health Information Gathering by Value-Based Integrated Case Managers (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 141-155 Using a Value-Based Integrated Case Manager Dialogue for Complexity Assessments and Care Plan Development (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 157-169 Scoring Adult and Pediatric Value-Based Integrated Case Management Complexity Assessment Grids (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 171-190 Care Plan Development, Barrier Reversal, Patient-Centered ICM Performance, Graduation, and Outcome Analysis (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 191-206 Setting Up Value-Based Pediatric Integrated Case Management for Children with Health Complexity (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 207-220 Working with Medical Directors and Treating Clinicians as Part of Value-Based Integrated Case Management (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 221-227 Assisting Robert and Recording Individual and Group Outcomes Using Value-Based Integrated Case Management Procedures (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 229-245 Case Manager Training: A Critical Step for Delivery of Successful Value-Based Integrated Case Management (Roger G. Kathol, Rachel L. Andrew, Michelle Squire, Peter J. Dehnel)....Pages 247-254 Back Matter ....Pages 255-335 Annotation Thoroughly revised and updated since its initial publication in 2010, the second edition of this gold standard guide for case managers again helps readers enhance their ability to work with complex, multimorbid patients, to apply and document evidence-based assessments, and to advocate for improved quality and safe care for all patients. Much has happened since Integrated Case Management (ICM), now Value-Based Integrated Case Management (VB-ICM), was first introduced in the U.S. in 2010. The Integrated Case Management Manual: Valued-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition emphasizes the field has now moved from "complexity assessments" to "outcome achievement" for individuals/patients with health complexity. It also stresses that the next steps in VB-ICM must be to implement a standardized process, which documents, analyzes, and reports the impact of VB-ICM services in removing patient barriers to health improvement, enhancing quality and care coordination, and lowering the financial impact to patients, providers, and employer groups. Written by two expert case managers who have used VB-ICM in their large fully disseminated VB-ICM program and understand its practical deployment and use, the second edition also includes two authors with backgrounds as physician support personnel to case managers working with complex individuals. This edition builds on the consolidation of biopsychosocial and health system case management activities that were emphasized in the first edition. A must-have resource for anyone in the field, The Integrated Case Management Manual: Value-Based Assistance to Complex Medical and Behavioral Health Patients, 2nd Edition is an essential reference for not only case managers but all clinicians and allied personnel concerned with providing state-of-the-art, value-based integrated case management