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Shared Decision-Making: A New Frontier for Case Management Leadership
1Teresa M. Treiger, MA, RN-BC, CCM, FABQAURP, is a thought leader inspiring Conscious Case Management practice across the health care continuum. She is principal of her own company, Ascent Care Management, providing private case management, professional education, peer mentoring, and publication services. Teri has spoken across the United States and internationally on topics such as professionalism in practice, collaborative practice, transition of care, challenges to practice with the addicted client, integrated case management, and case manager self-care. She is a prolific author in journals and books, most recently as coeditor and contributing author of CMSA Core Curriculum for Case Management, 3rd edition (with Dr. Hussein Tahan) and coauthor of COLLABORATE for Professional Case Management: A Universal Competency Based Paradigm (with Ellen Fink-Samnick). Teri is a featured columnist in Professional Case Management's The Heartbeat of Case Management. She serves as a Commissioner for the Commission for Case Manager Certification and is a past National President of the Case Management Society of America (CMSA). She was a founding board member of the National Transitions of Care Coalition. Teri is married and lives with her husband Dave in Quincy, Massachusetts. She enjoys traveling the world and actively supports domestic and wild animal rescues and shelters.
Case managers can enhance patient engagement by supporting shared decision-making (SDM). Training in SDM is crucial for case managers to empower clients in making health care choices aligned with their values.
Area of Science:
- Health Services Research
- Patient-Centered Care
- Healthcare Management
Background:
- Many individuals remain disengaged from their healthcare decisions despite increased information access.
- Case managers, as central care coordinators, are ideally positioned to foster patient engagement.
- Shared decision-making (SDM) is a key strategy to improve patient involvement.
Purpose of the Study:
- To explore the role of case managers in promoting shared decision-making (SDM).
- To define SDM from a case management perspective.
- To highlight the importance of SDM across all healthcare settings where case management is practiced.
Main Methods:
- This article synthesizes current understanding and best practices regarding SDM in case management.
- It addresses the principles and application of SDM within the case management framework.
- Focuses on the responsibilities of case managers in facilitating SDM.
Main Results:
- Effective communication is a fundamental competency for case managers.
- SDM involves a collaborative process between case managers and clients to align health decisions with client priorities.
- Case managers require specific education and training to implement SDM effectively.
Conclusions:
- Shared decision-making (SDM) is integral to person-centered case management practice.
- Case managers must understand SDM principles and their role in supporting colleagues.
- Healthcare organizations should integrate SDM into their operational goals and performance metrics.
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