Politics are shaping our professional case management responsibilities in many ways. We know today that government plays a major role in population health. Laws, regulations, and policy influence how professional case managers practice within their roles, but the human connection still plays a major part in improved patient outcomes. Case managers provide that connection and are unique and essential players in the health care arena. They are key in helping communities attain the goals of the Quadruple Aim. The CMSA Integrated Case Management Model (ICM) identifies and addresses barriers to care for the most at- risk patients throughout all domains of health that include, physical health, behavioral health, and psycho-social problems. With skillsets developed within the CMSA ICM training, case managers utilize effective communications strategies and motivational interviewing techniques to map and correct the breaches in the human health care experience for individuals with multiple chronic diseases, co-morbid medical and behavioral health conditions, children with special health care needs, the frail and those with social system barriers. The results are aligned with the goals of the Quadruple Aim by elevating the patient experience and quality of care, improving patient outcomes, reducing cost per capita and improving the provider’s satisfaction through productive and rewarding patient interaction. The ICM model also aligns with the 2017 Model Care Act and the CMSA Standards of Practice. The CMSA Foundation “ Margaret (Peggy) Leonard Public Policy Grant” was created to assist an individual in creating a method to effectively promote and raise awareness regarding the need for public policy activism and how it will impact our case management profession. The future of case management “is now” as we move forward during an overwhelming global health crisis. As advocates and leaders we must take action to promote our profession and continue to prove that we make a difference.

OBJECTIVES:

1. List and describe the four components of the IHI Quadruple Aim.
2. Demonstrate the effectiveness of utilizing the CMSA ICM training and tools when working with complex patients.
3. Describe the steps to develop public policy initiatives to advocate for advancing the profession of case management and improved patient outcomes.