Emergency Department Case Management, Second Edition: The Compendium of Best Practices

After exploring models and reviewing emergency department infrastructure, this compendium will help readers outline key partnerships, present multiple options for case finding, tackle observation status accurately, address quality and evaluation issues, and identify ways ED RN case managers and social workers coordinate care for complex cases, such as pediatric, psychiatric, homeless, and uninsured populations.

In addition to many new tools, this book is also packed with more than 20 detailed spotlights and case studies discussing ED case management strategies, best practices, and experiences of ED professionals from across the country.

The new edition includes:

The presence of case management RNs and Social Workers in emergency departments (ED) has become a standard since the first edition of this text was published in 2007. Ever-expanding and changing regulations for EDs and hospitals have emerged, while best practices have evolved to address these challenges.

This new edition discusses these changes and provides updated guidance on running a compliant, effective, and efficient case management team in the ED. It also provides insight on adapting the role of case management based on unique ED patient populations and helps ED case managers stay ahead of the curve by examining what lies ahead in their profession.

Table of contents

Chapter 1: ED Case Management: The Heart of Access and Hub of the Community
Chapter 2: Strategies for Creating a Successful ED CM Program
Chapter 3: Quality and EDs
Chapter 4: CM for Short Stay/Observation Patients
Chapter 5: Case-Managing Challenging ED Patients in General EDs
Chapter 6: Special EDs for Special Populations

Appendices:

Appendix A: EMTALA: The Emergency Medical Treatment and Labor Act
Appendix B: ED Case Manager Competencies and Guidelines for Use
Appendix C: What Every Inpatient and Family Should Receive From CM and Social Work Services
Appendix D: CM and MSW Caseloads by CMI and Payer Framework to Plan, Evaluate, and Benchmark Staffing
Appendix E: Patient Progress Record: Care Coordination Assessment
Appendix F: CM Initial Assessment for Discharge Planning
Appendix G: ED References

Who should read this book?

- Case managers
- Directors of case management
- ED nurse managers
- Social workers
- ED directors and administrators
- CFOs