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Case Management on the Front Lines of COVID-19: The Importance of the Individualized Care Plan Across Care Settings.
Baker, Michelle; Nelson, Sheila; Krsnak, Jean.
  • Baker M; Michelle Baker, BS, RN, CRRN, CCM, is the 2020-2021 chair of the Commission for Case Manager Certification (CCMC), the first and largest nationally accredited organization that certifies case managers. She is also Associate Director, Network Services, for Paradigm Catastrophic Care Management. Her p
  • Nelson S; Sheila Nelson, MSN, RN, CCM, is a CCMC Commissioner and Secretary of its Executive Committee. She is a clinical practice specialist for Kaiser Permanente Washington and a member of its Care Management Programs and Strategies Team to direct and facilitate clinical practice innovation and best practic
  • Krsnak J; Jean Krsnak, MSN, MBA, RN, CCM, is a CCMC Commissioner and an acute care case manager at UC Irvine Medical Center. She has more than 20 years of experience as a registered nurse, in a variety of roles including clinician, staff educator, consultant, and case manager. Her experience is primarily in a
Prof Case Manag ; 26(2): 62-69, 2021.
Article in English | MEDLINE | ID: covidwho-1087857
ABSTRACT

PURPOSE:

Since the outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), and the disease known as COVID-19, case management has emerged as a critical intervention in the treatment of cases, particularly for patients with severe symptoms and medical complications. In addition, case managers have been on the front lines of the response across the health care spectrum to reduce risks of contagion, including among health care workers. The purpose of this article is to discuss the case management response, highlighting the importance of individual care plans to provide access to the right care and treatment at the right time to address both the consequences of the disease and patient comorbidities. PRIMARY PRACTICE SETTINGS The COVID-19 response spans the full continuum of health and human services, including acute care, subacute care, workers' compensation (especially catastrophic case management), home health, primary care, and community-based care. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE From the earliest days of the pandemic, case managers have assumed an important role on the front lines of the medical response to COVID-19, ensuring that procedures are in place for managing a range of patients those who were symptomatic but able to self-isolate and care for themselves at home; those who had serious symptoms and needed to be hospitalized; and those who were asymptomatic and needed to be educated about the importance of self-isolating. Across the care spectrum, individualized responses to the clinical and psychosocial needs of patients with COVID-19 in acute care, subacute care, home health, and other outpatient settings have been guided by the well-established case management process of screening, assessing, planning, implementing, following up, transitioning, and evaluating. In addition, professional case managers are guided by values such as advocacy, ensuring access to the right care and treatment at the right time; autonomy, respecting the right to self-determination; and justice, promoting fairness and equity in access to resources and treatment. The value of justice also addresses the sobering reality that people from racial and ethnic minority groups are at an increased risk of getting sick and dying from COVID-19. Going forward, case management will continue to play a major role in supporting patients with COVID-19, in both inpatient and outpatient settings, with telephonic follow-up and greater use of telehealth.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Care Planning / Health Personnel / Patient-Centered Care / Case Management / Critical Care Nursing / COVID-19 Type of study: Cohort study / Experimental Studies / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Prof Case Manag Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Care Planning / Health Personnel / Patient-Centered Care / Case Management / Critical Care Nursing / COVID-19 Type of study: Cohort study / Experimental Studies / Prognostic study / Randomized controlled trials Limits: Adult / Female / Humans / Male / Middle aged Language: English Journal: Prof Case Manag Year: 2021 Document Type: Article