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
Appendix 12. Understanding “Complexity Assessments” for Clinicians with Youth in Case Management
Appendix 13. Notification Letter to Patient’s Clinician(s)
Appendix 14. Universal Consent Form
Appendix 15. Adult ICM-CAG Item Anchor Point Actions
Appendix 16. Understanding “Complexity Assessments” for Persons Entering Case Management
Appendix 17. Understanding “Complexity Assessments” for Clinicians with Patients in Case Management
Appendix 18. Barriers to Adherence
Appendix 19. Adult Record for Outcome Measurement (ROM)
Appendix 20. Core ICM Principles
Appendix 21. Core ICM Practices Needed to Implement the full ICM Components
Abbreviations
Glossary of Terms
Index