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Inside this Issue

Vol. 28, No. 6, December 2022/January 2023

Reducing Hospital Length of Stay by Expediting Precertification    

CNS, CMC, Nikki Greisl, RRT, Kasey Burke, MSN, RN, CCM, ACM-RN, and Elizabeth Altenburger, PT, MSPT, CWS

Hospitals across the United States are being challenged to overcome a consistent and pervasive issue: well-timed insurance authorization and the associated hospital discharge delays. Seeking to address such delays, Indiana University Health, a 17-hospital healthcare system in Indiana, set about to fix the situation by taking a systematic approach to define and dissect the problem, develop a multifaceted solution, institute an implementation team, and generate a model to accurately evaluate for success.

Fentanyl: The Silent Opioid Epidemic    

Colleen Morley, DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM

A subset of the opioid epidemic has been the recent development of increased fentanyl overdoses. Fentanyl, a synthetic opioid that is 100 times more potent than morphine and 50 times more potent than heroin, remains the deadliest drug threat facing this country. Strategies to address the fentanyl overdose epidemic include raising awareness through multichannel outreach and community education on the dangers of fentanyl, increasing accessibility of testing kits, and increasing mental health resource availability. Case managers should continue educating themselves about opioid use and its effect on their patients and community.

Medical Cannabis and Workers’ Compensation: Ethical Considerations for the Care Manager

Chikita Mann, MSN, RN, CCM

The use of medical marijuana (or cannabis) for medical conditions has been gaining traction in the past 20 years. It is estimated that over 3 million Americans use cannabis in some form for different illnesses. The use of medical marijuana is complicated, especially when it comes to the workplace. What is legal (ie, what is permitted by law) and what is ethical (ie, morally right or wrong) can vary greatly. This can pose a range of ethical quandaries for the board-certified case manager who is coordinating care. We explore how to navigate ethical situations that can arise with regard to the use of cannabis.

Special Sections

Announcing...

CareManagement is the journal of the Commission for Case Manager Certification, the Academy of Certified Case Managers, a journal of the Case Management Society of America.

PharmaFacts for Case Managers

Approvals, warnings and the latest information on clinical trials—timely drug information case managers can use.

LitScan for Case Managers

The latest in medical literature and report abstracts for case managers.

Departments:

From the Editor-in-Chief

Becoming an FCM—A Fellow in Case Management

From the Executive Editor

Complex Patients with Complex Discharge Needs: The Continuing Challenge

Legal Update I

Providers Liable for Harm to Patients and Fraudulent Conduct Despite Physicians’ Orders

Legal Update II

What About Gifts to Patients During the Holiday Season?

News from CMSA

Not Just One Week A Year!  Case Management Appreciation

News from CCMC/CDMS

What “Quiet Quitting” Really Means—and 6 Ways to Respond

Case Manager Insights

Jeff

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