PP207 – PSOS: PATIENT SUCCESS W/O SUPPORT OR HOLY SMOKES BATMAN! YOU DO ALL THAT
The real world of health care does not always have a support staff to help you deal with the difficult patient. It requires the case manager to look outside and think outside the box. I work in the acute care setting in a 100 bed facility. Deb works for the Department of Defense, in an outpatient clinic attached to a military hospital. In some settings the case manager’s job description includes discharge planning and utilization review. When you function ” independently” in your facility important people to have on your team include: CFO, chief financial officer, the CMO, chief marketing officer, the CTO, chief technical officer. In any setting you sometimes feel like you function as all the above in getting your client the best services. The case manager must prioritize patient needs functioning as the patient’s advocate. She must establish trust, have empathy and compassion, be reliable and flexible, have time management skills. Ways to do this include MI(motivational interviewing) taking time to listen, eye contact, and involve support people. Establish a plan but always be flexible with the plan as needs change. One of the key components of working with a client is autonomy. Autonomy is the client’s right to self determination; we have to respect his/her right to make his own decision abut his care. In order to help the client with a safe discharge the case manager must have an open mind using the internet, local resources and networking. When making the initial plan with the patient and/or family involve the patient, family/family , the disciplines involved in the treatment plan. Even as a team of one you can act as an agent of change helping the client and family have the best outcome possible. Assume the role of ” go to person” with all parties involved in the plan so there is a feeling of continuity. Be willing to take “risk” by thinking outside the box facilitate the best plan for the client, have a financial awareness about the cost.
1. Identify how to succeed with successful patient outcomes in your work setting
2. Recognize that the CM role involves multitasking
3. How to tap into resources’ local, national and unconventional