Managed Care’s Effect on Professional Practice On May 16, 1997, Chi Systems, Inc., sponsored a case management symposium in Ypsilanti, Michigan, for health care leaders. Attendees other than myself included: l
Sarah B. Keating, RN, EdD, C-PNP, FAAN, is coeditor of Home Care Provider, dean and professor at Samuel Merritt-Saint Mary’s intercollegiate Nursing Program in Oakland, California, and chairwoman of the California Strategic Planning Committee for Nursing.
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Karl Bartcht, Chairman Chi Systems Sara Atwell, Systems
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Faiga J. Qudah, senior vice president, Integrated Health Management, Harris Methodist Hospital, Arlington, Texas Cynthia Whitaker, president-elect, Case Management Society of America, Rehabilitation Nursing Services, Sacramento, Calif. Gary Wolfe, Journal
Washington,
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RN, principal,
John R. Coleman, health care consultant, The Corridor Group, Overland Park, Kan.
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editor in chief, Care Management, D.C.
Linda Cooper, director of case management, Baptist Memorial Hospital, Memphis, Term. Martha Koen, vice president, National Institute of Case Management, Little Rock, Ark. Juanita Spallina, nursing supervisor, Saint Joseph Mercy Hospital, Ann Arbor, Mich.
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IIonna Wiencek, medIcal case manager, Consultants ior Case Management, Downers Grove, Ill. Karen Zander, principal and coowner, Center tor Case Management, South Natick, Mass.
Steven P. Gray, president of Chi Systems, acted as moderator of the symposium Each participant presented an overview of his or her work in case management and raised related issues facing health care systems, providers, and professionals as the 2 I st century approaches. Outcomes of managed care systems related to cost savings and quality of care wet-c discussed in light of various health care settings and systems, such as acute care, subacute care, rehabilitation, workers’ compensation, long-term care, and home care. for nurse case The scope ot practice managers, interdisciplinary collaboration, and tuture Icvc’ls of education necessary to prepare case managers were identitied a5 challenges for the near future The group agreed the symposium was extremely valuable for identifying the current status of case management and its impact on health care systems and profes\lonal practice. A series of articles related to the participants’ presentations will he featured in The Journal o/ Gre Mmagement. Subsequent symposia will be planned to generate recommendations for future roles of nurses in case management, intcrdisciplinary practice, and their impact on health care systems
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