Time management in case management services across the continuum comprises three concepts: Cognitive work rather than multitasking, funneling the caseload to a workload, and fluid reprioritization of 8–15 “juicy jobs.”
Some patients seem resistant to interventions aimed at helping them avoid preventable hospital visits. These so-called high utilizers typically have multiple chronic conditions, along with social or psychological conditions and/or substance use issues that can interfere with effective care. AbsoluteCARE, an ambulatory ICU, was created for these patients.
A case manager on a busy medical-surgical unit is facing an end-of-life case. The patient is an immigrant from Chile with limited Medicaid. As the hospital stay continues and his clinical condition worsens, it becomes clear that he has little time left. How can the case manager work with the patient and family to fulfill the patient’s end-of-life wishes?