ADVANCING THE PRACTICE OF CASE MANAGEMENT The practice of case management is a refined model of care coordination established more than a century ago (Joo, 2018). Case Management has been adopted into the American healthcare system but very little research exists that effectively demonstrates the strengths of a case management delivery model. The Agency for Healthcare Research and Quality identifies that 1% of high-risk patients account for 22% of all healthcare expenditures (Joo, 2018). The episodic and fragmented structure of the American healthcare system is responsible for these costs as well as poor quality care. Case management is an effective, efficient, and cost-effective strategy to deliver patient- and family-centered care. Case management is tied to care coordination in the literature, but consistency in definition and scope are lacking. CMSA was the first organization to define case management and establish Standards of Practice, but these are not universally adopted. For case management, and CMSA to be recognized as THE strategy for improved care coordination and patient outcomes, CMSA must develop a theoretical framework to guide research that will demonstrate these improvements and clarify to the healthcare industry who a case manager is, and the role the case manager plays in the care of patients. CMSA FOUNDATION

CMSA Foundation: Members Supporting Members The CMSA Foundation envisions a better future for the case management profession through a collaborative, inclusive community of healthcare professionals working together to build industry-wide solutions to the issues that impact case managers.

Objectives Identify the mission and vision of the CMSAF and it’s role within CMSA. Describe the application process and criteria for the Margaret Leonard Public Policy Grant, Integrated Case Management Scholarship, Case Management Practice Improvement Award, and Case Management Research Award. Explain funding opportunities that support projects and programs that support the advancement of the practice of case management. Read slide

Purpose To raise awareness of the practice of case management and support the advancement of case management practice through supporting research, practice improvement and raising public awareness. read

Mission and Vision Our Vision Our Mission The Case Management Society of America Foundation envisions a better future for the case management industry through a collaborative, inclusive community of healthcare professionals working together to build industry-wide solutions to case management issues. Our Mission Our mission is to become the leading philanthropic organization for case managers, supporting education, research and professional development. read

Goals Through an actionable plan initiated in 2011, the Foundation is working to achieve the following goals: Raising the visibility of case management and enhancing public awareness and esteem for the profession. Developing funding opportunities to support projects and programs that advance the practice of case management. Providing educational resources related to health care policy and practice issues impacting case management. Supporting the development of continuing education on critical case management issues. Promoting the application of new technology to support the practice of case management. read

Case Management Research Need for Comparative Effectiveness Need for research to support CM interventions that reduce fragmented care, improve quality of care, and impact cost through care coordination. CMSA definition of CM and Standards of Practice are not universally adopted. CM does not have its own theoretical framework. Need for the development of tools that can measure CM effectiveness. Most research in healthcare is conducted to compare the effectiveness and safety of a treatment for a particular disease or condition, but are not always designed to compare findings of two or more alternative approaches (Moreo, 2013). For example, Random Control Trials (RCT) are the most common framework used to compare a treatment to a placebo, but these results often cannot provide recommended alternatives for an individual or for a population (Moreo, 2013). Comparative Effectiveness Research (CER) is a framework that examines evidence for individual recommendations or for those of a population (Moreo, 2013). Based on examples of CER on the treatment of chronic illness, the potential for application to case management was explored. A study in 2013 using a CER framework revealed case management improved outcomes, quality of life, and access to condition-changing care (Moreo, 2013). To improve case management research, case managers are encouraged to learn more about CER, is implications for development of tools and resources that result in the delivery of the best possible care for the individual. Another missing piece according to Moreo, was the lack of inclusion of CMSA’s Standards of Practice to CER. **The table on the slide reflects CMs willingness and confidence to consider using CER once they understood the framework** The CMSA Foundation is seeking organizations or individuals that are involved in this type of Case Management Research. Applications for the Case Management Research Award will open by October 1 with a deadline for submission by March 1. Visit www.cmsafoundation.org for more information. Case managers’ ratings of the value of comparative effectiveness research for educating patients (Moreo, 2013)

Case Management Practice Improvement Development of processes that will result in improvements in: Patient care Quality of care Patient satisfaction Quality of Life Conservation of resources and care coordination OR Productivity Regulatory/Compliance measures Caseloads These are examples of Process Improvement projects that individuals or organizations can undertake to demonstrate the value of case management. The CMSA Foundation welcomes entries for the Case Management Practice Improvement Award that demonstrate these process improvements. Applications deadline is March 1. Applications will be updated by October 1 at www.cmsafoundation.org

Patient Centered Care Across the Continuum Care that informs and involves patients in medical decision making and self-management. Coordinates and integrates medical and psychiatric care. Provides physical comfort and emotional support. Understands the patient’s concept of illness and their cultural beliefs.

Patient Centered Care Across the Continuum Understands and applies principles of disease prevention and behavioral change appropriate to diverse populations. Acknowledged as an effective and efficient approach to care (Maizes, Rakele, & Niemiec, 2009) Potentially beneficial outcomes at the levels of the: Individual Patient System (Schoot, Proot, Meulen, 2005) Approach to care that puts the individual at the center of care. Case Management is a complex process. Case managers need to maintain competence in working with individual patients across the continuum of care as well as managing patients within a population health model.

CMSA Foundation Scholarship and Grant Opportunities A primary Foundation endeavor is to support the development of educational resources and raise awareness regarding health care policy and how it affects the role of the professional case manager. CMSAF is supporting research efforts through our grant and scholarship opportunities

Margaret Leonard Public Policy Grant A new grant funding opportunity supporting public policy efforts. Government plays a major role in population health. Laws, regulations and policy influence how professional case managers practice within their role. Funding for this grant is made possible by Margaret Leonard, CMSA Past President and CMSA Foundation Past-President, who is dedicated to not only supporting the CMSA Foundation, but the promotion of public policy awareness. This grant supports the public policy efforts of an individual striving to build a program that effects case management. This grant is made possible by Margaret Leonard, and her unwaivering support and dedication, plus her love for public policy.

Margaret Leonard Public Policy Grant The grant will be awarded to an individual case manager who has a passion for case management, advocacy and helping to change healthcare policy by effectively communicating with legislators, regulators at the local, state, or national level. The intent of this grant program is to assist an individual in creating a method to effectively promote and raise awareness regarding the Case Management Model Act, Standards of Practice for Case Managers, Transitions of Care, Care Coordination and other public policy topics supported by CMSA. Application will open no later than October 1. Application deadline for grants awarded in 2020 will be due by October 31. See website for more details on the grant requirements and qualifications.

Integrated Case Management Training Program Scholarship A scholarship to attend CMSA’s Integrated Case Management Training Program. This scholarship is offered to a case manager committed to improving health outcomes of the most at-risk populations and is willing to link and integrate care coordination across all domains of health. Need support in completing the Integrated Case Management training? Applications for the 2020 training be due in January 2020. Training consists of an online, self-study component, and then a 2-day face-to-face session in June 2020 during the CMSA Annual Conference.

How can you support the CMSA Foundation? One-Time Donations Individuals and Organizations Honor and Memorial Tributes A Special Gift in Someone’s Name Chapter Champions Local fundraising programs and events. Special chapter recognition. Friends of the Foundation Monthly Recurring Donors ~Provide explanations of each support category~

The CMSA Foundation Board seeks your support. Funding is needed to support the current awards and scholarships, as well as build new programs! The Foundation is based on Members Supporting Members.

Support Your Profession www.cmsafoundation.org www.facebook.com/cmsafoundation www.Instagram.com/cmsafoundation Please consider supporting the efforts of the foundation and your profession.

References Joo, Jee Young and Huber, Diane L. Scoping Review of Nursing Case Management in the United States, Clinical Nursing Research (2018), Vol. 27(8) 1002–1016; DOI:10.1177/1054773817717861 Moreo, Kathleen, Greene, Laurence, Sapir, Tamar and Cameron, Davecia R. Applications of Comparative Effectiveness Research to Case Management, Professional Case Management (2013) Vol. 18 , No. 4 , 168 – 179; DOI: 10.1097/NCM.0b013e3182901e57 Maizes, V., Rakel, D., & Niemiec, C. (2009). Integrative medicine and patient-centered care. Explore: The Journal of Science and Healing, 5(5), 277-289. Schoot, T., Proot, I., Meulen, R. T., & De Witte, L. (2005). Actual interaction and client centeredness in home care. Clinical Nursing Research, 14(4), 370-393.