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Using Evidence-Based Decision-Making in Case Management Leadership

** This session earnsĀ RN and CCM Ethics **

The health care environment is in constant change. Regardless of the setting, leaders in case management are being charged to find innovative models for the delivery of care, reduce the cost of care and manage resources that will meet the needs of the populations their staff serve. Which interventions will produce results that are client-centered, and produce quality and cost-effective outcomes? How do these leaders begin to search for models and options that will address these variables and meet the requirements for their organization or practice setting? Decision-making, based on evidence-based management principles, (EBM) was once defined a systematic process using an evidence-informed process that places science into the process of decision-making. As indicated in the CMSA Standards of Practice (Standard F: Outcomes), case management leaders have been working with their case manager staff in basing clinical client decisions on evidence-based practice for some time. However, if Standard N: Management and Stewardship is applied to the leaders of the case management function, their management decision-making may not have always reflected a similar approach. EBM uses models that may guide leaders faced with critical decisions impacting workforce planning, program or services and resources required for strategic or innovative initiatives. Recent literature has indicated difficulties for healthcare leaders in sourcing management evidence and has documented both facilitators and barriers to working with the process. Through a discussion about evidence-based management decision-making, case manager leaders can determine how to guide and support their case management staff in providing the resources needed to provide the best care at the best cost in the most appropriate setting.

  1. Define the process and purpose of evidence-based management (EBM).
  2. Describe the use of EBM in case management leadership.
  3. Identify the barriers of and facilitators for EBM for use by case management leaders.
  4. Describe the "ethical" leader and strategies to improve ethical leadership decision making.