Ryan White Program Medical
Case Management
Medical case management (MCM) is a range of client-centered
services that link clients with health care, psychosocial, and other services
to ensure:
Timely, coordinated access to medically appropriate levels of health and support services
Ongoing assessment of the client′s needs
Continuity of care
The purpose and goals of medical case management are to:
Assist the client with accessing needed services
Maintain the client in on-going medical care and treatment
Increase the client′s adherence to the care plan (i.e., medication regimen) through counseling
Empower clients to remain as independent as possible
Improve service and client health outcomes
Control costs while ensuring that client needs are properly addressed
Coordinate services across funding streams
Reduce service duplication across providers
Use available funds and services in the most efficient and effective manner
Resources for
Medical Case Managers
Medical Case Management Training
Ryan White Program Medical Case Management Training is designed for Ryan White Program medical case management supervisors, medical case managers, outreach workers and peer educators.
Scheduled Trainings:
August 10 and August 12, 2010 | TOPICS:
Continuity of Care; Effective Collaboration between Medical Case Managers and
Florida Department of Corrections, Engaging Clients into Care, Social Security Administration
Eligibility Screening, Referral Authorization Process The same training will be offered on each date.
July 13 and July 15, 2010 | TOPICS:
Patient Provider Relationships: Adherence, Literacy and Cultural Competency; Patient Assistance Programs Overview The same training will be offered on each date.
June 8 and June 10, 2010 | TOPICS:
HIV & Mental Health; When to Initiate HIV Therapy; ADAP Cost Containment-DOH ADAP Waiting List; Patient Assistance Program Explanations: Gilead Sciences, Inc. and Tibotec Therapeutics The same training will be offered on each date.
May 11
and May 13, 2010 | TOPICS: Tools
for Managing Adherence; The So What of It ...Partner Services for STDs and
HIV; Public Assistance Programs Overview Summary The same
training will be offered on each date.
April 13 and April 15, 2010 | TOPICS: Case Manager Web Based Portal Training; Fundamentals of a Progress Note: Continued The same training will be offered on each date.
March 9 and March 11, 2010 | TOPICS: How Your Organization Can Become More Deaf Friendly; Overview and Management of Body Fat Changes; Fundamentals of a Progress Note: An Introduction The same training will be offered on each date.
February 9 and February 11, 2010 | TOPICS: Case Studies in HIV; ADAP Update; SDIS Updates & POC Review The same training will be offered on each date.
January 12 and January 14, 2010 | TOPICS: Immigration Status & HIV; Documentation of Medications in the CHA, POC, Referrals and the Progress Note. The same training will be offered on each date.
November
20, 2009 | Medical
Case Management Supervisor Training: Adherence and Resistance, presented by Dr. Jeffrey Beal, AETC;
Ryan White Program Skill Building
November 10 and November 12, 2009 | TOPICS: Management of HIV; Ryan White Program Updates. The same training will be offered on each date.
October 6
and October 8, 2009 | TOPIC: Components
of a Comprehensive Health Assessment Follow-up Review. The
same training will be offered on each date.
September 8 and September 10, 2009 | TOPICS: Cultural Competence for HIV Providers in Miami; Components of a Comprehensive Health Assessment; HIV Interactive Challenge. The same training will be offered on each date.
August
11 and August 13, 2009 | TOPICS: ADAP
Update, HOPWA; Ryan White Program Coordination; HIV Interactive Challenge,
and Comprehensive Health Assessment Overview. The same training will be offered on each date.
August 5, 2009 | Medical Case Management Supervisor Training: Masterful Coaching Skills for Masterful Supervisors
The goals of medical case management training are to:
Provide detailed and hands on training on various components of medical case management duties (e.g., eligibility screening, documentation, etc.)
Ensure compliance with the medical case management standards and service guidelines
Prepare medical case managers and medical case management supervisors for the annual Proficiency Exam
Advise of medical and pharmaceutical updates
Provide updates on relevant program changes
Educate on alternate funding sources
Sessions are conducted by CQI Quality Management Coordinators, health care providers - including doctors, nurses and pharmacists - and other professionals familiar with the distinct challenges faced by Ryan White Program service providers in Miami-Dade County.
All sessions are free and open to the public; attendance is mandatory for Ryan White Program medical case management personnel.
For more information, contact Sandra Sergi, Quality Management Coordinator/Trainer.
Medical Case Management Record Reviews
The purpose of record reviews is to determine whether program
requirements are being met, whether the services provided are appropriate and
whether services meet current accepted standards of practice. This page includes
medical case management record review results. These results, as well as medical,
oral health, psychosocial and substance abuse record reviews are found on the Record
Reviews and Reports page.
2004-2005 Ryan White Title I Case Management Record Review
Ryan White Title I Case Management Record Review 2003
Medical Case Management Technical
Assistance
The Continuous Quality Improvement Program offers monthly on-site
technical assistance at all Miami-Dade County Ryan White Program agencies.
Technical assistance visits are part of a continuous quality improvement process
designed to identify and resolve problems and weaknesses, both agency-specific
and system-wide. The goal of the visits is to prevent the development of chronic
problems. Along with regularly conducted system-wide record reviews, and the
submission of quarterly record reviews by each provider agency, the visits
allow CQI staff to systematically focus on quality improvement areas (e.g.,
the financial assessment and eligibility determination).
Technical assistance site visits aim to ensure:
Compliance with medical case management standards
Identification of areas requiring improvement
Recognition of agency strengths
For more information, contact Ariela Eshel, Quality Management Coordinator.
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