• The Role of Health Coaches in Disease and Care Management
Danielle Butin, director of health services at Oxford Health Plans, a United Healthcare company, describes the Oxford's two-and-half-day health coach training program.
Kerry Little, senior health coach with Duke University Medical Center, describes the qualities that set Duke's program apart from other coaching initiatives.
Roger Reed, Gordian Health Solutions executive vice president and chief health officer, identifies the key components of a Gordian health coaching call.
• Medicaid Disease Management: Program Design, Features and Results
David Hunsaker, president of public programs at APS Healthcare, describes how to maintain contact with the Medicaid population, dispels some of the myths about the Medicaid population, and discusses ways to reduce non-urgent emergency room usage among Medicaid recipients.
Elizabeth Reardon, managed care director at Vermont Health Access, discusses the challenges of serving a rural population in Medicaid disease management programs and how case managers can utilize home visits conducted either by the case manager or by other service provides already visiting the home to help coordinate the care of Medicaid patients.
• Non-Urgent Emergency Room Usage: Proven Ways to Redirect Care to Appropriate Settings
Roberta Burgess, a clinical case manager for the Community Care Plan of Eastern Carolina, defines the role of the primary care physician in reducing non-urgent emergency room (ER) use, identifies the greatest misuses of the ER and defines the "ABCs" of determining whether a visit to the ER is warranted.
Gerald Kiplinger, vice president and executive director of the Georgia Enhanced Care program for APS Healthcare, explains what role primary care physicians and the emergency room itself can play in preventing non-urgent use of the ER and what factors can play into inappropriate use of the ER by the Medicaid population in particular.
• Maternity Disease Management: Assessments, Guidelines and Monitoring to Meet Positive Expectations
Dr. Joseph Stankaitis, chief medical officer at Monroe Plan for Medical Care, explains how incentives improved physicians' completion of his organization's prenatal registration form and how Monroe improved coordination between its perinatal staff and behavioral health staff to address mental health or chemical dependency issues in the targeted population.
Dr. Tom Smith, director of medical care management at Health Management Corporation, explains how overcoming barriers to outreach is a crucial component of his organization's telephonic Baby Benefits program.
Christy L. Beaudin, PHD, LCSW, CPHQ, corporate director of quality improvement at PacifiCare Behavioral Health, describes the crucial differences between the "baby blues" and postpartum depression.
• Depression Disease Management: Healthcare's New Frontier
Dr. Sam Toney, president and chief medical officer of Health Integrated, describes how his organization's depression management program strives to include providers.
Mary Beth Chalk, chief operating officer of Resources for Living, describes how her program helped a member deal with her chronic condition.
• The Role of Behavior Modification in Disease Management and Health
Michael Thompson, a principal with PricewaterhouseCoopers, describes how a lifestyle scorecard is being developed to incent members and employees to adopt healthy lifestyles.
Dr. Richard Citrin, vice president of EAP Solutions at the University of Pittsburgh Medical Center, describes how a person's perception of their health drives their healthcare decisions.
Dr. Rick Botelho, a professor of family medicine and nursing at the University of Rochester, advises practitioners to put four key motivational principles into practice when helping patients change behaviors.
• Cultural Competency in Healthcare
Elsa Batica, cross-cultural health development and training manager with Children's Hospitals and Clinics of Minnesota, gives her personal perspective on cultural competence and discusses how her organization takes advantage of community resources.
Patti Ludwig-Beymer, administrative director for nursing research and education at Edward Hospital and Health Services, discusses the importance of staff education in building a culturally competent organization and viewing cultural competence as a process rather than an outcome.
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