CASE IN POINTE! this issue. President s Column. 3 Top Challenges Confronting Today's Case Manager. Northeast Ohio Case Management Network Newsletter

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1 ISSUE Volume 21 Number 5 September 2015 Northeast Ohio Case Management Network Newsletter CASE IN POINTE! this issue Meeting Minutes P. 2 President s Column Meeting Exhibitor P. 5 Meeting Announcement P. 6 Updated Events P. 8 Dear NEOCMN members, Greetings to all of our NEOCMN family! It s hard to believe that the leaves are beginning to change color.where did this year go? Just as in all families, we ve had members come and go, we ve had lively discussions, and we ve shared our thoughts about changes in the healthcare field. Whether you work at a hospital or for an insurance company, we are all Case Managers. We advocate for our patients, and helping others is what brings meaning to our lives. Please let me know if you have any suggestions for improvement. NEOCMN is all about the members! Sincerely, Sue sue.sammons@ cantonmercy.org Top Challenges Confronting Today's Case Manager By: Anne Llewellyn, RN-BC, MS, BHSA, CCM, CRRN Today, with pressures to improve quality, ensure care is based on evidence, and reduce unnecessary costs, professionals involved in care coordination are in the spotlight. Case managers can take the lead in bringing the team together as they are the one professional who sees the patient and their family holistically. Here are some of the top challenges facing case managers across the care continuum. Patient Engagement: If you haven't found a way to drive home the importance of patient experience you are behind the eight ball. As value-based purchasing comes into play, all providers reimbursement will be impacted if you don t measure up. Engaging patients is key to improving patient satisfaction. Think about how you feel when you go to a store or restaurant and receive good service. You engage in conversation with the staff and you want to learn more about the business. Healthcare is complex, scary and expensive. As consumers are taking on more and more of the burden of healthcare costs, they are becoming more informed, demanding and in need of assistance. Case managers who take the time to communicate with patients to understand their goals, address their questions and bring the team in when challenges occur will do well. Patient Safety: Just as case managers should own patient experience, they need to feel ownership for patient safety as well. Preventing healthcare-associated infections (HAI) is no longer simply the right thing to do; it's become the only financially viable option. Unless all members of the healthcare team are involved, educated and empowered, real progress will not be made. To highlight this point, I checked some stats from the National Patient Safety Foundation. They reported that in the United States, one out of 20 hospitalized patients contract HAIs and 100,000 die each year, but as of 2010 only 27 states have laws requiring hospitals to report their rates of infection. For patients, the cost of an HAI is high; the length of the hospital stay increases by seven to nine days, and they pay $40,000 more on average. For the healthcare system as a whole, HAIs add between $4.5 and $5.7 billion each year. We have and can to do better, and case managers can take the lead in this area as they are an objective member of the care (Continued on page 4.)

2 NEOCMN CONTACTS OFFICERS 2015 President Sue Sammons VP / 2016 President-Elect Gary Walker Secretary Jane Perkins Treasurer Sheryll Jarus COMMITTEE CHAIRS 2016 Conference Rochelle Garrett Carolyn Szabo Charlene Szunyog Education & Planning Bobbie Birch Membership Charlene Szunyog Nominating Lori Lilly EDITORIAL POLICY Opinions expressed in articles or features are those of the author and do not necessarily reflect the views of NEOCMN or the editor. The editor reserves the right to edit, accept or reject contributions, whether or not solicited. CASE IN POINTE! Laura O Neill Editor & Designer NEOCMN P.O. Box Cleveland, OH neocmn@juno.com The meeting was called to order by President, Sue Sammons at 6:11 PM. Sue welcomed new NEOCMN members. Treasurer s Report Sheryll Jarus Sheryll provided financial update. Membership Charlene Szunyog At this time we have 170 members. Nominating Lori Lilly Consider running for Vice- President 2016, President- Elect 2017; Secretary 2016 or Treasurer Forms available for Board and Committee sign-up. Conference Rochelle Garrett Please note that on the July meeting evaluation form, there is a question as to whether or not you are interested in a one or two day conference. A summary of the evaluations will help the conference committee when planning next year's conference. Education and Planning Bobbie Birch CCM Review Class is canceled this year due to a lack of interest. We had did not meet our Proposed Bylaw Changes Second Change in 2015 The Board proposes the following two changes to the Bylaws. Please review these changes. A vote to accept changes will be made at the September general meeting. Bylaw currently reads: ARTICLE 7, Section 4B The number of consecutive elected Board positions an individual may hold is limited to four. Proposed Bylaw change is to eliminate this section. Bylaw currently reads: General Meeting Minutes ARTICLE 8, Section 4 - Reelection. No member of the Board of Directors shall serve on the Board more than four (4) consecutive elected terms. Proposed Bylaw change is to eliminate this section. Date: July 15, 2015 Location: St. Michael s Woodside minimum of 10 interested attendees to hold the class. We only received 3 responses. Tonight s meeting presentation titled How Palliative Care and Hospice Can Help Hospitals Live With the Affordable Care Act was presented by Petique Oeflein, RN, NP-C. The speaker and the committee members have stated that they do not have a conflict of interest in presenting this presentation. Meeting adjourned at 7:26 PM. Submitted by, Jane Perkins Secretary 2015 NOTICE Case in Pointe!, the newsletter of NEOCMN, will be on-line only starting in January Please confirm that NEOCMN has your correct address. Page 2

3 New Ohio Law to Streamline Patient Care, Cut Back on Patient Wait Times New law removes unnecessary APRN barriers to practice (July 21, 2015) Governor John Kasich signed into law July 17 Senate Bill 110, which allows Advanced Practice Registered Nurses to provide more efficient care for their patients. APRNs include Certified Nurse Practitioners, Certified Nurse Midwives, Clinical Nurse Specialists and Certified Registered Nurse Anesthetists. Under current law, a prescribing APRN may only authorize a registered nurse to administer medication. The new law allows other qualified health professionals, such as medical assistants, the ability to administer medications at the direction of the APRN who is physically present. This new law removes unnecessary regulatory restrictions on APRN practice that create barriers to access, cause delay in treatment, and contribute to health care inefficiency, said Mary Jane Maloney, Director of OAAPN Government Affairs. Because of the new law, APRNs will not have to wait for physicians to delegate medication administration in primary care settings. This more streamlined process will help cut back on wait times for patients who need medication. Senate Bill 110 creates a more efficient healthcare system, while ensuring the safety of our patients. It s another step to allowing advanced practice registered nurses to practice to the full extent of their education, training and certification in Ohio, stated Tiffany Bukoffsky, BSN, RN, DEO of Government Relations and Professional Engagement at the Ohio Nurses Association. This new law prohibits the delegation of medication administration to non-nurses in hospital in-patient care units and emergency departments, whether they are within a hospital or freestanding facility. Additionally, certain medications, such as controlled substances and intravenous medications, can only be delegated to and administered by registered nurses. Patients in these types of settings, being prescribed controlled substances or being given medications intravenously, have a health status that requires pharmaceuticals to be administered by a registered nurse. The signing of this bill is another step forward in recognizing that nurse practitioners are key primary care providers in our health care system. Delegation law allows for a stronger team in having full utilization of every individual s skills and abilities to care for our patients. Ultimately, our progress in nursing benefits those for who we care: the citizens of Ohio, stated Sen. Dave Burke (R-MARYSVILLE), the bill s sponsor. Senate Bill 110 will go into effect October 14, Reprinted from NHLBI Media Availability: Measurement of Cholesterol Function Might Provide Link to Heart Attack Risk in Patients with Psoriasis August 5, 2015 Scientists now report a new way to assess cholesterol that shows promise for evaluating the increased heart attack risk observed in patients with psoriasis, a common inflammatory skin disease. The new technique measures the function of high-density lipoprotein (HDL), known as good cholesterol, rather than HDL cholesterol concentration. The study, conducted by researchers from the National Heart Lung and Blood Institute at the National Institutes of Health (NIH), could broaden the use of the technique. The study appears in the online issue of the European Heart Journal. MEMBERSHIP CONTEST Enroll 1-4 new members to be entered into a drawing for a free membership ($80 value). Enroll 5+ new members to be entered into a drawing for $100 toward NEOCMN s conference registration. Rules: Contest open to members only. Become a member and start referring others! Tell new members to write your name on their membership application form. Existing or renewing members cannot be referred. Membership is open to all health care professionals involved with or interested in the practice of case management. NEOCMN applies for continuing education units for nursing, CCM and social work. The contest ends October 31, Winners names are drawn at the November meeting. (Prizes may not be taken in cash.) Page 3

4 MEETING EXHIBITORS Seeking exposure to our case management network? Exhibit at one of our general meetings! Exhibitor tables for 2015 are available for these meeting dates: September 16 November 18 Table fee: $250 (Jan-Sept) $850 (Nov) Fees include appetizers for two (2) representatives at the continuing education meetings and dinner for two (2) representatives at the November meeting. As well as a 50 word company description in NEOCMN s newsletter Case in Pointe! Contact Laura O Neill at or oneill397@windstream. net. CHARITIES COLLECTION Bobbie Birch is collecting coupons and cell phones at each general meeting. Manufacturer s Coupons are sent to military families to use at the commissary on base. Coupons are valid for 6 months after the expiration date. Cell Phones are for the Domestic Violence and Child Advocacy Center. Cell phones & batteries are needed; chargers, cases, and manuals are not needed. September is Healthy Aging Month Heart Age: Is Your Heart Older Than You? Your heart may be older than you are and that s not good. If this is the case, you have a higher risk for heart attacks and stroke. But you can take action to put your heart on a healthy beat. Accord ing to a new CDC Vital Signs report, 3 out of 4 U.S. adults have a predicted heart age that is older than their actual age. The heart age concept was cre ated to more effec tively communicate a person s risk of dying from heart attack or stroke and to show what can be done to lower that risk. The risks include high blood pressure, cigarette smoking, diabetes status, and body mass index as an indicator for obesity. You can check out your heart age at the Cen ters for Disease Control website. Actual age vs. heart age Exam ples of actual age vs. heart age. Many people have a heart age that is greater than their actual age because of cer tain reasons. See CDC Vital Signs chart below. Heart dis ease, stroke and other cardiovascular diseases is the nation s num ber one cause of death among both men and women. You may be able to pre vent it by focus ing on a risk fac tor that you re ready to change. Not smok ing, controlling blood pressure and controlling cholesterol can dras ti cally reduce your risk of hav ing a heart attack or stroke. You can increase your heart age by: Eating a health ier diet. Controlling your blood pressure. Increasing physical activity. (Continued from page 1.) team and many times can spot problems that others may not see. Professional Development and Retention: Today, it is estimated that there are over 100,000 professionals involved in case management. As the practice of case management is an advanced practice, professionals enter after spending a number of years at the bedside or from other areas of practice. According to various surveys on the practice, the average age of today s case manager More health facts: 1 in 2 men have a heart age 5 or more years older than their actual age. 2 in 5 women have a heart age 5 or more years older than their actual age. About 3 in 4 heart attacks and strokes are due to risk fac tors that increase heart age. The CDC Vital Signs report shows that heart age varies by race/ethnicity, gen der, region and other sociodemo gr ap hic c har a c ter is ti c s. Excess heart age is high est in African-Americans and increases with age in all populations. is 53 years of age. One of the challenges the practice faces is recruitment of professionals to the practice and educating them so they understand the foundation of the practice. As case management closely mirrors the profession of nursing, we know that recent studies of the costs of nurse turnover have reported results ranging from about $22,000 to over $64,000 per nurse turnover. This is an expense that could be minimized through initial training, mentoring and ongoing professional development. Helping those enter the practice understand the role and function of today s case managers is critical if we want to grow the practice to meet the needs and address the challenges that we face today. Page 4

5 What you need to know about eligibility before you apply for the CCM Exam Fast Facts! By Jeannine Carr, Commision for Case Manager Certification, Business Development Manager (9/01/2015) Reprinted from www. ccmcertification.org/ currents. So you have taken the first step and decided you want to be a board-certified case manager. Great! Next question is, who do you want to be certified by? CCMC! Our credential, the CCM, is the first and oldest case management credential in the industry, launching the first CCM exam in But, to earn the CCM designation, you must apply to take the CCM exam and that means, you must meet certain eligibility requirements. The CCM exam has two major application requirements to apply under. The requirements must be met fully at the time the CCM exam application is submitted. We always suggest that you read the certification guide (available online) before applying or call the CCMC Customer Service Team. Our team will be able to assist you in determining if you are eligible to apply for the CCM exam. There are two eligibility requirements for the CCM Exam: 1. Licensure OR Education AND 2. Employment Experience. For the Licensure or Education, you must hold at least ONE (see options A and B): Option A: A current, active, and unrestricted licensure or certification in a health or human services discipline. The license or certification must allow for you to conduct an assessment independently. If you are unsure that your license or certification allows you to practice independently, please contact your state governing board. Some examples of licenses and certifications that meeting this eligibility requirement are: RN, LCSW, LMSW, LPC, CRC and CDMS. Option B: A Baccalaureate or graduate degree in social work, nursing, or another health or human services field that promotes the physical, psychosocial, and/or vocational well-being of the persons being served. The degree must be from an institution that is fully accredited by a nationally recognized educational accreditation organization, and as part of the education curriculum, include supervised field experience in case management, health, or behavioral health. For the Employment Experience, you must meet at least ONE (see options 1-2-3): Option 1: Twelve months (12) months of acceptable full-time case management employment experience in the last five years, supervised by a boardcertified case manager (CCM). Your Supervisor must be certified for at least one year at the time of your application. Option 2: Twenty-four months (24) months of acceptable full-time case management employment experience in the last five years. (Supervision by a CCM is not required under this category). Option 3: Twelve months (12) months of acceptable full-time case management employment experience as a supervisor of individuals who provide case management services. This must also fall in the last five years. If you meet these requirements, you are now ready to apply! But as always, if you have any questions, our Customer Service team is ready to help! You can reach us at We are here to help you. For additional information, go to ccmcertification.org. GENERAL MEETINGS NEOCMN holds six general meetings a year, five of which offer speaker presentations. Continuing education credits for nursing (RN/ LPN), certified case manager and social work are applied for each presentation. Guests are welcome to attend a meeting for a fee of $20. The November meeting is a special networking meeting open to members only. Reservations are required for all meetings. LOCATION ST. MICHAEL S WOODSIDE General meetings are held at St. Michael s Woodside, located at 5025 East Mill Rd., Broadview Hts., OH Directions to St. Michael s Woodside are on their website www. stmichaelswoodside. com or on MapQuest. com. REGISTRATION Reservations Requested Register for a general meeting by calling the voice messaging system at by the reservation deadline (5:00 PM on the Friday before the meeting). Meeting sign-in starts at 5:30 PM. The business meeting begins between 6:00-6:15. A one hour CE presentation begins at 6:30. Sign-in is required for continuing education credit. Page 5

6 Invitation to Exhibit at NEOCMN General Meetings.CAREER OPPORTUNITIES Post your job opportunities on our website! NEOCMN Members - Complimentary Job Postings Non-members - $100 charge per job position. Positions are posted for 90 days. CASE IN POINTE! NEWSLETTER NEOCMN s Case in Pointe! Newsletter is distributed six (6) times a year. Please consider submitting your interesting articles to the editor of the newsletter! CURRENT TRENDS Please submit current industry trends to NEOCMN s Case in Pointe! editor. Let us help you to share what is new and changing in our healthcare environment. Exhibiting at a general meeting creates a prime opportunity for you to generate leads, meet new prospects, strengthen existing relationships, introduce new products and services, and gain recognition as a partner with managed care. Meetings are held every other month at St. Michael s Woodside located at 5025 East Mill Rd. in Broadview Hts., Ohio near Interstate 77 and Wallings Road. Meeting Exposure Includes: 8 foot skirted table for a table top display. Appetizers for two (2) representatives at the January, March, July and September meetings; dinner for two (2) representatives at the November networking meeting. Approximately 3 hours of network and exhibit time. Introduction and recognition from podium during meeting. 50 word company description in Case in Pointe! newsletter. Placement of literature at each table or individual seat. Contact hours for attending general meeting. You may offer a door prize for meeting drawing (not required) and collect business cards Meeting Dates (All meetings are on Wednesday evenings) January 21 March 18 May 20 July 15 September 16 November 18 (Special networking / holiday meeting.) NEOCMN - General Meeting Exhibitor Registration Form Name Company Address City, State, ZIP Phone REGISTRATION PROCESS 1. Select Meeting (check box) January $250* March $250* May $250* July $250* September $250* November $850** * Exhibitor table may be shared with another vendor for half the cost. ** Networking / holiday meeting. 2. Select Payment Full payment enclosed Charge my MasterCard / VISA / Discover / American Express / Diners Club ACCOUNT NUMBER EXPIRATION DATE AMOUNT $ RECEIPT MAILED TO: NAME ADDRESS CITY, STATE, ZIP AUTHORIZED SIGNATURE 3. Clip and mail to: NEOCMN, PO Box , Cleveland, OH Credit card information can be faxed to Website: Page 6

7 NEOCMN General Education Meeting Wednesday, September 16, 2015 Event: General Meeting Date: Time: Place: Topic: Wednesday, September 16, :05 Business Meeting 6:30 Presentation St. Michael s Woodside 5025 East Mill Road Broadview Hts. OH New Developments in Surrogate Decision-making Speaker: Rachel Kabb-Effron, Esq, CELA Register: Call Deadline: 5:00 PM, Friday, September 11, 2015 RESERVATIONS ARE MANDATORY In order to receive 1.0 contact hours, criteria for successful completion is to attend the entire presentation and to turn in an evaluation form at the end of the presentation. Northeast Ohio Case Management Network (NEOCMN) (OH-220, 1/1/2016) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN ), an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. Awarding of contact hours does not mean that ANCC, OBN or ONA endorses any product. New Developments in Surrogate Decision-Making A surrogate decision maker, also known as a health care proxy or as agents, are advocates for incompetent patients. If a patient is unable to make decisions or decide for themselves about personal health care, someone else must provide direction in decision-making, as the surrogate decision-maker. At the September meeting, listen as Rachel Kabb-Effron presents New Developments in Surrogate Decision- Making. The presentation objectives are to: Understand the types of advanced directives. What are the requirements to powers of attorney for both health care and financial powers of attorney? Understand how to read and interpret the difference in documents and what the legal significance of the different documents and how they apply in the healthcare setting. Discuss Guardianship and changes to the guardianship law Who can act as a guardian; why would it be appropriate; what are the new rules for Ohio Guardianships. What is required of a guardian once they are appointed? Define living wills and their practical applications for end of life. Content will include what advance directives are and formalities of execution. Content will include a discussion of the limitations of the living will and how to resolve issues with surrogate decision makers and the health care team. Educational Opportunity Ohio Association of Occupational Health Nurses, Mission Possible, November 5-7, 2015, Lewis Center, Ohio, visit for registration information. EDUCATION Commission for Case Manager Certification 1120 Rte 73, Suite 200 Mount Laurel, NJ Call: Fax: Web: ccmcertification.org Misplaced CEU? Send letter referencing meeting date of missing CEU, along with a selfaddressed stamped envelope to: NEOCMN, P.O. Box , Cleveland, OH MEETING EXHIBITOR OPPORTUNITIES Exhibitor opportunities are available for September and November 2015 general meetings. Please see form on page 6 for costs. Reserve your spot today! Page 7

8 Upcoming Events January 21 March 18 April Boundaries" presented by Julia Ellifritt, LISW-S; Brain Injury: The Continuum of Care, presented by Denise Schaad, BASW; NEOCMN Conference & Exhibit; LaCentre Conference & Banquet Facility, Westlake Mission Statement Northeast Ohio Case Management Network promotes educational and networking opportunities for health care professionals involved in the practice of case management related activities. May 20 July 15 "An Overview of Aphasia", presented by Steffany Wechter, SLP; "How Palliative Care and Hospice Can Help Hospitals Live with the Affordable Care Act", presented by Petique Oeflein, RN, NP-C; September 16 "New Developments in Surrogate Decision-making", presented by Rachel A. Kabb-Effron, Esq., CELA; November 18 Networking / Holiday - Members Only; Case in Pointe! Volume 21, Number 5 September 2015 PO Box , Cleveland OH