The Impact of CMSA's Case Management Adherence Guidelines and Guidelines Training on Case Manager—Reported Behavior Change

Aliotta, Sherry; Boling, Jeanne; Commander, Connie; Day, David; Greenberg, Liza; Lattimer, Cheri; Marshall, Danielle; Rogers, Sandra

doi:10.1097/01.pcama.0000291428.99728.af

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…The survey questionnaire and findings can assist organisations and governments to develop practice guidelines and standards for case managers working in community aged care sectors [ 8 , 33 , 34 ]. Moreover, the questionnaire has the potential to be converted into an assessment tool.…”

Section: Discussionmentioning

confidence: 99%

How do case managers spend time on their functions and activities?

You

Dunt

Doyle

2016

BMC Health Serv Res

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BackgroundCase management has been a widely accepted approach to practice in various care settings. This study aimed to explore how community aged care case managers allocated their time to case management functions, how frequently they performed specific case management activities, and what factors influenced the frequency of their activities.MethodsThe study involved 154 survey participants, or 17.1 % of the target case managers in the State of Victoria, Australia. Key information collected included participants’ socio-demographic characteristics, proportions of time allocated to six core case management functions, and frequency ratings of 41 specific activities within seven case management functions. Ordinal regression analyses were performed to determine significant factors associated with participants’ frequency ratings of their activities.ResultsParticipants allocated the largest proportion of time to care coordination (22.0 %), and the smallest proportion of time to outcome evaluation (8.0 %). Over 70 % of the participants assigned high frequency ratings to 31 of the 41 case management activities. The remaining ten activities, including all four outcome evaluation activities, three needs assessment activities, one care planning activity, one care coordination activity, and one general functions-related activity were less commonly performed very frequently. The regression analyses indicated that some case manager and client factors were significantly associated with frequency ratings of nine of the ten activities aforementioned. The two main findings of the regression analyses were: First, emphasising achieving more case management goals was significantly associated with higher frequency of three outcome evaluation activities; second, longer work experience was significantly associated with higher frequency of one care coordination activity and one outcome evaluation activity.ConclusionsThe frequent performance of most case management activities and relative absence of factors influencing their frequency suggest a uniformity of practice in community aged care case managers’ practice. What is not clear is whether the frequency of these activities (in particular less frequent performance of outcome evaluation activities) conforms to expectations.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1333-6) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

How do case managers spend time on their functions and activities?

You

Dunt

Doyle

2016

BMC Health Serv Res

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“…They embrace it as a means to curb medication errors, reduce cost, and improve quality of care including medication adherence. guideline tool (Aliotta et al, 2007). Although not without challenges, integrating e-Rx data into their repertoire would allow CM programs to intervene earlier with education about indications of therapy, its potential side effects, and asymptomatic conditions.…”

Section: Discussionmentioning

confidence: 99%

“…Among primary and secondary reasons of nonfulfillment, perception that drugs and training in this area. Although these interventions have been successful, results can be further improved (Aliotta et al, 2007).…”

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E-Prescribing and Primary Noncompliance

Hakim

2010

Professional Case Management

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PNC is a significant cause of poor adherence to drug therapy, and nonfinancial patient concerns are the primary reason. Mailed PNC alerts to providers are resource intensive and may be supplanted by certain e-Rx standards. Clinicians who adopted e-Rx report a largely positive experience with e-Rx. Recent changes in Medicare rules will impact the use of this technology but challenges remain and require continued support to hasten the adoption of e-Rx. Case management programs may improve primary compliance by incorporating exchange of e-Rx data.

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Ulcerative colitis: current medical therapy and strategies for improving medication adherence

Zhang

Kennedy

2009

European Journal of Gastroenterology & Hepatology

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Ulcerative colitis (UC) is chronic inflammation of large intestine and often requires lifelong medication. Medical therapy aims to induce and maintain a clinical remission, reduce the risk of colorectal cancer and improve quality of life. Aminosalicylates are currently the first choice therapy both for the induction and the maintenance of remission in the patients with mild-to-moderate UC. For moderate-to-severe cases or those who do not respond to aminosalicylate therapy, additional treatment options including corticosteroids, immunomodulators, biological agents, cyclosporin, tacrolimus and surgery are available. Poor adherence to medication has been an important barrier to successful management of UC. Nonadherence has been associated with increased relapse rates, higher risk of colorectal cancer, poor quality of life and significantly increased healthcare costs. Therefore, improving adherence to medication is an important approach for a better care of the patients with UC. Definitive strategies are required to help the patients effectively self manage their disease and improve adherence. This review examines current medical therapy for UC, research progresses on medication adherence and the possible strategies for improving adherence in these patients.

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The Impact of CMSA's Case Management Adherence Guidelines and Guidelines Training on Case Manager—Reported Behavior Change

Cited by 6 publications

References 8 publications

How do case managers spend time on their functions and activities?

How do case managers spend time on their functions and activities?

E-Prescribing and Primary Noncompliance

Ulcerative colitis: current medical therapy and strategies for improving medication adherence

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