JUNE 28 - JULY 2, 2020  
30 years of Care Transitions Across the Full Continuum

6005 – Incorporating Collaboration Standards across the LTSS Continuum

6005 – Incorporating Collaboration Standards across the LTSS Continuum

Collaborating with resource partners in the community to meet client needs exposes professional case managers to disparate communication and delivery methodology, and highlights the importance of maintaining Professional Code of Conduct. The inclusion of physical, behavioral, social, and cultural provider affiliates supports client centered care, but challenges our scope of practice. Together, we will address ways to foster true collaboration, not simply coordination, including utilizing CMSA Standards of Practice, NASW practice tools, and relationship building guidelines to establish non- traditional partnerships. Through case studies, we will examine the development of long term services and supports (LTSS) in the MassHealth Accountable Care Organization model. Now in Year 3 of this transformational care delivery model, we focus on flexible spending for social determinants, such as housing and nutrition, as well as integrating care plans with physical, behavioral, and community based provider resources. We will analyze current approaches, lessons learned, and published utilization measures. Our discussion will include the importance of continuing education in an increasingly complex environment focused on value and outcomes as we redefine success in care management.
Objectives:
1. Explore CMSA Standards of Practice for Case Management and NASW Practice Tools to facilitate building collaboration across the care partner continuum to address client physical, social, behavioral and financial needs
2. Identify individual perceptions of bias, cultural sensitivity, and social justice as they impact our scope of practice and establish mechanisms to overcome these barriers to better meet the needs of clients and resource partners
3. Create new care management goals to include the collective resources of care partners utilizing ethical standards of care