Case Management A Panel Presentation October 15, 2014 Panelists - - PDF document

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Case Management

A Panel Presentation

October 15, 2014

Panelists

• Nicole Monroe- Scotland County Schools

– Is in the implementation phase of case management – Focus is on getting started

• Melanie Reese- Catawba County Schools

– Participated in ECU research study and once it ended adapted case management tools and program to fit local needs – Focus is on diabetes care and new obesity initiative

• Alice Luttman- Cabarrus Health Alliance

– As a school nurse supervisor she developed policy – Focus is on moving from process to outcomes and then to impact

Objectives

• Identify similarities and differences between

several case management programs

• Identify tools that are available to assist in

implementing a program

• Commit to implementing at least one thing

learned today to improve outcomes for students in your case load

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What is Case Management?

• A nurse-managed program for students with

chronic/complex health conditions based on intentionally planned contact with the student, family, teacher, and/or care provider and including a written plan of care that follows the nursing process. OR

• Coordinating care among the school, home and

community.

History & Background

• In 2002, a large LEA in NC began to do case

management as a quality improvement initiative

• In 2006 a formal research project was started in

eastern North Carolina

• Expanded the research project across the state

2008-2011

• Ongoing work is being done to encourage the

adoption of a formalized case management program

North Carolina Numbers

NC Systems w/ CM Programs 54 of 115 LEAs reported having a formal CM Program Barriers listed if no program in place Locally high nurse/student ratio Lack of data collection system or plan Lack of someone to move a program forward Don’t understand the value of a program Number of students impacted Varies widely from nurse to nurse and system to system but numbers are growing.

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Positive Outcomes

• For students:

– Improved health & quality of life – Improved attendance & grades

• For school nurses

– Improved relationships with students and families – Improved professional satisfaction

• For school health supervisors

– Improved programmatic consistency – Increased data to support school nurse staffing

Scotland County

• Nicole Monroe- School Nurse RN, BSN

nmonroe@scotland.k12.nc.us

• In the first year of formalized case

management process

Catawba County

• Melanie Reese RN BSN NCSN

828-320-7596 MelanieR@catawbacountync.gov

• Has adapted tools and procedure for use in local

school health program

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Getting Started

• Develop an EAP, IHP and case management

goals for your most frequently used careplans. (Diabetes, Asthma, Seizures)

• Once you have mastered those, look at where

you spend your most nursing time and add case management goals for those. (Pregnancy, lice, parasites, unsecured screening follow up, behavioral issues and medication compliance)

Case management requirements in Catawba County Schools

Case Management Goals EAP IHP Allergy X X Asthma X X Behavioral X Dental (dental follow up) X Diabetes X X Parasite (lice, bedbugs) X Pregnancy X Seizure X X Sensory (vision, hearing follow up) X

Measuring improvement

• 2013-14 SY- 185 students
• 2014-15 SY- 212 students

Each Nurse averages about 8-9 students a year in their case load.

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2015-16 SY BMI as a new case management focus area

• NASN School Nurse Obesity Toolkit
• Developed screening, monitoring and teaching

from the tool kit.

• 3 year outcome:

2014-15- Collected data for grades 1, 7, 9 2015-16- Case management for those with BMI >95% We will provide education and monitoring over the next 2 years.

Cabarrus County Schools

• Alice Luttman- RN, BSN, NCSN

alice.luttman@cabarrushealth.org

• Has implemented case management system wide

and begun to use that outcomes data in presentations to community stakeholders for continued support for the school health program

In conclusion…

• Your Regional School Health Nurse Consultant

has tools & resources to assist you in getting started.

• Panelists contact information has been included

for ongoing support.

• Start where you are and take at least one step

forward in implementing a more formalized program of care coordination.

• Use the handout for good reference articles to use

as you move forward.