Presented by Andrew O’Grady, LCSW-R

Fact and Fiction about Stress and Time Management All stress is bad FALSE Good stress: such as excitement, thrills, safety etc. Recognizing bad stress: such as burn-out, headaches, being overwhelmed Planning my time takes more time YES UP FRONT BUT FALSE in the long term Research shows the opposite A time management problem means that there is not enough time to get done what needs to get done FALSE A time management problem is not using your time to your advantage Mike Tyson

Fact and Fiction about Stress and Time Management Being busy does not always mean that time is being used most advantageously TRUE Work smart, not hard Feeling busy must mean I have a time management problem FALSE Not if you’re getting done what you need to get done I feel okay, so I must not be stressed FALSE Look for physical warning signs such as headaches, backaches, twitches

This is why our clients miss appointments. But what about YOU???

Always Running?

Missing Key appointments?

Are you disorganized??? Or

Are Organized?

What A Supervisor thinks when you are not organized You Don’t Care You are Forgetful Bad Communicator

Remember this slide. Well what do you think supervisors think when you miss appointments? Supervision appointments? Client appointments?

Your Job has gotten more difficult! This is a FACT!!! It makes sense that you may struggle. Administration Angst

Increased Census Equals Increased Everything Crisis situations Needs Phone calls Documentation

Increased Census Equals Increased need for Organization!!!!!!

Where is it all coming from? PRESSURE That trickles down….......... TO YOU!!!!!!!!!!

Where is it all coming from? DOH, OMH, OASAS designing and pressures Managed Care Companies and Health Homes  Managed Care companies Pressure Health Homes  Health Homes Pressure Care Management Providers  Care Management Providers pressure the Care Managers

Let’s Wake Up Though The State and HH and MCO’s have been patient. Care Managers need to be Organized Your work is being monitored by people other than your supervisors (Electronic communication means real time data) What are they looking for?

Quality Review First Outreach Attempt within 5 Days Assessment completed in 30 days Fact GP and Functional assessment done at time of the assessment Consent Form completed Care Plan completed within 30 days of Assessment HH look for measures that show that you are providing active care management HCBS Assessments Extended care plans Roster changes if medicaid status changes EASY TO ASSURE ACCURACY Make Notes of Everything YOU Do!!!!!!!!!! Make NOTES

Quality Review Now the MCO are generating reports. Talk about Big Brother They know in real time when a person goes to ER They know in real time when a D/C for an inpatient stay will happen. They know in real time if a prescription was filled. This will help us all do our jobs better However Make Notes of Everything YOU Do!!!!!!!!!! Make NOTES

Organization is Key For those who feel they need help in this area… ASK YOURSELF Is your desk a mess? Do you have an accurate list of clients? Does the list include? Medicaid recertification date? PCP Name Clinician name

Negative Outcomes Late for appointments Not returning phone calls Frustration Personal Toll No Sleep Short with family Working from home to catch up

Verbalizing how many clients you have to other clients Late for appointments Not keeping appointments Forgetting key paperwork Short with co-workers and clients https://www.youtube.com/watch?v=cDDWvj_q-o8

I submit to you that you cannot be as empathic as you should if you are unorganized because Being unorganized = stress. Our keynote speaker this morning highlighted that perfectly.

Identifying Techniques That Work For You Getting organized: take one hour (or day) to clean out your desk or briefcase etc. Take 5 minutes at the end of each day, clean your desk before leaving for the day Order office supplies: binders, briefcase, writing materials, special pens, carrying case with latch on top to hold papers etc. Set your watch 5 minutes ahead

Identifying Techniques That Work For You Setting an alarm that goes off 15 (or whatever time you need) prior to an appointment Use a head set if your work place is too noisy Learning the difference between knowing that you need to do something right now or knowing that it can wait. Identify your prime time (morning/afternoon) and do your hardest task at that time Don’t leave the end of your day a disorganized mess

Identifying Techniques That Work For You Ask for help when you need it Have a place for everything and put everything in it’s place (Garage) Use rewards for yourself after completing a task or at the end of the day Figure out where you are wasting time Make a “to do” list at the beginning of every day, review it throughout the day and check off or cross out each thing as you go along-you’ll begin to feel like you are accomplishing things.

Organization and Time Management It will make you shine!! You will be: More empathic More patient Happier More detailed You will be a better Care Manager A better Team player A better Supervisor A better family member and a happier person

TIME………. You can’t buy it You can’t hold on to it It will sometimes go too slowly Sometimes, too quickly But you can’t stop it….. So always use it to your advantage before it slips by you