CAN WE DO IT?
Veronica Chepak, MPA, BSN, RN
History
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Campaign initially started to
encourage women to enter the
workforce and increase
productivity.
Started as a song “Rosie the
Riveter” in 1942.
Some of the campaign directed at
husbands to support their wives
taking jobs.
Wartime propaganda poster for
Westinghouse Electric to boost
worker moral in February, 1943.
Only ran for 2 weeks and
disappeared for 40 years.
Reappeared as a symbol to
promote feminism and political
issues in the 1980’s
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While other girls attend their fav’rite
cocktail bar
Sipping Martinis, munching caviar
There’s a girl who’s really putting
them to shame
Rosie is her name
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All the day long whether rain or shine
She’s a part of the assembly line
She’s making history,
working for victory
Rosie the Riveter
Keeps a sharp lookout for sabotage
Sitting up there on the fuselage
That little frail can do more than a
male will do
Rosie the Riveter
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Rosie’s got a boyfriend, Charlie
Charlie, he’s a Marine
Rosie is protecting Charlie
Working overtime on the
riveting machine
When they gave her a production “E”
She was as proud as a girl could be
There’s something true about
Red, white, and blue about
Rosie the Riveter
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Everyone stops to admire the scene
Rosie at work on the B-Nineteen
She’s never twittery, nervous or jittery
Rosie the Riveter
What if she’s smeared full of
oil and grease
Doing her bit for the old Lendlease
She keeps the gang around
They love to hang around
Rosie the Riveter
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Rosie buys a lot of war bonds
That girl really has sense
Wishes she could purchase
more bonds
Putting all her cash into national
defense
Senator Jones who is “in the know”
Shouted these words on the radio
Berlin will hear about
Moscow will cheer about
Rosie the Riveter!
Production “E” Award
Was an honor presented to a company
during WWII for excellence in production
of war equipment.
 Needed to demonstrate:
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Quality and quantity of production
Overcoming of production obstacles
Avoidance of work stoppages
Maintaining of fair labor standards
Training of additional labor forces
Good record keeping in relation to health and safety.
Why is this important?
Health Care Today
Fragmentation of Care
 Over utilization of services for some of
the population.
 Lack of primary care providers.
 High cost of pharmaceuticals
 High cost of medical care.
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Any other issues?
Health Care Reform
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Affordable Care Act (ACA)
◦ Care Coordination is the driver of initiatives
today.
◦ Examples:
 Medicare expansion: for ACO’s to participate in cost
sharing, they must have processes to promote evidencebased medicine; reports on quality and costs, and
coordinate care.
 Medicaid: at the state level for those creating new health
home plans- must have care management, care
coordination and health promotion.
 Dual-Eligibles- creation of new office within the Center
of Medicare and Medicaid services- Federal Coordinated
Care Office to integrate Medicare and Medicaid benefits
and improve coordination.
Health Care Reform
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ACA does not mention:
◦ Who can effectively create a plan and
implement care coordination?
◦ Where do we begin with care coordination?
◦ What standards and tools should be used for
care coordination?
Who has this knowledge?
Definition of Case Management
“Case Management is a collaborative
process of assessment, planning, facilitation,
care coordination, evaluation and advocacy
for options and services to meet an
individual’s and family comprehensive health
needs through communication and available
resources to promote patient safety, quality
of care, and cost effective outcomes.”
~ www.cmsa.org
Case Management Tools
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Standards of Practice for Case
Management
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Evolution of the standards
Definition of Case Management
Philosophy and Guiding Principles
Case Management Practice Settings
Components of the Process
Standards of Case Management
Case Management Tools
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Case Management Model Act
◦ Establishes the key components of a comprehensive Case Management Program that
should be implemented at the federal and state levels.
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Definitions
Staff qualifications
Case Management Function
Authorized Scope of Services
Payment of Services
Other program requirements
Training
Quality Management
Antifraud & Consumer Protection
Complaints
Regulatory Oversight & Implementation
Case Management Tools
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.e4 - Engage, Empower, Enhance, Enable
CMSA microsite to provide resources and information on the
practice of case management.
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What is Case Management?
How Do I Become a Case Manager?
I’m a New Case Manager, Now What?
How do I get Certified?
What is the Average Case Management Case Load?
What is the ROI of Case Management?
Case Management Challenges
Does the general public know who and
what case managers are?
Case Management Challenges
Outside of the case management profession,
who else knows about these tools?
Case Management Challenges
Why does Case Management have an
identity problem?
Different job titles
 Belief that “we deny care”
 Different job functions
 What is case management?
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Obstacles
What’s blocking us from succeeding?
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I don’t have time.
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It does not impact me or my job.
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Too much work.
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They already have people helping
out.
Consequences of Non-involvement
Programs designed by non-case
management experts
 Staffing by non-case managers
 Lack of standards utilized for hiring and
designing job responsibilities.
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What does that mean for you?
Further consequences….
Loss of jobs
 Hiring of non-clinical staff to do case
management activities
 Decreased quality of care
 Increased cost of care
 Lack of accountability
 Loss revenue for independent case
managers.
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Can you afford not to get
involved?
“The greatest danger to our
future is apathy”
~ Jane Goodall
How do I get involved?
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Using CM skills:
◦ Assessment- Healthcare is changing; care
coordination is one of the key components
for many new programs and initiatives.
◦ Planning- Educate ourselves on key issues,
available resources, what is my local
organization doing? What is CMSA doing?
Getting Involved…
◦ Facilitation- Join your local chapter; become
knowledgeable about CM Model Act, Case
Management Standards.
◦ Care Coordination- talk to colleagues about
case management skill sets, who we are, what
we do.
◦ Advocacy- join a committee at your local
level- Public Policy, Education, Membership,
etc.
Impact of involvement
Recognition of the importance of case
management.
 Education on role of a case manager and
what they do.
 Respect in the workplace
 Request for input for program designs.
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Case Management Values
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Improving quality of care and patient satisfaction.
Problem solvers to health care access and care issues.
Helping patients along the care continuum.
Able to illustrate appropriate case loads using evidencebase practices.
Able to train a new generation of case managers.
Case Management standards that include
communication and documentation to ensure patient
safety and improved health.
Sound familiar?
Production “E” Award
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◦
◦
◦
◦
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Quality and quantity of production
Overcoming of production obstacles
Avoidance of work stoppages
Maintaining of fair labor standards
Training of additional labor forces
Good record keeping in relation to health and
safety.
Case Managers CAN Do It!!