Physician's Guide

Roger G. Kathol, MDAdjunct Professor, University of MinnesotaPresident, Cartesian Solutions, Inc.™Chief Medical Officer/Physician Board Advisor, Case Management Society of AmericaBurnsville, MN, USA  Katherine Hobbs Knutson, MD, MPHMedical Instructor, Department of Psychiatry and Behavioral Sciences, Duke University School of MedicineDurham, NC, USA Peter J. Dehnel, MDMedical Director for Case Management and Utilization ManagementBlue Cross Blue Shield of MinnesotaEdina, MN, USA

Foreword.- Preface.- Acknowledgments.- I. Overview of Case Management, Health Complexity, and the Integrated Case Management Approach.- 1. Patient Health Care Assist and Support Services, Integrated Case Management, and Complexity Assessment Grids.- 2. Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Adults.- 3. Health Complexity and the Interaction Between Physical and Behavioral Health Conditions in Children and Youth.- 4. The Organizational and Operational Setup of Adult Integrated Complex Case Management.- 5. The Organizational and Operational Setup of Pediatric Integrated Complex Case Management.- 6. Indirect and Direct Physician Support for Integrated Case Management in Adults.- 7. Indirect and Direct Physician Support for Integrated Case Management in Children/Youth.- II. Guidelines for Physicians Working to Maximize Patient Outcomes in Collaboration with Integrated Case Managers- 8. Organizing and Implementing Value-Added Integrated Case Management.- 9. Connecting Integrated Case Management with Integrated Complex Inpatient and Outpatient Care.- 10. Physicians' Contributions to Building and Participating in a Population-Based Case Management Center of Excellence.- III. Appendices.- Appendix 1. Integrated Case Management (ICM) Algorithmic Triage Strategies.- Appendix 2. Adult Integrated Case Management-Complexity Assessment Grid (ICM-CAG) Variables and their Clinical Anchor Points.- Appendix 3.  Scripted Dialogue for Adults.- Appendix 4.Elina's ICM-CAG Assessment Story.- Appendix 5.  Scripted Dialogue for Children/Youth and Parents/Caregivers.- Appendix 6. Care Plan Development Sheet.- Appendix 7.  Measurement of Progress: Goals, Actions, Outcomes.- Appendix 8. Pediatric Record for Outcome Measurement  (ROM).- Appendix 9. Pediatric ICM-CAG Variables and Anchors.- Appendix 10.Pediatric ICM-CAG Item Anchor Point Actions.- Appendix 11.  Understanding "Complexity Assessments" for Youth and Families Helped by Case Management.