The Integrated Case Management Manual

Chapter 1 Introduction to Value-Based Integrated Case Management.- Chapter 2 Assisting Lucinda: A Depressed Individual with Diabetes Mellitus, Numerous Complications, Poor Control, and High Service Use.- Chapter 3 Overview of Health Complexity and the Interaction between Physical and Behavioral Health Conditions.- Chapter 4 The Value-Based Integrated Case Management Workplace.- Chapter 5 Cross-Disciplinary Training for Integrated Case Managers.- Chapter 6 Motivational Interviewing and Health Behavior Change in Patients with Health Complexity.- Chapter 7 Cross-Disciplinary Training for Value-Based Integrated Case Management Managers.- Chapter 8 Child/Youth Integrated Case Management Using Pediatric INTERMED-Complexity Assessment Grid Methodology.- Chapter 9 Medical and Behavioral Health Information Gathering by Value-Based Integrated Case Managers.- Chapter 10 Using a Value-Based Individual and Integrated Case Manager Dialogue for Complexity Assessments and Care Plan Development.- Chapter 11 Scoring Adult and Pediatric Value-Based Integrated-Case-Management Complexity-Assessment-Grids.- Chapter 12 Care Plan Development, Barrier Reversal, Patient-Centered ICM Performance, Graduation, Outcome Analysis.- Chapter 13 Assisting Lucinda: Depressed Diabetic Patient With Numerous Complications, Poor Control, and High Service Use.- Chapter 14 Assisting Robert: Disabled Employee With Chronic Lung Disease, Panic Attacks, and Alcohol Abuse.- Chapter 15 Assisting Paul: Thirteen-Year-Old With Congenital Heart Disease, Family Anxiety, and School Non-Attendance.- Chapter 16 Working with Medical Directors and Clinicians as Part of Value-Based Integrated Case Management.- Chapter 17.- Appendices:Appendix 1 Value-Based Integrated Case Management from "A" to "Z" (1A to 1G).- Appendix 2 Adult and Pediatric Study Session Assignments (2 Appendices).- Appendix 3 Adult (Pediatric) Universal Consent (2 Appendices).- Appendix 4 Value-Based Integrated Case ManagementRecruitment (3 Appendices-Letter, enrollment dialogue without letter, enrollment dialogue with letter).- Appendix 5 Value-Based Integrated Case Management Explanation (Patient-1 Appendix for adults and peds).- Appendix 6 Introductory Letter to Clinicians.- Appendix 7 Value-Based Integrated Case Management Explanation (Clinician-1 Appendix for adults and kids).- Appendix 8 Value-Based Integrated Case Management Scoring Sheet (Adult and Pediatric).- Appendix 9 Value-Based Integrated Case Management Anchor Points (2 Appendices-Adult and Pediatric).- Appendix 10 Value-Based Integrated Case Management Actions (1 Appendix for adults and kids-much shorter since action lists are in the adult and peds documentation tools).- Appendix 11 Value-Based Integrated Case Management Scripted Dialogue (2 Appendices-Adult and Pediatric).- Appendix 12 Value-Based Integrated Case Management Care Plans with Outcome Documentation Capabilities (2 Appendices-Care Plan and Outcome Documentation).- Appendix 13 Instructions for Using the Value-Based Integrated Case Management Documentation System (1 Appendix).- Appendix 14 Patient Centered Value-Based Integrated Case Management Performance (2 Appendices-Adult [PCIP] and Pediatric [P-PCIP]).- Appendix 15 Value-Based Integrated Case Management Action Notes (1 Appendix).- Appendix 16 Value-Based Integrated Case Management Adult Curriculum.- Appendix 17 Value-Based Integrated Case Management Pediatric Curriculum.- Appendix 18 Study Session Assignments for Adult Value-Based Integrated Case Management Training.- Appendix 19 Study Session Assignments for Pediatric Value-Based Integrated Case Management Training.- Appendix 20 Practice Questions (2 Appendices--Adult and Pediatric).- Appendix 21 Abbreviations.